Different Associations of Health Related Quality of Life with Pain, Psychological Distress and Coping Strategies in Patients with Irritable Bowel Syndrome and Inflammatory Bowel Disorder
Abstract
The primary aim of this study was to measure psychological distress, pain severity, health related quality of life (QOL) and pain coping strategies in patients with irritable bowel syndrome (IBS) and ulcerative colitis (UC). A second aim was to determine the influence of somatic and psychological variables on health related QOL. Eighty-eight IBS and 66 UC patients completed the Irritable Bowel Syndrome Quality of Life Questionnaire (IBSQOL), Pain Severity Scale of West Haven Yale Multidimensional Pain Inventory (WHYMPY), Symptom Checklist-90-R (SCL-90-R) and Coping Strategies Questionnaire (CSQ). T-tests and GLM Analysis of Covariance were used for statistical analysis. IBS patients had significantly higher levels of psychological distress, pain severity and maladaptive pain coping strategies (catastrophization), and lower QOL than UC patients. Variance of QOL in IBS was explained for the most part by catastrophization (15%), then by psychological distress (8%), and for the less part by pain severity (5%). In UC, pain severity explained 21%, psychological distress 8%, and catastrophization 3% of the variance of QOL. These results suggest there are differences between IBS and UC patients in the role of physical and psychological factors in QOL and emphasize the importance of cognitive processes in IBS.
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Of 17 studies assessing depression, 10 showed statistically significant differences between IBD and other medically ill cohorts.
“Of the 17 studies assessing depression, 10 showed statistically significant differences between IBD and other medically ill cohorts (17, 21, 67, 68, 70, 71, 73-75, 77).”
From Controversies Revisited: A Systematic Review of the Comorbidity of Depression and Anxiety with Inflammatory Bowel Diseases (2016) · cites this paper as [77]
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References 81 · Cited by 82
- Authors
- Seres, G., Kovács, Z., Kovács, Á., Kerékgyártó, O., Sárdi, K., Demeter, P., Mészáros, E., & Túry, F.
- Affiliations
- Semmelweis University (HU)
- Péterfy Sándor Utcai Kórház-Rendelőintézet és Baleseti Központ (HU)
- Jahn Ferenc Dél-Pesti Kórház és Rendelőintézet (HU)
- Corresponding author
- Seres, Gabriella
- Venue
- Journal of Clinical Psychology in Medical Settings
- Published
- 2008-09-30
- Volume
- 15
- Issue
- 4
- Pages
- 287-295
- ISSN
- 1068-9583 (ISSN-L)
- 1573-3572
- OpenAlex
- W1990829510
- Cited by
- 82
- References
- 81
- Citations by year
- 2025: 3 · 2023: 13 · 2022: 5 · 2021: 9 · 2020: 4 · 2019: 7 · 2018: 3 · 2017: 4 · 2016: 7 · 2015: 9 · 2014: 2 · 2013: 3 · 2012: 4
- FWCI
- 2.95
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Clinical Psychology in Medical Settings (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- irritable bowel syndrome, ulcerative colitis, inflammatory bowel disease, health-related quality of life, pain intensity, psychological distress, pain coping, catastrophizing, maladaptive coping, somatic symptoms, cognitive processes
- MeSH terms
- Adaptation, Psychological, Adult, Analysis of Variance, Female, Health Status, Humans, Hungary, Male, Pain, Pain Measurement, Quality of Life, Surveys and Questionnaires, Severity of Illness Index, Stress, Psychological, Inflammatory Bowel Diseases, Comorbidity, Irritable Bowel Syndrome
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