Self-esteem in patients with inflammatory bowel disease
Open accessAbstract
Purpose: The purpose of this study was to explore self-esteem and associations between self-esteem and sociodemographic, clinical, and psychological factors in patients with inflammatory bowel disease (IBD), a disease of chronic relapsing inflammation of the gastrointestinal tract. IBD symptoms, including pain, fatigue, and diarrhea, as well as potential life-long medical treatment and surgery, may be demanding, cause significant challenges, and influence self-esteem. Methods: In this cross-sectional multicenter study, participants were recruited from nine hospitals in the southeastern and western regions of Norway from March 2013 to April 2014. Data were collected using self-report questionnaires. Self-esteem was assessed by the Rosenberg Self-Esteem Scale, fatigue was assessed by the Fatigue Questionnaire, self-efficacy was assessed by the General Self-Efficacy Scale, and disease activity was assessed by the Simple Clinical Colitis Activity Index for ulcerative colitis (UC) and Harvey Bradshaw Index for Crohn’s disease (CD). Multiple linear regression analysis was applied to examine associations between self-esteem and sociodemographic, clinical, and psychological factors. Results: In total, 411 of 452 (91%) patients had evaluable data and were included in this study. The mean scores on self-esteem, self-efficacy, total fatigue, anxiety, and depression were similar between UC patients and CD patients. Male gender, being employed, and higher self-efficacy were independently associated with higher self-esteem, whereas anxiety and depression were independently associated with lower self-esteem. Neither disease activity nor fatigue were associated with self-esteem in the final multiple regression analyses. Conclusion: Patient-centered interventions that improve self-esteem and reduce anxiety and depression seem to be important to optimize IBD management.
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A cross-sectional study by Opheim et al. (2020) (n = 411) demonstrated a significant association between low self-esteem and psychological distress in individuals with IBD.
“A cross-sectional study by Opheim et al. (2020) (n = 411) demonstrated a significant association between low self-esteem and psychological distress in individuals with IBD”
From Moving Towards Acceptance and Values: A Qualitative Study of ACTforIBD Compared to IBD Psychoeducation (2024) · cites this paper as Opheim et al. (2020)
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“A cross-sectional study by Opheim et al. (2020) ( n = 411) demonstrated a significant association between low self-esteem and psychological distress in individuals with IBD, supporting perspectives of those in the current study that interventions targeting self-esteem might be useful in optimizing…”
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- Authors
- Opheim, R., Moum, B., Grimstad, B. T., Jahnsen, J., Prytz Berset, I., Hovde, Ø., Huppertz-Hauss, G., Bernklev, T., & Jelsness-Jørgensen, L.-P.
- Affiliations
- Oslo University Hospital (NO)
- Stavanger University Hospital (NO)
- University of Oslo (NO)
- Sykehuset i Vestfold (NO)
- Corresponding author
- Opheim, Randi
- ORCID
- Venue
- Quality of Life Research
- Published
- 2020-03-06
- Volume
- 29
- Issue
- 7
- Pages
- 1839-1846
- ISSN
- 0962-9343 (ISSN-L)
- 1573-2649
- PMC
- PMC7295843
- OpenAlex
- W3009570797
- Cited by
- 27
- References
- 50
- Citations by year
- 2026: 6 · 2025: 3 · 2024: 4 · 2023: 1 · 2022: 5 · 2021: 6 · 2020: 2
- FWCI
- 2.05
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Quality of Life Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
- Funders
- Sykehuset Østfold
- Østfold University College
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Health Sciences › Medicine › Ophthalmology › Ocular Diseases and Behçet’s Syndrome
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- self-esteem, inflammatory bowel disease, ulcerative colitis, Crohn's disease, self-efficacy, fatigue, anxiety, depression, disease activity, sociodemographic factors, patient-centered care
- MeSH terms
- Adult, Cross-Sectional Studies, Female, Humans, Male, Quality of Life, Surveys and Questionnaires, Self Concept, Severity of Illness Index, Inflammatory Bowel Diseases
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