Body Image Dissatisfaction in Patients with Inflammatory Bowel Disease
Open accessAbstract
BACKGROUND: Despite the fact that the inflammatory bowel diseases (IBD) and their treatments may affect physical appearance, the effect of IBD on body image is poorly understood. The aims of this study were to determine whether body image dissatisfaction (BID) changes over time in patients with IBD and to examine the demographic and disease-related variables associated with decreased body image. METHODS: Adults aged 18 and above in the Ocean State Crohn's and Colitis Area Registry with at least 2 years of follow-up were eligible for this study. All patients were enrolled within 6 months of IBD diagnosis and followed prospectively. BID was assessed using a modified version of the Adapted Satisfaction With Appearance questionnaire. Total Adapted Satisfaction With Appearance scores and 2 subscores were calculated. To assess for changes over time, general linear models for correlated data were used for continuous outcomes, and generalized estimating equations were used for discrete outcomes. RESULTS: Two hundred seventy-four patients were studied. BID was found to be stable over time among men and women with IBD despite overall improvements in disease activity. No differences were found in BID according to IBD subtype. Female gender, greater disease activity, higher symptom burden, longer duration of steroid use, dermatologic and musculoskeletal manifestations of IBD, and ileocolonic disease location among patients with Crohn's disease were associated with greater BID. Greater BID was associated with lower health-related quality of life. CONCLUSIONS: BID remains stable in an incident cohort of IBD despite improved disease activity and is associated with lower health-related quality of life.
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Changes in self-concept are closely associated with quality of life in children and adolescents with IBD.
“such changes in self-concept are reported to be closely associated with quality of life (QOL) [10].”
From Body image, self-esteem, and quality of life in children and adolescents with inflammatory bowel disease in a tertiary hospital in South Korea (2021) · cites this paper as [10]
In children and adolescents with IBD, delays in growth, fatigue, and decreased physical strength cause changes in the body.
“In children and adolescents with IBD, delays in growth, fatigue, and decreased physical strength cause changes in the body [9,10]”
From Body image, self-esteem, and quality of life in children and adolescents with inflammatory bowel disease in a tertiary hospital in South Korea (2021) · cites this paper as [10]
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- Authors
- Saha, S., Zhao, Y.-Q., Shah, S. A., Esposti, S. D., Lidofsky, S., Bright, R., Law, M., Moniz, H., Samad, Z., Merrick, M., & Sands, B. E.
- Affiliations
- Centers for Disease Control and Prevention (US)
- University of Wisconsin–Madison (US)
- Brown University (US)
- Rhode Island Hospital (US)
- Crohn's and Colitis Foundation (US)
- Icahn School of Medicine at Mount Sinai (US)
- ORCID
- Venue
- Inflammatory Bowel Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 2015-02
- Volume
- 21
- Issue
- 2
- Pages
- 345-352
- ISSN
- 1078-0998 (ISSN-L)
- PMC
- PMC4373552
- OpenAlex
- W1995002834
- Cited by
- 39
- References
- 41
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 7 · 2023: 3 · 2022: 4 · 2021: 4 · 2020: 5 · 2019: 4 · 2018: 1 · 2017: 4 · 2016: 3 · 2015: 1
- FWCI
- 2.05
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Inflammatory Bowel Diseases (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Crohn's and Colitis Foundation of America
- Amgen
- Bristol-Myers Squibb
- Pfizer
- National Institutes of Health (7r21dk078555-03)
- Centers for Disease Control and Prevention (DP000340, 1 UO1 DP000340-03, 1u01dp004785-01)
- Takeda Oncology
- National Institute of Diabetes and Digestive and Kidney Diseases (1R21DK078555-01, R21DK078555)
- National Institute of Child Health and Human Development
- National Center for Chronic Disease Prevention and Health Promotion (1 U01 DP004785-01, U01 DP000340, 1 UO1 DP000340-03)
- Janssen Biotech
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (K12HD055894)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Keywords
- body dissatisfaction, inflammatory bowel disease
- MeSH terms
- Adolescent, Adult, Aged, Body Image, Emotions, Female, Follow-Up Studies, Humans, Male, Middle Aged, Prognosis, Quality of Life, Surveys and Questionnaires, Registries, Inflammatory Bowel Diseases, Cohort Studies, Patient Satisfaction, Young Adult
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