Inflammatory bowel disease: The harmful mechanism of experiential avoidance for patients’ quality of life
Open accessAbstract
This study aimed to test the effects of inflammatory bowel disease symptomatology and associated medical complications on physical and psychological quality of life and to explore whether these relationships are mediated by experiential avoidance. A total of 200 inflammatory bowel disease patients reported demographic and medical data and completed self-report instruments. Results revealed that the tested model presented an excellent fit, explaining 51 per cent of physical quality of life and 53 per cent of psychological quality of life. Inflammatory bowel disease-associated complications directly impacted on physical quality of life, and experiential avoidance significantly mediated the relationships between inflammatory bowel disease symptomatology and physical and psychological quality of life. These results highlight the importance of implementing psychological interventions for inflammatory bowel disease patients.
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These findings seem conceptually congruent with findings linking increased valued action (and reduced avoidance functioning behaviour) with improved psychological health and functioning in IBD and chronic conditions.
“Moreover, these findings seem conceptually congruent with findings linking increased valued action (and reduced avoidance functioning behaviour) with improved psychological health and functioning in IBD and chronic conditions [33,100,102,103].”
From Brief and Telehealth Acceptance and Commitment Therapy (ACT) Interventions for Stress in Inflammatory Bowel Disease (IBD): A Series of Single Case Experimental Design (SCED) Studies (2022) · cites this paper as [33]
The Discussion (page unavailable) links greater experiential avoidance with poorer physical and psychological quality of life in IBD and notes similar patterns in other chronic conditions. The paper does not report a finding that increased valued action improves health or functioning; its IBD analysis measured avoidance, not valued action. (LLM, conf=0.84)
Experimental — accuracy not yet measuredAvoidance of activities is common in clients living with chronic illnesses such as IBD due to concerns associated with their symptoms.
“This is particularly important when working with clients living with chronic illnesses such as IBD, in whom avoidance of activities is common due to the concerns associated with their symptoms.8”
From Feasibility, Acceptability, and Preliminary Efficacy of Acceptance Commitment Therapy for Adults Living With Inflammatory Bowel Disease and Distress. (2024) · cites this paper as [8]
The Discussion says IBD symptoms can prompt concerns about daily routines and that patients may respond with avoidance. But the paper studies avoidance of internal experiences, such as pain and worrying thoughts, rather than establishing that avoidance of activities is common. No page numbers are available in our copy. (LLM, conf=0.85)
Experimental — accuracy not yet measuredExperiential avoidance mediates the relationship between IBD symptomatology and physical and psychological quality of life.
“Similar findings have been observed for experiential avoidance, with experiential avoidance mediating the relationship between IBD symptomatology and physical and psychological QoL [33].”
Initial evidence suggests ACT may be an appropriate intervention to target psychological suffering in people with an IBD diagnosis.
“Initial evidence suggests ACT may be an appropriate intervention to target psychological suffering in people with an IBD diagnosis.”
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“8 While both CBT and ACT deal with behavioral or experiential avoidance, the notion of acceptance included in ACT may be particularly suitable for overcoming avoidance associated with symptoms of IBD.”
Background
- Authors
- Trindade, I. A., Ferreira, C., & Pinto-Gouveia, J.
- Affiliations
- University of Coimbra (PT)
- Cognitive-Behavioural Centre for Research and Intervention (CINEICC), University of Coimbra, Portugal
- Corresponding author
- Trindade, Inês A
- Venue
- Journal of Health Psychology
- Publisher
- SAGE Publications
- Published
- 2016-07-10
- Volume
- 21
- Issue
- 12
- Pages
- 2882-2892
- ISSN
- 1359-1053 (ISSN-L)
- 1461-7277
- OpenAlex
- W600532774
- Cited by
- 33
- References
- 44
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 9 · 2023: 2 · 2022: 1 · 2021: 3 · 2020: 2 · 2019: 5 · 2018: 3 · 2017: 1 · 2016: 1
- FWCI
- 1.15
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Journal of Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, other-oa)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion)
- Funders
- Fundação para a Ciência e a Tecnologia (SFRH/BD/101906/2014)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- inflammatory bowel disease, experiential avoidance, quality of life, physical quality of life, psychological quality of life, symptomatology, medical complications, mediation, psychological intervention
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Attitude to Health, Avoidance Learning, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Quality of Life, Surveys and Questionnaires, Inflammatory Bowel Diseases, Young Adult, Self Report
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