Thiago H Freitas1, Thomas N Hyphantis2, Elias Andreoulakis3, João Quevedo4, Hesley L Miranda1, Gilberto S Alves1, Marcellus H Souza5, Lúcia L Braga5, Kenneth I Pargament6, Joanna K Soczynska7, Roger S McIntyre7, André F Carvalho1. 1. Department of Clinical Medicine, Universidade Federal do Ceará, Fortaleza, CE, BR. 2. Department of Psychiatry, University of Ioannina, Ioannina, GR. 3. 3rd Department of Psychiatry, Aristotle University of Thessaloniki, Thessaloniki, GR. 4. Center for Experimental Models in Psychiatry, Department of Psychiatry and Behavioral Sciences, The University of Texas Medical School at Houston, Houston, TX, US. 5. Institute of Biomedicine of Brazilian Semi-Arid, Department of Clinical Medicine, Faculty of Medicine, UFC, Fortaleza, CE, BR. 6. Department of Psychology, Bowling Green State University, Bowling Green, OH, US. 7. Mood Disorders Psychopharmacology Unit, University of Toronto, Toronto|ON, CA.
Abstract
OBJECTIVE: Inflammatory bowel disease (IBD) is associated with elevated levels of anxiety and depression and a reduction in health-related quality of life (HRQoL). Nonadherence to treatment is also frequent in IBD and compromises outcomes. Religious coping plays a role in the adaptation to several chronic diseases. However, the influence of religious coping on IBD-related psychological distress, HRQoL, and treatment adherence remains unknown. METHOD: This cross-sectional study recruited 147 consecutive patients with either Crohn's disease or ulcerative colitis. Sociodemographic data, disease-related variables, psychological distress (Hospital Anxiety and Depression Scale), religious coping (Brief RCOPE Scale), HRQoL (WHOQOL-Bref), and adherence (8-item Morisky Medication Adherence Scale) were assessed. Hierarchical multiple regression models were used to evaluate the effects of religious coping on IBD-related psychological distress, treatment adherence, and HRQoL. RESULTS: Positive RCOPE was negatively associated with anxiety (b = 0.256; p = 0.007) as well as with overall, physical, and mental health HRQoL. Religious struggle was significantly associated with depression (b = 0.307; p < 0.001) and self-reported adherence (b = 0.258; p = 0.009). Finally, anxiety symptoms fully mediated the effect of positive religious coping on overall HRQoL. CONCLUSION: Religious coping is significantly associated with psychological distress, HRQoL, and adherence in IBD.
OBJECTIVE:Inflammatory bowel disease (IBD) is associated with elevated levels of anxiety and depression and a reduction in health-related quality of life (HRQoL). Nonadherence to treatment is also frequent in IBD and compromises outcomes. Religious coping plays a role in the adaptation to several chronic diseases. However, the influence of religious coping on IBD-related psychological distress, HRQoL, and treatment adherence remains unknown. METHOD: This cross-sectional study recruited 147 consecutive patients with either Crohn's disease or ulcerative colitis. Sociodemographic data, disease-related variables, psychological distress (Hospital Anxiety and Depression Scale), religious coping (Brief RCOPE Scale), HRQoL (WHOQOL-Bref), and adherence (8-item Morisky Medication Adherence Scale) were assessed. Hierarchical multiple regression models were used to evaluate the effects of religious coping on IBD-related psychological distress, treatment adherence, and HRQoL. RESULTS: Positive RCOPE was negatively associated with anxiety (b = 0.256; p = 0.007) as well as with overall, physical, and mental health HRQoL. Religious struggle was significantly associated with depression (b = 0.307; p < 0.001) and self-reported adherence (b = 0.258; p = 0.009). Finally, anxiety symptoms fully mediated the effect of positive religious coping on overall HRQoL. CONCLUSION: Religious coping is significantly associated with psychological distress, HRQoL, and adherence in IBD.
Authors: Vassiliki Paika; Elias Andreoulakis; Elisavet Ntountoulaki; Dimitra Papaioannou; Konstantinos Kotsis; Vassiliki Siafaka; Konstantinos N Fountoulakis; Kenneth I Pargament; Andre F Carvalho; Thomas Hyphantis Journal: Ann Gen Psychiatry Date: 2017-02-16 Impact factor: 3.455
Authors: Mehrnoosh Akhtari-Zavare; Sherina Mohd-Sidik; Ummavathy Periasamy; Lekhraj Rampal; Siti Irma Fadhilah; Rozi Mahmud Journal: Health Qual Life Outcomes Date: 2018-08-13 Impact factor: 3.186