Randi Opheim1,2, Bjørn Moum3,4, Bjørn Tore Grimstad5,6, Jørgen Jahnsen4,7, Ingrid Prytz Berset4,8, Øistein Hovde4,9, Gert Huppertz-Hauss10, Tomm Bernklev11, Lars-Petter Jelsness-Jørgensen12,13. 1. Department of Gastroenterology, Oslo University Hospital, Oslo, Norway. randi.opheim@medisin.uio.no. 2. Department of Nursing Science, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway. randi.opheim@medisin.uio.no. 3. Department of Gastroenterology, Oslo University Hospital, Oslo, Norway. 4. Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway. 5. Department of Internal Medicine, Stavanger University Hospital, Stavanger, Norway. 6. Department of Clinical Science, University of Bergen, Bergen, Norway. 7. Department of Gastroenterology, Akershus University Hospital, Lørenskog, Norway. 8. Department of Medicine, Aalesund Hospital Trust, Aalesund, Norway. 9. Department of Internal Medicine, Innlandet Hospital Trust, Gjøvik, Norway. 10. Department of Gastroenterology, Telemark Hospital Trust, Skien, Norway. 11. Department of Research and Development, Vestfold Hospital Trust, Tønsberg, Norway. 12. Department of Gastroenterology, Østfold Hospital Trust, Grålum, Norway. 13. Department of Health Sciences, Østfold University College, Fredrikstad, Norway.
Abstract
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.
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%) patientshad evaluable data and were included in this study. The mean scores on self-esteem, self-efficacy, total fatigue, anxiety, and depression were similar between UCpatients and CDpatients. 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.
Entities:
Keywords:
Chronic disease; Coping; Crohn’s disease; Health psychology; Health-related quality of life; Inflammatory bowel disease; Self-efficacy; Self-esteem; Ulcerative colitis