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Published on: March 1, 2022
Stress coping, distress, and health perceptions in inflammatory bowel disease and community controls
Lesley A Graff1, John R Walker, Ian Clara
1University of Manitoba Inflammatory Bowel Disease Clinical and Research Centre, Winnipeg, Manitoba, Canada. lgraff@hsc.mb.ca
Objectives:
This study compares a community inflammatory bowel disease (IBD) sample of individuals with a matched non-IBD community sample of individuals on psychological functioning and health perceptions.
Methods:
Participants in the population-based Manitoba IBD Cohort Study (n=388) were directly compared with sex-, age-, and region-matched controls from a national random-sample health survey on the aspects of psychological health, coping, and perceived general health.
Results:
Overall, the IBD sample had lower psychological well-being and mastery, as well as higher distress than did the non-IBD controls (P
Conclusions:
Those with IBD have significantly poorer psychological health than do those without IBD and view their general health status more negatively, although adaptive stress-coping strategies were similar. However, when disease is quiescent there is little detriment to functioning. Active disease should be a flag to consider psychological needs in the care of an IBD patient.
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