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How IBD patients cope with IBD: a systematic review
Andrew M McCombie1, Roger T Mulder, Richard B Gearry
1Department of Medicine, University of Otago, Christchurch, New Zealand.
Coping strategies significantly impact psychological wellbeing in inflammatory bowel disease (IBD). Emotion-focused coping is linked to poorer outcomes, while problem-focused coping shows inconsistent results in IBD patients.
Area of Science:
- Gastroenterology
- Psychology
- Health Sciences
Background:
- Inflammatory bowel disease (IBD) significantly affects patients' psychological wellbeing and quality of life.
- Patient coping mechanisms may be crucial determinants of psychological outcomes in IBD.
Purpose of the Study:
- To systematically review existing literature on coping strategies employed by patients with inflammatory bowel disease (IBD).
Main Methods:
- A comprehensive literature search was conducted across Ovid and Pubmed databases.
- Included all published articles focusing on coping strategies of IBD patients.
Main Results:
- Thirty-nine articles were identified, utilizing diverse research designs and twenty-two distinct coping instruments.
- Emotion-focused coping strategies were consistently associated with worse psychological outcomes.
- Problem-focused coping strategies showed a less consistent association with improved psychological outcomes.
Conclusions:
- The current body of research, characterized by varied designs and instruments, yields inconsistent findings.
- Further longitudinal and interventional studies are necessary to establish causal links between coping strategies and psychological outcomes in IBD.
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