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Attachment and perceived stress in patients with ulcerative colitis, a case-control study
Alessandro Agostini1, Giulia Spuri Fornarini2, Mauro Ercolani2
1Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Journal of Psychiatric and Mental Health Nursing
|September 15, 2016
Summary
Patients with ulcerative colitis (UC) show greater attachment insecurity, which significantly predicts their psychological stress levels. This finding highlights the link between chronic illness, insecure attachment, and mental health in UC patients.
Area of Science:
- Psychology
- Gastroenterology
- Psychiatry
Background:
- Ulcerative colitis (UC) is a chronic inflammatory bowel disease linked to significant psychological stress.
- Attachment theory offers a framework to understand how interpersonal relationships influence stress in chronic illness.
- Previous research suggests chronic illness may alter personality traits, including attachment styles.
Purpose of the Study:
- To compare attachment dimensions between UC patients and healthy controls.
- To determine the impact of attachment dimensions on perceived stress in UC patients.
- To investigate the relationship between UC, attachment insecurity, and psychological stress.
Main Methods:
- A cross-sectional study involving 101 UC patients and 105 healthy controls.
- Participants completed the Attachment Style Questionnaire and Perceived Stress Questionnaire (PSQ).
- Regression analysis was used to identify predictors of perceived stress, including clinical and psychometric parameters.
Main Results:
- UC patients demonstrated higher scores in "relationships as secondary," "need for approval," and "preoccupation with relationships" compared to controls.
- In UC patients, disease activity, confidence, and preoccupation with relationships predicted perceived stress.
- Attachment insecurity was significantly more pronounced in UC patients and was a key predictor of perceived stress.
Conclusions:
- Ulcerative colitis patients exhibit heightened attachment insecurity, which is a significant determinant of psychological stress.
- UC may lead to a shift towards insecure attachment styles, exacerbating psychological distress and increasing the risk of psychopathologies.
- Understanding attachment insecurity in UC is crucial for healthcare providers to better manage patient distress, help-seeking behaviors, and expectations.
Keywords:
attachment anxietyattachment avoidanceattachment styleinflammatory bowel diseasepsychological stressulcerative colitisMore Related Videos
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