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Self-esteem in patients with inflammatory bowel disease
Randi Opheim1,2, Bjørn Moum3,4, Bjørn Tore Grimstad5,6
1Department of Gastroenterology, Oslo University Hospital, Oslo, Norway. randi.opheim@medisin.uio.no.
Self-esteem in inflammatory bowel disease (IBD) patients is linked to employment and self-efficacy, not disease activity or fatigue. Interventions should focus on improving self-esteem and reducing anxiety and depression for better IBD management.
Area of Science:
- Gastroenterology
- Psychology
- Public Health
Background:
- Inflammatory bowel disease (IBD) presents chronic challenges impacting patients' quality of life.
- Symptoms like pain, fatigue, and diarrhea, alongside treatment and surgery, can significantly affect self-esteem.
Purpose of the Study:
- To investigate self-esteem levels in IBD patients.
- To identify associations between self-esteem and sociodemographic, clinical, and psychological factors in IBD.
Main Methods:
- A cross-sectional multicenter study involving 411 IBD patients from nine Norwegian hospitals.
- Self-report questionnaires assessed self-esteem (Rosenberg Self-Esteem Scale), fatigue, self-efficacy, and disease activity (UC/CD specific indices).
- Multiple linear regression analysis was used to examine relationships between self-esteem and various factors.
Main Results:
- Higher self-esteem was independently associated with male gender, employment, and greater self-efficacy.
- Anxiety and depression were independently associated with lower self-esteem.
- Disease activity and fatigue did not show a significant association with self-esteem in the final analysis.
Conclusions:
- Patient-centered interventions targeting self-esteem, anxiety, and depression are crucial for optimizing IBD management.
- Psychological well-being appears to be a key factor in managing IBD.
- Further research may explore specific intervention strategies.
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