BACKGROUND: Inflammatory bowel diseases [IBD] are characterised by significant quality of life [QoL] impairment, as well as illness perception. Assessing illness perception may help in optimising the management of IBD patients. METHODS: In this single-centre, observational, transversal study, consecutive adult IBD patients were enrolled and stratified according to disease activity [active/remission]. The Revised Illness Perception Questionnaire [IPQ-R], based on identity, opinions, and causes of their disease was administered to all patients. Comparison within IPQ-R parameters was done between clinically active patients and those in remission. RESULTS: A total of 201 patients were enrolled (Crohn's disease [CD] = 47%). The most frequently reported IBD-related symptoms were fatigue [86.9%], loss of strength [83.3%], pain [80%], and weight loss [68.2%]. Active patients reported significantly more frequently fatigue [p = 0.005], sore eyes [p = 0.046], and sleep difficulties [p = 0.001], and reported more symptoms than controls [p = 0.023]. Overall, the patients considered stress [84.1%], altered immunity [69.32%], family problems [49.4%], and emotional status [40.9%] as the main causes of IBD. Work overload was more frequently considered as a disease cause in active patients than in those in remission [p = 0.002]. Smoking, family history, and previous inadequate therapies were considered as a relevant risk factor for illness by only 20% of patients. Active IBD patients had more negative thoughts on prognosis [p = 0.001] and more negative emotions [p < 0.0001]. Patients in remission were significantly more convinced about treatment control [p = 0.007] and had clearer understanding of illness [p = 0.009]. CONCLUSIONS: Illness perception is impaired in IBD patients. Adequate educational and psychological support may be helpful in the optimal management of IBD patients.
Illness Perception in inflammatory bowel disease patients is different between patients with active disease or in remission : a prospective cohort study / E. Vegni, D. Gilardi, S. Bonovas, B.E. Corrò, J. Menichetti, D. Leone, M. Allocca, F. Furfaro, S. Danese, G. Fiorino. - In: JOURNAL OF CROHN'S AND COLITIS. - ISSN 1873-9946. - 13:4(2019 Mar 30), pp. 417-423.
|Titolo:||Illness Perception in inflammatory bowel disease patients is different between patients with active disease or in remission : a prospective cohort study|
|Parole Chiave:||Crohn’s disease; Perception; inflammatory bowel disease; psychology; ulcerative colitis|
|Settore Scientifico Disciplinare:||Settore M-PSI/08 - Psicologia Clinica|
Settore MED/12 - Gastroenterologia
|Data di pubblicazione:||30-mar-2019|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1093/ecco-jcc/jjy183|
|Appare nelle tipologie:||01 - Articolo su periodico|