Stresswahrnehmung, Persönlichkeitsmerkmale, psychosoziale Beeinträchtigungen und Bewältigungsstrategien bei Patienten mit chronisch-entzündlichen Darmerkrankungen

Petruo VA, Krauss E, Kleist A, Hardt J, Hake K, Peirano J, Krause T, Ehehalt R, von Arnauld de la Perriére P, Büning J, Treml O, Krauss N, Albrecht H, Felten G, Hermannspahn U, Burkhardt U, Eisold M, Teich N, Siegmund B, Maaser C, Bokemeyer B, Baumgart DC, Neurath M, Mudter J (2019)

Publication Type: Journal article

Publication year: 2019

Journal

Zeitschrift für Gastroenterologie Georg Thieme Verlag

Book Volume: 57

Pages Range: 473-483

Journal Issue: 4

DOI: 10.1055/a-0838-6371

Abstract

BACKGROUND AND AIMS:  This study examined differences in personality, psychological distress, and stress coping in inflammatory bowel disease (IBD) depending on type of disease and disease activity. We compared patients suffering from Crohn's disease (CD) and ulcerative colitis (UC) with controls. While the literature is replete with distinctive features of the pathogenesis of IBD, the specific differences in psychological impairments are not well studied. METHODS:  In this German national multicenter study, participants were recruited from 32 centers. Two hundred ninety-seven questionnaires were included, delivering vast information on disease status and psychological well-being based on validated instruments with a total of 285 variables. RESULTS:  CD patients were more affected by psychological impairments than patients suffering from UC or controls. Importantly, patients with active CD scored higher in neuroticism (p < 0.01), psychological distress (p < 0.001) and maladaptive stress coping (escape, p = 0.03; rumination, p < 0.03), but less need for social support (p = 0.001) than controls. In contrast, patients suffering from active UC showed psychological distress (p < 0.04) and maladaptive coping (avoidance, p < 0.03; escape, p = 0.01). Patients in remission seemed to be less affected. In particular, patients with UC in remission were not inflicted by psychological impairments. The group of CD patients in remission however, showed insecurity (p < 0.01) and paranoid ideation (p = 0.04). CONCLUSIONS:  We identified specific aspects of psychological impairment in IBD depending on disease and disease activity. Our results underscore the need for psychological support and treatment particularly in active CD.

Authors with CRIS profile

Anika Kleist Department of Neurology Heinz Albrecht Medizinische Fakultät Markus Neurath Lehrstuhl für Innere Medizin I

Involved external institutions

Universitätsklinikum Carl Gustav Carus Dresden DE Germany (DE) Justus-Liebig-Universität Gießen DE Germany (DE) Berliner Institut für Gesundheitsforschung (BIH) DE Germany (DE) Universität Rostock DE Germany (DE) Universitätsklinikum Schleswig-Holstein (UKSH) DE Germany (DE) Klinikum Landau DE Germany (DE) Charité - Universitätsmedizin Berlin DE Germany (DE) Humboldt-Universität zu Berlin DE Germany (DE) Städtisches Klinikum Lüneburg DE Germany (DE)

How to cite

APA:

Petruo, V.A., Krauss, E., Kleist, A., Hardt, J., Hake, K., Peirano, J.,... Mudter, J. (2019). Stresswahrnehmung, Persönlichkeitsmerkmale, psychosoziale Beeinträchtigungen und Bewältigungsstrategien bei Patienten mit chronisch-entzündlichen Darmerkrankungen. Zeitschrift für Gastroenterologie, 57(4), 473-483. https://dx.doi.org/10.1055/a-0838-6371

MLA:

Petruo, Vanessa A., et al. "Stresswahrnehmung, Persönlichkeitsmerkmale, psychosoziale Beeinträchtigungen und Bewältigungsstrategien bei Patienten mit chronisch-entzündlichen Darmerkrankungen." Zeitschrift für Gastroenterologie 57.4 (2019): 473-483.

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