炎症性肠病患者的身体意象不满。
Body image dissatisfaction in patients with inflammatory bowel disease.
机构信息
*Division of Gastroenterology and Hepatology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin; †Department of Biostatics and Medical Informatics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin; ‡Division of Gastroenterology, Warren Alpert School of Medicine at Brown University, Providence, Rhode Island; §Department of Pediatric Gastroenterology, Rhode Island Hospital, Providence, Rhode Island; ‖Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Atlanta, Georgia; ¶Crohn's & Colitis Foundation of America, New York, New York; and **Dr. Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, New York.
出版信息
Inflamm Bowel Dis. 2015 Feb;21(2):345-52. doi: 10.1097/MIB.0000000000000270.
BACKGROUND
Despite the fact that the inflammatory bowel diseases (IBD) and their treatments may affect physical appearance, the effect of IBD on body image is poorly understood. The aims of this study were to determine whether body image dissatisfaction (BID) changes over time in patients with IBD and to examine the demographic and disease-related variables associated with decreased body image.
METHODS
Adults aged 18 and above in the Ocean State Crohn's and Colitis Area Registry with at least 2 years of follow-up were eligible for this study. All patients were enrolled within 6 months of IBD diagnosis and followed prospectively. BID was assessed using a modified version of the Adapted Satisfaction With Appearance questionnaire. Total Adapted Satisfaction With Appearance scores and 2 subscores were calculated. To assess for changes over time, general linear models for correlated data were used for continuous outcomes, and generalized estimating equations were used for discrete outcomes.
RESULTS
Two hundred seventy-four patients were studied. BID was found to be stable over time among men and women with IBD despite overall improvements in disease activity. No differences were found in BID according to IBD subtype. Female gender, greater disease activity, higher symptom burden, longer duration of steroid use, dermatologic and musculoskeletal manifestations of IBD, and ileocolonic disease location among patients with Crohn's disease were associated with greater BID. Greater BID was associated with lower health-related quality of life.
CONCLUSIONS
BID remains stable in an incident cohort of IBD despite improved disease activity and is associated with lower health-related quality of life.
背景
尽管炎症性肠病（IBD）及其治疗方法可能会影响外貌，但 IBD 对外貌的影响仍知之甚少。本研究旨在确定 IBD 患者的身体意象不满（BID）是否随时间而变化，并研究与身体意象降低相关的人口统计学和疾病相关变量。
方法
符合条件的患者为年龄在 18 岁及以上的 Ocean State Crohn's 和 Colitis Area 注册处中的成年人，且至少有 2 年的随访。所有患者均在 IBD 诊断后 6 个月内入组，并进行前瞻性随访。使用改良的适应外观满意度问卷评估 BID。计算总适应外观满意度评分和 2 个子评分。为了评估随时间的变化，使用相关数据的一般线性模型评估连续结果，使用广义估计方程评估离散结果。
结果
研究了 274 名患者。尽管 IBD 患者的疾病活动总体改善，但 BID 在男性和女性中随时间保持稳定。IBD 亚型之间 BID 无差异。女性、疾病活动度较高、症状负担较重、皮质类固醇使用时间较长、IBD 的皮肤和肌肉骨骼表现以及克罗恩病患者的回肠结肠疾病部位与更大的 BID 相关。更大的 BID 与较低的健康相关生活质量相关。
结论
尽管疾病活动改善，BID 在 IBD 的发病队列中仍然稳定，并且与较低的健康相关生活质量相关。
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