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炎症性肠病患者的社会心理概况。

Psychosocial profile of the patients with inflammatory bowel disease.

作者信息

Ilias Tiberia, Bungau Simona, Tit Delia Mirela, Maghiar Daniela, Hocopan Cristian, Brata Roxana, Bratu Ovidiu Gabriel, Negrut Nicoleta, Diaconu Camelia, Fratila Ovidiu

机构信息

Department of Medical Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, Romania.

Department of Pharmacy, Faculty of Medicine and Pharmacy, University of Oradea, 410028 Oradea, Romania.

出版信息

Exp Ther Med. 2020 Sep;20(3):2493-2500. doi: 10.3892/etm.2020.8816. Epub 2020 May 29.

Abstract

Inflammatory bowel disease (IBD) is a chronic, disabling entity of unknown aetiology, with negative impact on the patient's life, including psychological patterns. This study assessed multiple psychosocial factors (satisfaction with life, coping mechanisms, emotional profile, mental recognition of the disease and cognition schemes related to patients' demographic characteristics, clinical picture, form and duration of the disease, therapeutic plans) in IBD patients vs. a healthy group. This non-interventional study comprised 60 participants who attended for medical advice/check-up as an ambulatory visit or during hospitalization. The patients completed questionnaires after receiving explanations from the psychologist. Statistical analyses (Kolmogorov-Smirnov test, Independent-Samples t-test, One-Way ANOVA and Post Hoc Multiple Comparisons) were conducted using IMB for the Social Sciences (SPSS), version 20 (P≤0.05). IBD patients (G1) are more hostile when compared to the healthy group (G2). Those who experience abdominal pain are more likely to use active coping mechanisms and those who experience fatigue are more likely to use acceptance, emotional venting, behavioural disengagement and mental disengagement. G1 have higher levels of others-downing vs. G2. Regarding negative emotions, IBD patients generally experience more negative emotions compared to healthy participants (who have higher levels of life satisfaction). Regarding the perception of illness, there are no differences between patients in terms of illness coherence, personal or treatment control, consequences, timeline, or emotional representations. Results indicate that psychological factors and different characteristics of IBD patients play a relevant role in the way these patients deal with their disease.

摘要

炎症性肠病(IBD)是一种病因不明的慢性致残性疾病,对患者的生活包括心理模式都有负面影响。本研究评估了IBD患者与健康组之间的多种社会心理因素(生活满意度、应对机制、情绪状况、对疾病的心理认知以及与患者人口统计学特征、临床症状、疾病形式和病程、治疗方案相关的认知模式)。这项非干预性研究包括60名参与者,他们以门诊或住院形式前来寻求医疗建议/检查。患者在接受心理学家的解释后完成问卷。使用社会科学统计软件包(SPSS)20版进行统计分析(柯尔莫哥洛夫-斯米尔诺夫检验、独立样本t检验、单因素方差分析和事后多重比较)(P≤0.05)。与健康组(G2)相比,IBD患者(G1)更具敌意。经历腹痛的患者更有可能采用积极的应对机制,而经历疲劳的患者更有可能采用接受、情绪宣泄、行为脱离和心理脱离的方式。与G2相比,G1的贬低他人程度更高。关于负面情绪,与健康参与者(生活满意度较高)相比,IBD患者通常会经历更多的负面情绪。关于对疾病的认知,患者在疾病连贯性、个人或治疗控制、后果、病程或情绪表现方面没有差异。结果表明,IBD患者的心理因素和不同特征在这些患者应对疾病的方式中发挥着重要作用。

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