Department of Psychological Sciences, School of Health Sciences, Swinburne University of Technology, PO Box 218, Hawthorn, VIC, 3122, Australia.
Department of Health Science and Biostatistics, School of Health Sciences, Swinburne University of Technology, Hawthorn, VIC, Australia.
J Clin Psychol Med Settings. 2022 Sep;29(3):678-688. doi: 10.1007/s10880-021-09823-y. Epub 2021 Sep 24.
The aim of this cross-sectional study was to use an extended common sense model (CSM) to evaluate the impact of fear of COVID-19 on quality of life (QoL) in an international inflammatory bowel disease cohort. An online study involving 319 adults (75% female, mean (SD) 14.06 (15.57) years of symptoms) completed the Gastrointestinal Symptom Rating Scale, Brief Illness Perceptions Questionnaire, Fear of Contracting COVID-19 Scale, Brief-COPE, Depression, Anxiety and Stress Scale, and the EUROHIS-QOL. The extended CSM had an excellent fit (χ (9) = 17.06, p = .05, χ/N = 1.90, RMSEA = 0.05, SRMR = 0.04, CFI = .99, TLI = .97, GFI = 0.99), indicating the influence of gastrointestinal symptoms on QoL was mediated by illness perceptions, fear of COVID-19, adaptive and maladaptive coping, and psychological distress. Interventions targeting the fear of COVID-19 in the context of an individual's perceptions will likely enhance QoL during the pandemic.
本横断面研究旨在使用扩展的一般疾病感知模型（CSM）评估在国际炎症性肠病患者队列中，对 COVID-19 的恐惧对生活质量（QoL）的影响。一项涉及 319 名成年人（75%为女性，平均（SD）14.06（15.57）年症状）的在线研究完成了胃肠道症状评定量表、简明疾病感知问卷、对感染 COVID-19 的恐惧量表、Brief-COPE、抑郁、焦虑和压力量表，以及 EUROHIS-QOL。扩展的 CSM 具有极好的拟合度（χ (9) = 17.06，p = .05，χ/N = 1.90，RMSEA = 0.05，SRMR = 0.04，CFI = 0.99，TLI = 0.97，GFI = 0.99），表明胃肠道症状对 QoL 的影响是通过疾病感知、对 COVID-19 的恐惧、适应性和不适应性应对以及心理困扰来介导的。在个体感知的背景下针对 COVID-19 恐惧的干预措施可能会在大流行期间提高 QoL。
