Department of Gastroenterology, Copenhagen University Hospital, Hvidovre, Denmark.
Unit of Inflammatory Bowel Disease, University Hospital of Santiago de Compostela, Spain.
Turk J Gastroenterol. 2022 Aug;33(8):664-672. doi: 10.5152/tjg.2022.21774.
Although several studies have reported the impact of fears relating to coronavirus-19 on several chronic illnesses, there are few studies focused on gastrointestinal conditions. Therefore, the aim of this study was to compare the fear of coronavirus-19 in patients with inflammatory bowel disease to other gastrointestinal conditions and how the fear of COVID-19 manifests across different demographical backgrounds among inflammatory bowel disease respondents.
Participants with gastrointestinal conditions (age ≥ 18) were recruited from 27 countries. Demographic, clinical, and psychosocial information was collected. An adapted scale for inflammatory bowel disease patients measuring the fear of coronavirus-19 and gastrointestinal-specific fear of coronavirus-19 was used.
In 831 participants (312 inflammatory bowel disease), only significant increases in gastrointestinal-fear of coronavirus-19 were found in between inflammatory bowel disease and other gastrointestinal conditions (mean [standard deviation]: 13.5 [5.5] vs 10.9 [5.0], P < .01). Among inflammatory bowel disease respondents, persons on sick leave had significantly more fear of coronavirus-19 than those employed (median [IQR], 31.0 [28.5-39.5] vs 26.0 [20.0-33.0], P = .035) and significantly more gastrointestinal-fear of coronavirus-19 compared to the employed (18.0 [14.5-22.0] vs 13.0 [9.0-17.0], P = .033) or respondents outside of the labor market (12.0 [7.0-16.0], P = .022). Persons living in a rural setting had significantly more fear of coronavirus-19 compared to persons living in regional setting (29.5 [22.0-37.8] vs 25.0 [20.0-31.3], P = .007) and gastrointestinal-fear of coronavirus-19 (15.0 [11.0-19.8] vs 12.0 [9.0-16.0], P = .02).
Respondents with inflammatory bowel disease are more afraid of coronavirus-19 regarding their disease; especially, persons on sick leave or persons living in a rural setting. This should be taken into consideration to personalize the support that health care providers can offer in mitigating fear related to coronavirus-19.
尽管有几项研究报告了与冠状病毒-19 相关的恐惧对几种慢性疾病的影响，但很少有研究关注胃肠道疾病。因此，本研究的目的是比较炎症性肠病患者对冠状病毒-19 的恐惧与其他胃肠道疾病的恐惧，并比较炎症性肠病患者在不同人口统计学背景下对 COVID-19 的恐惧表现。
从 27 个国家招募了患有胃肠道疾病的患者（年龄≥18 岁）。收集了人口统计学、临床和社会心理信息。使用了一种针对炎症性肠病患者的、测量对冠状病毒-19 的恐惧和胃肠道特异性对冠状病毒-19 的恐惧的改良量表。
在 831 名参与者（312 名炎症性肠病患者）中，仅发现炎症性肠病与其他胃肠道疾病之间对冠状病毒-19 的胃肠道恐惧显著增加（平均值[标准差]：13.5[5.5]比 10.9[5.0]，P<.01）。在炎症性肠病患者中，休病假的患者比在职患者对冠状病毒-19 的恐惧明显更多（中位数[四分位数间距]，31.0[28.5-39.5]比 26.0[20.0-33.0]，P=.035），且对冠状病毒-19 的胃肠道恐惧明显更多比在职患者（18.0[14.5-22.0]比 13.0[9.0-17.0]，P=.033）或不在劳动力市场的患者（12.0[7.0-16.0]，P=.022）。居住在农村地区的患者比居住在地区的患者对冠状病毒-19 的恐惧明显更多（29.5[22.0-37.8]比 25.0[20.0-31.3]，P=.007）和对冠状病毒-19 的胃肠道恐惧（15.0[11.0-19.8]比 12.0[9.0-16.0]，P=.02）。
炎症性肠病患者对冠状病毒-19 的疾病更加恐惧；特别是休病假的患者或居住在农村地区的患者。这应该被考虑到，以便医疗保健提供者可以提供个性化的支持，以减轻与冠状病毒-19 相关的恐惧。
