Horvát Barbara, Dávid Anett, Sallay Viola, Rafael Beatrix, Njers Sanela, Orbán Kata, Molnár Tamás, Csabai Márta, Martos Tamás
Doctoral School of Clinical Medicine, University of Szeged, Szeged, Hungary.
Department of Medicine, University of Szeged, Szeged, Hungary.
Front Psychol. 2023 Jul 3;14:1115160. doi: 10.3389/fpsyg.2023.1115160. eCollection 2023.
Inflammatory bowel diseases (IBD) are chronic gastrointestinal conditions that significantly impact patients' quality of life. Previous research indicates that patients with IBD have a higher prevalence of anxiety compared to the general population and other chronic diseases. This pilot study aimed to investigate the relationships between goal integration, positive and negative emotions, goal self-efficacy, and trait anxiety as the outcome variable, focusing on patients' self-management strategies. Drawing from the Self-Concordance Model (SCM) of Self-Determination Theory (SDT), the study explored how goal integration is associated with more fulfilling and enjoyable experiences and fewer negative emotions, ultimately improving psychological well-being. Health-related goals were evaluated using the Personal Project Analysis technique, while the State-Trait Anxiety Inventory was utilized to measure general anxiety levels. Among the 141 participants with inflammatory bowel disease, 96 reported having health-related goals. Of these, 66 were female (68.75%), and 30 were male participants (31.25%). Path analysis revealed a moderate negative association between self-concordance (SC) and negative emotions, which, in turn, predicted higher levels of trait anxiety. Furthermore, the alternative model tested indicated that trait anxiety predicted a lower level of self-concordance. Setting well-integrated health goals involves an internal capacity, enabling patients to experience less negative emotions during self-management activities. Anxiety can hinder individuals from accessing their inner needs, resulting in less self-concordant aspirations and more negative emotions. These findings may contribute to developing prevention and intervention programs to enhance IBD patients' adherence to lifestyle changes, ultimately improving their overall well-being.
炎症性肠病（IBD）是慢性胃肠道疾病，会严重影响患者的生活质量。先前的研究表明，与普通人群和其他慢性病患者相比，IBD患者焦虑症的患病率更高。这项初步研究旨在调查目标整合、积极和消极情绪、目标自我效能感与作为结果变量的特质焦虑之间的关系，重点关注患者的自我管理策略。该研究借鉴了自我决定理论（SDT）的自我一致性模型（SCM），探讨了目标整合如何与更充实、愉快的体验以及更少的负面情绪相关联，最终改善心理健康。使用个人项目分析技术评估与健康相关的目标，同时使用状态-特质焦虑量表来测量一般焦虑水平。在141名炎症性肠病患者中，96人报告有与健康相关的目标。其中，66名是女性（68.75%），30名是男性参与者（31.25%）。路径分析显示自我一致性（SC）与负面情绪之间存在中度负相关，而负面情绪反过来又预示着更高水平的特质焦虑。此外，所测试的替代模型表明特质焦虑预示着较低水平的自我一致性。设定良好整合的健康目标需要一种内在能力，使患者在自我管理活动中体验到较少的负面情绪。焦虑会阻碍个体满足内心需求，导致自我一致性愿望减少和负面情绪增多。这些发现可能有助于制定预防和干预计划，以提高IBD患者对生活方式改变的依从性，最终改善他们的整体幸福感。
