Gnat Lauren, Mihajlovic Valentina, Jones Krista, Tripp Dean A
Department of Psychology, Queen's University, Kingston, Ontario, Canada.
Departments of Psychology, Anesthesiology and Urology Queen's University, Kingston, Ontario, Canada.
J Can Assoc Gastroenterol. 2023 Aug 28;6(5):172-178. doi: 10.1093/jcag/gwad026. eCollection 2023 Oct.
Inflammatory bowel disease is characterized by chronic inflammation of the gastrointestinal tract. Research on inflammatory bowel disease has shown a connection to childhood traumatic events. However, few studies have focused on specific types of traumatic experiences and the impact of confiding in others on disease-related outcomes. This comparative, cross-sectional study expected that: (1) patients would report higher prevalence rates of childhood traumas than healthy controls; (2) healthy controls would report fewer and less severe traumatic experiences than patients and less confiding in others compared to patients; (3) childhood trauma severity would be indirectly related to depressive symptoms through resilience and confiding in others would moderate this relationship.
Participants completed an online survey; an inflammatory bowel disease patient group ( = 195, = 40.48, 76.4% female) was compared to a similarly recruited sample of healthy controls ( = 190, = 31.16, 59.5% female).
Patients reported a higher prevalence of experiencing sexual traumas ( = .031), major upheavals (i.e., disruptions) ( .048), and violence ( = .050) than controls. Patients had significantly higher total trauma severity odds ratios (OR 0.89, 95% CI[0.81,0.97]) and significantly lower total confiding in other odds ratios than controls (OR 1.09, 95% CI[1.02,1.16]). Childhood trauma severity was indirectly related to depressive symptoms through resilience, .05, SE 0.09, 95% CI[0.01,0.09]; however, confiding did not moderate this relationship.
Patients reported more sexual, disruptive, and violent traumas. Although confiding did not act as a moderator, trauma was related to depressive symptoms through resilience.
炎症性肠病的特征是胃肠道的慢性炎症。对炎症性肠病的研究表明其与童年创伤事件有关。然而，很少有研究关注特定类型的创伤经历以及向他人倾诉对疾病相关结果的影响。这项比较性横断面研究预期：（1）患者报告的童年创伤患病率高于健康对照组；（2）健康对照组报告的创伤经历比患者少且程度较轻，并且与患者相比向他人倾诉的情况也更少；（3）童年创伤严重程度将通过心理韧性与抑郁症状间接相关，且向他人倾诉会调节这种关系。
参与者完成一项在线调查；将炎症性肠病患者组（n = 195，M = 40.48，76.4%为女性）与通过类似方式招募的健康对照组样本（n = 190，M = 31.16，59.5%为女性）进行比较。
患者报告的性创伤（p = .031）、重大变故（即干扰）（p < .048）和暴力（p = .050）的患病率高于对照组。患者的总创伤严重程度优势比显著更高（OR 0.89，95%CI[0.81,0.97]），且向他人倾诉的总优势比显著低于对照组（OR 1.09，95%CI[1.02,1.16]）。童年创伤严重程度通过心理韧性与抑郁症状间接相关，p < .05，SE = 0.09，95%CI[0.01,0.09]；然而，倾诉并没有调节这种关系。
患者报告了更多的性、干扰性和暴力创伤。虽然倾诉没有起到调节作用，但创伤通过心理韧性与抑郁症状相关。
