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炎症性肠病患者对 COVID-19 大流行的认知和体验。

Perceptions of and Experiences with the COVID-19 Pandemic Among Individuals with Inflammatory Bowel Disease.

机构信息

UPMC Center for High-Value Health Care, UPMC Insurance Services Division, U.S. Steel Tower, 600 Grant St., 40th Floor, Pittsburgh, PA, USA.

Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.

出版信息

J Clin Psychol Med Settings. 2024 Jun;31(2):279-291. doi: 10.1007/s10880-023-09979-9. Epub 2023 Nov 6.

Abstract

The COVID-19 pandemic resulted in increased feelings of emotional distress and disruptions in care across diverse patients subgroups, including those with chronic medical conditions such as inflammatory bowel diseases (IBD). We sought to understand the impact of the pandemic on the physical and emotional well-being of individuals with IBD and concurrent depression and/or anxiety symptoms. We conducted qualitative interviews after the beginning of the pandemic with 46 adults with IBD. Participants reported increased levels of emotional distress, feelings of social isolation, and uncertainty over whether IBD medications put them at increased risk. Young adults discussed feeling as if their lives had been disrupted. In addition, several individuals demonstrated resiliency and emphasized positives about the pandemic, including increased connectivity with family and friends, the convenience of being able to work from home despite their IBD symptoms, and lessened feelings of "missing out." Our findings highlight several opportunities to improve the health and well-being of individuals with IBD and beyond including increased support for combatting social isolation, enhanced counseling about medication risks and benefits, and the incorporation of resiliency skills building.

摘要

COVID-19 大流行导致不同亚组患者的情绪困扰加剧和护理中断,包括患有炎症性肠病(IBD)等慢性疾病的患者。我们试图了解大流行对患有 IBD 以及并发抑郁和/或焦虑症状的个体的身心健康的影响。在大流行开始后,我们对 46 名患有 IBD 的成年人进行了定性访谈。参与者报告情绪困扰加剧、感到社交孤立以及不确定 IBD 药物是否会使他们面临更高的风险。年轻成年人表示感觉自己的生活被打乱了。此外,一些人表现出了韧性,并强调了大流行的积极方面,包括与家人和朋友的联系更加紧密、尽管有 IBD 症状但仍能在家工作的便利性以及减轻了“错过”的感觉。我们的研究结果强调了一些机会,可以改善 IBD 患者及其他患者的健康和福祉,包括增加对抗社交孤立的支持、增强关于药物风险和益处的咨询、以及纳入韧性技能建设。

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