School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Department of general cardiology, rajaie cardiovascular medical and research center, Iran university of medical sciences, Tehran, Iran.
Clin Res Hepatol Gastroenterol. 2024 May;48(5):102341. doi: 10.1016/j.clinre.2024.102341. Epub 2024 Apr 10.
Psychosocial stressors contribute to the development of irritable bowel syndrome (IBS) and exacerbate the symptoms. The capability to cope with stress is an essential element in the management of IBS. This study assessed nine cognitive emotion regulation strategies (CERS) and their role in predicting symptom severity, quality of life (QOL), and resilience in IBS subjects.
The scores regarding nine subscales of CERS were obtained by cognitive emotion regulation questionnaire (CERQ) and compared between study patients based on the severity and subtypes of IBS using one-way ANOVA. To evaluate the predictive role of CERS, logistic regression was performed. The correlation between CERS and the QOL was assessed by Pearson correlation analysis. The score of resilience was measured by Connor-Davidson Resilience Scale (CD-RISC).
We recruited 100 patients diagnosed with IBS based on ROME IV criteria. Among nine subscales of CERS, patients with more severe symptoms scored higher in catastrophizing (p < 0.001) and blaming others (p = 0.015) while lower in positive reappraisal (p = 0.028). Blaming others was the only predictor of resilience and severity of IBS in our patients (odds ratio (OR): -2.103, p=0.028, and OR:1.715, p = 0.049, respectively). We observed significant negative correlations between the quality of life and rumination (r= -0.202, p=0.044), self-blame (r= -0.241, p=0.016), catastrophizing (r= -0.342, p<0.001), and blaming others (r= -0.219, p=0.028).
Maladaptive strategies are more common in IBS patients with more severe symptoms and have negative correlations with the QOL. Blaming others has the potential to predict the resilience and severity of symptoms in IBS patients.
心理社会应激源会导致肠易激综合征（IBS）的发生和加重症状。应对压力的能力是 IBS 管理的重要组成部分。本研究评估了九种认知情绪调节策略（CERS）及其在预测 IBS 患者症状严重程度、生活质量（QOL）和韧性方面的作用。
通过认知情绪调节问卷（CERQ）获得九个子量表的 CERS 评分，并根据 IBS 的严重程度和亚型，使用单因素方差分析比较研究患者之间的评分差异。为了评估 CERS 的预测作用，进行了逻辑回归分析。采用 Pearson 相关分析评估 CERS 与 QOL 的相关性。采用 Connor-Davidson 韧性量表（CD-RISC）测量韧性评分。
我们共招募了 100 名符合 ROME IV 标准的 IBS 患者。在 CERS 的九个子量表中，症状更严重的患者在灾难化（p<0.001）和责怪他人（p=0.015）方面得分更高，而在积极重新评价（p=0.028）方面得分更低。责怪他人是我们患者韧性和 IBS 严重程度的唯一预测因素（比值比（OR）：-2.103，p=0.028，和 OR：1.715，p=0.049）。我们观察到生活质量与反刍（r=-0.202，p=0.044）、自责（r=-0.241，p=0.016）、灾难化（r=-0.342，p<0.001）和责怪他人（r=-0.219，p=0.028）呈显著负相关。
在症状更严重的 IBS 患者中，适应性不良策略更为常见，且与 QOL 呈负相关。责怪他人有可能预测 IBS 患者的韧性和症状严重程度。
