Krömeke Antonia, Shani Maor
Osnabrück University, Germany.
J Health Psychol. 2025 Apr;30(5):1089-1103. doi: 10.1177/13591053241260288. Epub 2024 Jul 25.
Amidst chronic challenges in Inflammatory Bowel Disease (IBD), including physical symptoms, emotional stress, and social constraints, this study aimed to elucidate how patients' perceptions of their illness and its integration into their self-concept are related to their ability to flourish in life. We hypothesized that having a positive and integrative illness identity and social identification will predict higher flourishing, mediated by enhanced health-related quality of life (HRQoL). In an online survey with 244 German-speaking IBD adults ( = 36.62, 85% women), we found that lower engulfment (where the disease dominates one's identity) predicted higher levels of flourishing, mediated by higher HRQoL. Enrichment, reflecting personal growth from illness, directly predicted higher flourishing, while stronger social identification predicted higher subjective well-being, but not flourishing. The results highlight the potential of fostering positive illness identities and social connections to enhance flourishing in individuals with IBD or similar chronic conditions.
在炎症性肠病（IBD）面临的长期挑战中，包括身体症状、情绪压力和社会限制，本研究旨在阐明患者对自身疾病的认知以及疾病如何融入自我概念与他们在生活中蓬勃发展的能力之间的关系。我们假设拥有积极且整合的疾病身份认同和社会认同将通过提高健康相关生活质量（HRQoL）来预测更高水平的蓬勃发展。在一项针对244名讲德语的IBD成年患者（平均年龄=36.62岁，85%为女性）的在线调查中，我们发现较低的沉浸感（即疾病主导个人身份）通过较高的HRQoL介导，预测了更高水平的蓬勃发展。反映疾病带来个人成长 的充实感直接预测了更高水平的蓬勃发展，而更强的社会认同预测了更高的主观幸福感，但与蓬勃发展无关。研究结果凸显了培养积极的疾病身份认同和社会联系以增强IBD或类似慢性病患者蓬勃发展的潜力。
