Journal
JOURNAL OF CROHNS & COLITIS
Volume 8, Issue 5, Pages 401-408Publisher
OXFORD UNIV PRESS
DOI: 10.1016/j.crohns.2013.10.005
Keywords
Task oriented coping; Health competence; Inactive disease status; Inflammatory bowel disease
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Background: Coping is an integral part of adjustment for patients with Inflammatory Bowel Disease but has not been well described in the literature. This study explored the relationship between coping, perceived health competence, patient preference for involvement in their treatment, depression and quality of life, particularly among patients with inactive disease (in remission). Methods: Subjects (n = 70) with active and inactive IBD completed questionnaires, including the Inflammatory Bowel Disease Quality of Life Questionnaire, Beck Depression Inventory, Perceived Health Competence Scale and the Coping Inventory for Stressful Situations. The Harvey Bradshaw Index measured disease activity. Results: Patients with inactive 1BD demonstrated significantly more interest in participating in their treatment (p < .05), more perceived health competence (p = .001), less depressive symptoms (p < .001), more task oriented coping (p = .02), and better quality of life than those with active disease. Only Task Oriented Coping was significantly negatively associated with the number of flares among inactive patients (p < .001). Patient preference for participation in treatment was inversely associated with Avoidance (p = .005), Distraction (p = .008), and Social Diversion (p = .008) coping among inactive patients. Conclusion: Among patients in remission, those who expressed a greater interest in treatment participation were also less likely to practice maladaptive coping. Our data demonstrate that a more active coping style may be associated with improved health outcome. Compared to patients with active disease, patients in remission are more likely to employ task oriented coping, demonstrate a higher interest in treatment participation, report greater perceived
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