Improving disease management of patients with inflammatory bowel disease: the potential role of self-concordant health goals.

Autor:	Horvát B; Doctoral School of Clinical Medicine, University of Szeged, Szeged, Hungary., Dávid A; Department of Medicine, University of Szeged, Szeged, Hungary., Sallay V; Institute of Psychology, University of Szeged, Szeged, Hungary., Rafael B; Department of Preventive Medicine, University of Szeged, Szeged, Hungary., Njers S; Department of Cognitive and Neuropsychology, University of Szeged, Szeged, Hungary., Orbán K; Doctoral School of Clinical Medicine, University of Szeged, Szeged, Hungary., Molnár T; Department of Medicine, University of Szeged, Szeged, Hungary., Csabai M; Department of Clinical Psychology, Károli Gáspár University of the Reformed Church, Budapest, Hungary., Martos T; Institute of Psychology, University of Szeged, Szeged, Hungary.
Jazyk:	angličtina
Zdroj:	Frontiers in psychology [Front Psychol] 2023 Jul 03; Vol. 14, pp. 1115160. Date of Electronic Publication: 2023 Jul 03 (Print Publication: 2023).
DOI:	10.3389/fpsyg.2023.1115160
Abstrakt:	Inflammatory bowel diseases (IBD) are chronic gastrointestinal conditions that significantly impact patients' quality of life. Previous research indicates that patients with IBD have a higher prevalence of anxiety compared to the general population and other chronic diseases. This pilot study aimed to investigate the relationships between goal integration, positive and negative emotions, goal self-efficacy, and trait anxiety as the outcome variable, focusing on patients' self-management strategies. Drawing from the Self-Concordance Model (SCM) of Self-Determination Theory (SDT), the study explored how goal integration is associated with more fulfilling and enjoyable experiences and fewer negative emotions, ultimately improving psychological well-being. Health-related goals were evaluated using the Personal Project Analysis technique, while the State-Trait Anxiety Inventory was utilized to measure general anxiety levels. Among the 141 participants with inflammatory bowel disease, 96 reported having health-related goals. Of these, 66 were female (68.75%), and 30 were male participants (31.25%). Path analysis revealed a moderate negative association between self-concordance (SC) and negative emotions, which, in turn, predicted higher levels of trait anxiety. Furthermore, the alternative model tested indicated that trait anxiety predicted a lower level of self-concordance. Setting well-integrated health goals involves an internal capacity, enabling patients to experience less negative emotions during self-management activities. Anxiety can hinder individuals from accessing their inner needs, resulting in less self-concordant aspirations and more negative emotions. These findings may contribute to developing prevention and intervention programs to enhance IBD patients' adherence to lifestyle changes, ultimately improving their overall well-being. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2023 Horvát, Dávid, Sallay, Rafael, Njers, Orbán, Molnár, Csabai and Martos.)
Databáze:	MEDLINE
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