Intra- and Interindividual Correlation of Stress, Mood and Symptom Seventy in Iritable Bowel Syndrome Patients

Autor: Jančec, Tajana
Přispěvatelé: Pletikosić Tončić, Sanda, Tkalčić, Mladenka, Tončić, Marko
Jazyk: chorvatština
Rok vydání: 2019
Předmět:
Popis: Sindrom iritabilnog crijeva (eng. Irritable Bowel Syndrome (IBS)) je jedan od najčešćih funkcionalnih gastrointestinalnih poremećaja te se dijagnosticira na temelju simptoma pacijenata. Ovo je istraživanje uključilo dnevne varijacije u težini simptoma, raspoloženju i stresu kod osoba koje boluju od IBS-a. Cilj istraživanja bio je ispitati odnos između pozitivnog i negativnog raspoloženja, dnevnog doživljaja stresa i težine simptoma na intraindividualnoj i interindividualnoj razini kod osoba koje boluju od sindroma iritabilnog crijeva. U istraživanju je sudjelovalo 38 osoba oboljelih od IBS-a, od čega 31 žena i 7 muškaraca, raspona dobi 21-80 godina. Istraživanje je provedeno korištenjem dnevničkog praćenja raspoloženja, doživljaja stresa i težine simptoma. Sudionici su svaki dan, kroz četrnaest dana, prije spavanja procjenjivali svoje raspoloženje, doživljaj stresa i težinu simptoma doživljenih tog dana. Rezultati su pokazali da na intraindividualnoj razini, kod većine ispitanika postoji ili pozitivna povezanost ili nema povezanosti između dnevnog doživljaja stresa i intenziteta simptoma. Za većinu ispitanika pozitivno raspoloženje negativno je povezano sa intenzitetom simptoma, a negativno raspoloženje pozitivno je povezano sa intenzitetom simptoma. Na interindividualnoj razini pokazalo se da su prosječno negativno raspoloženje i njegov varijabilitet pozitivno povezani sa prosječnim dnevnim doživljajem stresa i varijabilitetom dnevnog doživljaja stresa. Negativno je raspoloženje pozitivno povezano i sa intenzitetom simptoma, a negativno je povezano sa pozitivnim raspoloženjem. Varijabilitet pozitivnog i negativnog raspoloženja pozitivno su povezani. Ispitane su i razlike u doživljaju stresa i raspoloženju ispitanika s obzirom na intenzitet njihovih simptoma. Dobiven je značajan glavni efekt intenziteta simptoma na doživljaj stresa i negativnog raspoloženja. Osobe koje imaju viši intenzitet simptoma imaju i viši doživljaj stresa te više negativno raspoloženje. Rezultati pokazuju da za većinu pacijenata postoje obrasci povezanosti stresa i raspoloženja s težinom simptoma, ali za neke pacijente to nije slučaj. Potrebno je obratiti pozornost na veliku heterogenost simptoma pacijenata.
Irritable Bowel Syndrome is one of the most common Functional Gastrointestinal Diseases and it is diagnosed on the basis of patients symptoms. This study included daily variations in symptom severity, mood and stress in patients who suffer from IBS. The goal of the study was to examine the relationship between positive and negative mood, daily stress and symptom severity on the intra- and interindividual level in IBS patients. Thirty-eight patients participated in this study, of which there were thirty-one women and seven men. Their age range is 21-80 years. The study was conducted using daily monitoring of mood, stress and symptom severity during fourteen days. Each day, participants assessed their mood, stress experience and symptom severity of current day on Mood Scale, Symptom Severity Scale and answered one question which covered daily stress assessment. Study results showed that, on the intraindividual level, an equal number of participants have either positive or zero correlations between daily stress and symptom severity. For most participants positive mood was negatively correlated with symptom severity and negative mood was positively correlated with symptom severity. On the interindividual level, average negative mood and its variability were positively correlated with average daily stress and daily stress variability. Negative mood was positively correlated with symptom severity, while negatively related with positive mood. Positive and negative mood variabilitiy were positively correlated. We also investigated the differences in daily stress and mood taking depending on the patients’ level of symptom severity. A significant main effect of symptom severity on daily stress and negative mood was shown. People with higher symptom severity have also have higher daily stress and negative mood scores. Results show that, for most of the patients, there are patterns of correlations between stress, mood and symptom severity, but not for some patients. Great heterogeneity of patients’ symptoms must be taken into consideration.
Databáze: OpenAIRE
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