Perceived Stress in Patients with Common Gastrointestinal Disorders: Associations with Quality of Life, Symptoms and Disease Management

Autor: Rowena J. Dolor, Rhonda Roberts, Donald I. Abrams, Joel S. Edman, Ruth Q. Wolever, Jeffrey M. Greeson, Adam B. Kaufman
Rok vydání: 2017
Předmět:
Male
Gastrointestinal Diseases
gastroesophageal reflux disease
Pilot Projects
Disease
Medical and Health Sciences
Gastroenterology
Inflammatory bowel disease
Oral and gastrointestinal
0302 clinical medicine
7.1 Individual care needs
Quality of life
Stress measures
030212 general & internal medicine
Fatigue
General Nursing
Irritable bowel syndrome
education.field_of_study
Depression
Pain Research
Disease Management
Middle Aged
Mental Health
Cohort
Female
030211 gastroenterology & hepatology
Chronic Pain
Adult
medicine.medical_specialty
stress management
perceived stress
Population
Stress
Article
03 medical and health sciences
inflammatory bowel disease
Clinical Research
Internal medicine
Behavioral and Social Science
Complementary and Integrative Health
medicine
Humans
education
irritable bowel syndrome
business.industry
medicine.disease
digestive system diseases
Abdominal Pain
Good Health and Well Being
quality of life
Complementary and alternative medicine
Complementary & Alternative Medicine
Quality of Life
GERD
Psychological
Management of diseases and conditions
Self Report
Chiropractics
Digestive Diseases
Sleep
business
Mind and Body
Stress
Psychological
Analysis
Zdroj: Explore (New York, N.Y.), vol 13, iss 2
ISSN: 1550-8307
DOI: 10.1016/j.explore.2016.12.005
Popis: Objective and methodsResearch supports relationships between stress and gastrointestinal (GI) symptoms and disorders. This pilot study assesses relationships between perceived stress, quality of life (QOL), and self-reported pain ratings as an indicator of symptom management in patients who self-reported gastroesophageal reflux disease (GERD), irritable bowel syndrome (IBS), and inflammatory bowel disease (IBD).ResultsIn the full sample (n = 402) perceived stress positively correlated with depression (r = 0.76, P < .0001), fatigue (r = 0.38, P < .0001), sleep disturbance (r = 0.40, P < .0001), average pain (r = 0.26, P < .0001), and worst pain (r = 0.25, P < .0001). Higher perceived stress also correlated with lower mental health-related QOL. Similar correlations were found for the participants with GERD (n = 188), IBS (n = 132), and IBD (n = 82). Finally, there were significant correlations in the GERD cohort between perceived stress, and average pain (r = 0.34, P < .0001) and worst pain (r = 0.29, P < .0001), and in the IBD cohort between perceived stress, and average pain (r = 0.32, P < .0001), and worst pain (r = 0.35, P < .01).ConclusionsPerceived stress broadly correlated with QOL characteristics in patients with GERD, IBS, and IBD, and their overall QOL was significantly lower than the general population. Perceived stress also appeared to be an indicator of symptom management (self-reported pain ratings) in GERD and IBD, but not IBS. While future research using objective measures of stress and symptom/disease management is needed to confirm these associations, as well as to evaluate the ability of stress reduction interventions to improve perceived stress, QOL and disease management in these GI disorders, integrative medicine treatment programs would be most beneficial to study.
Databáze: OpenAIRE
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