Adjustment to inflammatory bowel disease: The relative influence of illness perceptions and coping
Article first published online: 14 JUL 2008
Copyright © 2008 Crohn's & Colitis Foundation of America, Inc.
Inflammatory Bowel Diseases
Volume 15, Issue 1, pages 47–55, January 2009
How to Cite
Dorrian, A., Dempster, M. and Adair, P. (2009), Adjustment to inflammatory bowel disease: The relative influence of illness perceptions and coping. Inflamm Bowel Dis, 15: 47–55. doi: 10.1002/ibd.20583
- Issue published online: 5 DEC 2008
- Article first published online: 14 JUL 2008
- Manuscript Accepted: 2 JUN 2008
- Manuscript Received: 1 MAY 2008
- inflammatory bowel disease;
- common sense model;
- illness perceptions;
Background: The Common Sense Model (CSM) of illness representations was used in the current study to examine the relative contribution of illness perceptions and coping strategies in explaining adjustment to inflammatory bowel disease (IBD).
Methods: Participants were 80 adults consecutively attending an outpatients' clinic with a diagnosis of either Crohn's disease or ulcerative colitis. Respondents completed and returned a questionnaire booklet that assessed illness perceptions, coping, and adjustment. Adjustment was measured from the perspectives of psychological distress, quality of life, and functional independence.
Results: Illness perceptions (particularly perception of consequences of IBD) were uniformly the most consistent variables explaining adjustment to IBD. Coping did not significantly add to predicting adjustment once illness perceptions were controlled for and therefore did not mediate the relationship between illness perceptions and adjustment, as proposed in the CSM.
Conclusions: The results suggest the importance of addressing illness perceptions in developing appropriate psychological interventions for IBD.
(Inflamm Bowel Dis 2008)