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I am a total failure: associations between beliefs and anxiety and depression in patients with inflammatory bowel disease with poor mental quality of life

  • Floor Bennebroek Evertsz’ (a1), Mirjam A.G. Sprangers (a1), Laura M. de Vries (a2), Robbert Sanderman (a3), Pieter C.F. Stokkers (a4), Mathilde G.E. Verdam (a1) (a5), Huibert Burger (a6) and Claudi L.H. Bockting (a7)...

Abstract

Background:

According to cognitive behavioural theory, cognitive factors (i.e. underlying general dysfunctional beliefs and (situation) specific illness beliefs) are theorized to lead to outcomes like anxiety and depression. In clinical practice, general dysfunctional beliefs are generally not tackled directly in short-term-therapy.

Aims:

The goal of the present study was to investigate the associations of general versus specific illness beliefs on anxiety and depressive symptoms and psychiatric disorders among a subgroup of patients with inflammatory bowel disease (IBD) with poor mental quality of life (QoL).

Method:

This study concerns cross-sectional data, collected at baseline from a randomized clinical trial. One hundred and eighteen patients, recruited at four Dutch hospitals, with poor QoL (score ≤23 on the mental health subscale of the Short-Form 36-item Health-Survey; SF-36) were included. General dysfunctional beliefs were measured by the Dysfunctional Attitude Scale (DAS), specific illness beliefs by the Illness Perceptions Questionnaire-Revised (IPQ-R), anxiety and depressive symptoms by the Hospital Anxiety and Depression Scale (HADS), and psychiatric disorders by the Structured Clinical Interview for DSM-IV Axis-I Disorders (SCID-I).

Results:

Univariate analyses showed associations between the level of anxiety and/or depression and general dysfunctional beliefs and four specific illness beliefs (consequences, personal control, emotional representations and treatment control). Among patients with IBD with psychiatric disorders, only the DAS was significantly associated with anxiety and depression (DAS added to IPQ-R and IPQ-R added to DAS).

Conclusions:

Psychological interventions may have to target general dysfunctional beliefs of patients with IBD with co-morbid psychiatric disorders to be effective. These patients with IBD are especially in need of psychological treatment.

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Copyright

Corresponding author

*Corresponding author. Email: f.bennebroek@amsterdamumc.nl

References

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Alatiq, Y., Crane, C., Williams, J. M. G., & Goodwin, G. M. (2010). Dysfunctional beliefs in bipolar disorder: hypomanic vs. depressive attitudes. Journal of Affective Disorders, 122, 294300. doi: 10.1016/j.jad.2009.08.021
Appart, A., Lange, A. K., Sievert, I., Bihain, F., & Tondeurs, D. (2017). Adjustment disorder and DSM-5: a review. Encephale, 43, 4146. doi: 10.1016/j.encep.2015.06.007.Epub 2016 May 20.
Baines, T., & Wittkowski, A. (2013). A systematic review of the literature exploring illness perceptions in mental health utilising the self-regulation model. Journal of Clinical Psychology in Medical Settings, 20, 263274. doi: 10.1007/s10880-012-9337-9
Beck, A. T. (1987). Cognitive models of depression. Journal of Cognitive Psychotherapy, 1, 537.
Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive Therapy of Depression. New York, USA: Guilford Press.
Bennebroek Evertsz’, F., Bockting, C. L. H., Stokkers, P. C. F., Hinnen, C., Sanderman, R., & Sprangers, M. A. G. (2012). The effectiveness of cognitive behavioral therapy on the quality of life of patients with inflammatory bowel disease: multi-center design and study protocol (KL!C study). BMC Psychiatry, 12. doi: 10.1186/1471-244x-12-227
Bennebroek Evertsz’, F., Sprangers, M. A. G., Sitnikova, K., Stokkers, P. C. F., Ponsioen, C. Y., Bartelsman, J. F. W. M., … & Bockting, C. L. H. (2017). Effectiveness of cognitive-behavioral therapy on quality of life, anxiety, and depressive symptoms among patients with inflammatory bowel disease: a multicenter randomized controlled trial. Journal of Consulting and Clinical Psychology, 85, 918925. doi: 10.1037/ccp0000227
Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002). The validity of the Hospital Anxiety and Depression Scale– an updated literature review. Journal of Psychosomatic Research, 52, 6977. doi: 10.1016/S0022-3999(01)00296-3
Clark, A. D., & Beck, A. T. (2010). Cognitive theory and therapy of anxiety and depression: convergencwith neurobiological findings. Trends in Cognitive Sciences, 14, 418424.
Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd edn). Hillsdale, NJ, USA: Erlbaum.
de Graaf, L. E., Roelofs, J., & Huibers, M. J. (2009). Measuring dysfunctional attitudes in the general population: the Dysfunctional Attitude Scale (Form A) Revised. Cognitive Therapy Research, 33, 345355. doi: 10.1007/s10608-009-9229-y
de Graaf, R., Ten Have, M., & Dorsselaer, S. (2010). De psychische gezondheid van de Nederlandse bevolking NEMESIS-2 the Netherlands Mental Health Survey and Incidence Study-2. Utrecht: Trimbos-instituut.
Dorrian, A., Dempster, M., & Adair, P. (2009). Adjustment to inflammatory bowel disease: the relative influence of illness perceptions and coping. Inflammatory Bowel Diseases, 15, 4755. doi: 10.1002/ibd.20583
Ellis, A. (2000). Some omissions to Leonard Rorer’s review of Reason and Emotion in Psychotherapy. Contemporary Psychology– APA Review of Books, 45, 234235.
Grace, S. L., Krepostman, S., Brooks, D., Arthur, H., Scholey, P., Suskin, N., … & Stewart, D. E. (2005). Illness perceptions among cardiac patients: relation to depressive symptomatology and sex. Journal of Psychosomatic Research, 59, 153160. doi: 10.1016/j.jpsychores.2005.05.005
Graff, L. A., Walker, J. R., Lix, L., Clara, I., Rawsthorne, P., Rogala, L., … & Bernstein, C. N. (2006). The relationship of inflammatory bowel disease type and activity to psychological functioning and quality of life. Clinical Gastroenterology and Hepatology, 4, 14911501. doi: 10.1016/j.cgh.2006.09.027
Greenley, R. N., Hommel, K. A., Nebel, J., Raboin, T., Li, S. H., Simpson, P., & Mackner, L. (2010). A meta-analytic review of the psychosocial adjustment of youth with inflammatory bowel disease. Journal of Pediatric Psychology, 35, 857869. doi: 10.1093/jpepsy/jsp120
Groarke, A., Curtis, R., Coughlan, R., & Gsel, A. (2004). The role of perceived and actual disease status in adjustment to rheumatoid arthritis. Rheumatology, 43, 11421149. doi: 10.1093/rheumatology/keh262
Hagger, M. S., Hardcastle, S. J., Hingley, C., Strickland, E., Pang, J., & Watts, G. F. (2016). Predicting self-management behaviors in familial hypercholesterolemia using an integrated theoretical model: the impact of beliefs about illnesses and beliefs about behaviors. International Journal of Behavioral Medicine, 23, 282294. doi: 10.1007/s12529-015-9531-x
Han, S. W., McColl, E., Barton, J. R., James, P., Steen, A. N., & Welfare, M. R. (2005). Predictors of quality of life in ulcerative colitis. Inflammatory Bowel Diseases, 11, 2434. doi: 10.1097/00054725-200501000-00004
Husain, A., & Triadafilopoulos, G. (2004). Communicating with patients with inflammatory bowel disease. Inflammatory Bowel Diseases, 10, 444450. doi: 10.1097/00054725-200407000-00020
Jopson, N. M., & Moss-Morris, R. (2003). The role of illness severity and illness representations in adjusting to multiple sclerosis. Journal of Psychosomatic Research, 54, 503511. doi: 10.1016/S0022-3999(02)00455-5
Kiebles, J. L., Doerfler, B., & Keefer, L. (2010). Preliminary evidence supporting a framework of psychological adjustment to inflammatory bowel disease. Inflammatory Bowel Diseases, 16, 16851695. doi: 10.1002/ibd.21215
Knowles, S. R., Wilson, J. L., Connell, W. R., & Kamm, M. A. (2011). Preliminary examination of the relations between disease activity, illness perceptions, coping strategies, and psychological morbidity in Crohn’s disease guided by the common sense model of illness. Inflammatory Bowel Diseases, 17, 25512557. doi: 10.1002/ibd.21650
Kovacs, Z., & Kovacs, F. (2007). Depressive and anxiety symptoms, dysfunctional attitudes and social aspects in irritable bowel syndrome and inflammatory bowel disease. International Journal of Psychiatry in Medicine, 37, 245255. doi: 10.2190/PM.37.3.a
McCabe, P. J., & Barnason, S. A. (2012). Illness perceptions, coping strategies, and symptoms contribute to psychological distress in patients with recurrent symptomatic atrial fibrillation. Journal of Cardiovascular Nursing, 27, 431444. doi: 10.1097/JCN.0b013e31821e7ab1
Means-Christensen, A. J., Arnau, R. C., Tonidandel, A. M., Bramson, R., & Meagher, M. W. (2005). An efficient method of identifying major depression and panic disorder in primary care. Journal of Behavioral Medicine, 28, 565572. doi: 10.1007/s10865-005-9023-6
Mittermaier, C., Dejaco, C., Waldhoer, T., Oefferlauber-Ernst, A., Miehsler, W., Beier, M., … & Moser, G. (2004). Impact of depressive mood on relapse in patients with inflammatory bowel disease: a prospective 18-month follow-up study. Psychosomatic Medicine, 66, 7984. doi: 10.1097/01.Psy.0000106907.24881.F2
Moss-Morris, R., Weinman, J., Petrie, K. J., Horne, R., Cameron, L. D., & Buick, D. (2002). The revised Illness Perception Questionnaire (IPQ-R). Psychology & Health, 17, 116. doi: 10.1080/08870440290001494
Otto, M. W., Teachman, B. A., Cohen, L. S., Soares, C. N., Vitonis, A. F., & Harlow, B. L. (2007). Dysfunctional attitudes and episodes of major depression: predictive validity and temporal stability in never-depressed, depressed, and recovered women. Journal of Abnormal Psychology, 116, 475483. doi: 10.1037/0021-843x.116.3.475
Petrie, K. J., Jago, L. A., & Devcich, D. A. (2007). The role of illness perceptions in patients with medical conditions. Current Opinion in Psychiatry, 20, 163167. doi: 10.1097/YCO.0b013e328014a871
Riskind, J., Beck, A., & Smucker, M. (1983). Psychometric Properties of the Dysfunctional Attitudes Scale in a Clinical Population. Washington, USA: World Congress on Behavioral Therapy.
Rochelle, T. L., & Fidler, H. (2013). The importance of illness perceptions, quality of life and psychological status in patients with ulcerative colitis and Crohn’s disease. Journal of Health Psychology, 18, 972983. doi: 10.1177/1359105312459094
Rubin, D. B. (1987). Multiple Imputation for Nonresponse in Surveys. New York, USA: Wiley.
Skinner, T. C., Khunti, K., Carey, M. E., Dallosso, H., Heller, S., & Davies, M. J. (2014). Stability and predictive utility, over 3 years, of the illness beliefs of individuals recently diagnosed with Type 2 diabetes mellitus. Diabetic Medicine, 31, 12601263. doi: 10.1111/dme.12484
Spinhoven, P., Ormel, J., Sloekers, P. P. A., Kempen, G. I. J. M., Speckens, A. E. M., & VanHemert, A. M. (1997). A validation study of the Hospital Anxiety and Depression Scale (HADS) in different groups of Dutch subjects. Psychological Medicine, 27, 363370. doi: 10.1017/S0033291796004382
Stafford, L., Berk, M., & Jackson, H. J. (2009). Are illness perceptions about coronary artery disease predictive of depression and quality of life outcomes? Journal of Psychosomatic Research, 66, 211220. doi: 10.1016/j.jpsychores.2008.09.005
Teasdale, J. D. (1988). Cognitive vulnerability to persistent depression. Cognition & Emotion, 2, 247274. doi: 10.1080/02699938808410927
van den Beukel, T. O., Siegert, C. E. H., van Dijk, S., Ter Wee, P. M., Dekker, F. W., & Honig, A. (2012). Comparison of the SF-36 Five-item Mental Health Inventory and Beck Depression Inventory for the screening of depressive symptoms in chronic dialysis patients. Nephrology Dialysis Transplantation, 27, 44534457. doi: 10.1093/ndt/gfs341
van der Have, M., Minderhoud, I. M., Kaptein, A. A., Leenders, M., Siersema, P. D., Fidder, H. H., & Oldenburg, B. (2013). Substantial impact of illness perceptions on quality of life in patients with Crohn’s disease. Journal of Crohn’s & Colitis, 7, e292301. doi: 10.1016/j.crohns.2012.11.002
van Groenestijn, M. A. C., Akkerhuis, G. W., Kupka, R. W., Schneider, N., & Nolen, W. A. (1999). Gestructureerd klinisch interview voor de vaststelling van DSM-IV As I Stoornissen. Lisse: Swets & Zeitlinger.
Ware, J. E. Jr, & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care, 30, 473483.
Weich, S., Churchill, R., & Lewis, G. (2003). Dysfunctional attitudes and the common mental disorders in primary care. Journal of Affective Disorders, 75, 269278. doi: 10.1016/S0165-0327(02)00053-8
Zhang, Y. Z., & Li, Y. Y. (2014). Inflammatory bowel disease: pathogenesis. World Journal of Gastroenterology, 20, 9199. doi: 10.3748/wjg.v20.i1.91

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I am a total failure: associations between beliefs and anxiety and depression in patients with inflammatory bowel disease with poor mental quality of life

  • Floor Bennebroek Evertsz’ (a1), Mirjam A.G. Sprangers (a1), Laura M. de Vries (a2), Robbert Sanderman (a3), Pieter C.F. Stokkers (a4), Mathilde G.E. Verdam (a1) (a5), Huibert Burger (a6) and Claudi L.H. Bockting (a7)...
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