Title |
Religious coping and its influence on psychological distress, medication adherence, and quality of life in inflammatory bowel disease
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Published in |
Revista Brasileira de Psiquiatria, September 2015
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DOI | 10.1590/1516-4446-2014-1507 |
Pubmed ID | |
Authors |
Thiago H Freitas, Thomas N Hyphantis, Elias Andreoulakis, João Quevedo, Hesley L Miranda, Gilberto S Alves, Marcellus H Souza, Lúcia L Braga, Kenneth I Pargament, Joanna K Soczynska, Roger S McIntyre, André F Carvalho |
Abstract |
Inflammatory bowel disease (IBD) is associated with elevated levels of anxiety and depression and a reduction in health-related quality of life (HRQoL). Nonadherence to treatment is also frequent in IBD and compromises outcomes. Religious coping plays a role in the adaptation to several chronic diseases. However, the influence of religious coping on IBD-related psychological distress, HRQoL, and treatment adherence remains unknown. This cross-sectional study recruited 147 consecutive patients with either Crohn's disease or ulcerative colitis. Sociodemographic data, disease-related variables, psychological distress (Hospital Anxiety and Depression Scale), religious coping (Brief RCOPE Scale), HRQoL (WHOQOL-Bref), and adherence (8-item Morisky Medication Adherence Scale) were assessed. Hierarchical multiple regression models were used to evaluate the effects of religious coping on IBD-related psychological distress, treatment adherence, and HRQoL. Positive RCOPE was negatively associated with anxiety (b = 0.256; p = 0.007) as well as with overall, physical, and mental health HRQoL. Religious struggle was significantly associated with depression (b = 0.307; p < 0.001) and self-reported adherence (b = 0.258; p = 0.009). Finally, anxiety symptoms fully mediated the effect of positive religious coping on overall HRQoL. Religious coping is significantly associated with psychological distress, HRQoL, and adherence in IBD. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Argentina | 1 | <1% |
Unknown | 132 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 16 | 12% |
Student > Bachelor | 15 | 11% |
Researcher | 13 | 10% |
Student > Ph. D. Student | 10 | 8% |
Student > Doctoral Student | 8 | 6% |
Other | 33 | 25% |
Unknown | 38 | 29% |
Readers by discipline | Count | As % |
---|---|---|
Psychology | 30 | 23% |
Medicine and Dentistry | 20 | 15% |
Nursing and Health Professions | 11 | 8% |
Neuroscience | 5 | 4% |
Agricultural and Biological Sciences | 4 | 3% |
Other | 21 | 16% |
Unknown | 42 | 32% |