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High Levels of Psychological Resilience Are Associated With Decreased Anxiety in Inflammatory Bowel Disease
- Source :
- Inflamm Bowel Dis
- Publication Year :
- 2021
- Publisher :
- Oxford University Press (OUP), 2021.
-
Abstract
- Background Anxiety and depression are comorbid disorders with IBD and are associated with poor outcomes. Resilience is an innate but modifiable trait that may improve the symptoms of psychological disorders. Increasing resilience may decrease the severity of these comorbid disorders, which may improve IBD outcomes. The aim of this study was to describe the association between resilience, anxiety, and depression in IBD patients. Methods We performed a cross-sectional study of IBD patients. Patients completed a questionnaire consisting of the Connor-Davidson Resilience Scale (CD-RISC), a measure of resilience, the Generalized Anxiety Disorder 7 (GAD-7), and the Patient Health Questionnaire-9. Primary outcome was severity of anxiety and depression in patients with high resilience. Multivariable linear regression analysis evaluated the association between severity of anxiety and depression and level of resilience. Results A sample of 288 patients was analyzed. Bivariable linear regression analysis showed a negative association between resilience and anxiety (Pearson rho = −0.47; P < .0001) and between resilience and depression (Pearson rho = −0.53; P < .0001). Multivariable linear regression indicated that high resilience is independently associated with lower anxiety and that for every 1-unit increase in CD-RISC, the GAD-7 score decreased by 0.04 units (P = .0003). Unlike anxiety, the association between resilience and depression did not remain statistically significant on multivariable analysis. Conclusions High resilience is independently associated with lower anxiety in IBD patients, and we report a quantifiable decrease in anxiety score severity for every point of increase in resilience score. These findings suggest that IBD patients with higher resilience may have better coping mechanisms that buffer against the development of anxiety.
- Subjects :
- Concept Formation
media_common.quotation_subject
Generalized Anxiety Disorder 7
Negative association
Anxiety
Inflammatory bowel disease
Clinical Research
Surveys and Questionnaires
Humans
Immunology and Allergy
Medicine
Depression (differential diagnoses)
media_common
Crohn's disease
Depression
business.industry
Gastroenterology
Resilience, Psychological
Inflammatory Bowel Diseases
medicine.disease
Ulcerative colitis
Mental Health
Cross-Sectional Studies
Chronic Disease
Psychological resilience
medicine.symptom
business
Clinical psychology
Subjects
Details
- ISSN :
- 15364844 and 10780998
- Volume :
- 28
- Database :
- OpenAIRE
- Journal :
- Inflammatory Bowel Diseases
- Accession number :
- edsair.doi.dedup.....dd6aac75578f4da81ad8b7b84ea1a789