Passive Coping Associations With Self-Esteem and Health-Related Quality of Life in Youth With Inflammatory Bowel Disease.
Passive Coping Associations With Self-Esteem and Health-Related Quality of Life in Youth With Inflammatory Bowel Disease.
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DOI：
10.3389/fpsyg.2021.670902
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发表时间：
2021
影响因子：
3.8
通讯作者：
Levy RL
中科院分区：
文献类型：
--
作者：
Reed B;Rea KE;Claar RL;van Tilburg MAL;Levy RL
患有炎症性肠病（IBD）的儿科患者可能会经历与疾病症状和治疗相关的慢性压力，对他们的健康相关生活质量（HRQOL）产生负面影响。儿童IBD患者较低的HRQOL与较差的疾病相关症状和心理功能相关，而较高的HRQOL与更适应疾病症状和治疗相关。此外，患者的自尊可能通过对自身能力和感知能力的整体认知影响应对策略的选择和使用。本研究旨在通过研究自尊和被动应对策略之间的横断面关联来扩展已有的关于青年IBD患者HRQOL的研究。9-18岁的IBD青年（n = 147）使用疾病特异性测量、用于应对疼痛或胃肠道症状的典型策略以及他们的一般自尊来评估他们的HRQOL。使用基于回归的技术和自举进行中介分析。结果表明，自尊与HRQOL呈正相关，与被动应对呈负相关。在控制疾病活动度、年龄和性别后，自尊通过被动应对与HRQOL之间存在显著的间接影响。采用三个被动应对分量表进行多重中介分析发现，自尊通过其对灾难化的影响间接影响了HRQOL。结果表明，儿童患者的一般自尊可通过被动应对，特别是灾难化等适应不良认知影响其HRQOL。旨在解决自尊和灾难作为被动应对策略的干预措施可能为改善IBD青年患者的HRQOL提供了希望。
Pediatric patients with inflammatory bowel disease (IBD) may experience chronic stress related to disease symptoms and treatment, with negative consequences to their health-related quality of life (HRQOL). Lower HRQOL among pediatric patients with IBD has been associated with worse disease-related symptoms and psychological functioning, while higher HRQOL has been associated with more adaptive coping with disease symptoms and treatment. In addition, patients’ self-esteem may impact the selection and use of coping strategies through global cognitions about their abilities and perceived competence. The current study seeks to extend existing research on HRQOL in youth with IBD by examining cross-sectional associations among self-esteem and passive coping strategies. Youth ages 9–18 with IBD (n = 147) rated their HRQOL using a disease-specific measure, typical strategies used to cope with pain or GI symptoms, and their general self-esteem. Mediation analyses were performed using regression-based techniques and bootstrapping. Results indicated that greater self-esteem was positively associated with HRQOL but negatively associated with passive coping. Controlling for disease activity, age, and gender, significant indirect effects were found in the relation between self-esteem and HRQOL through passive coping. Multiple mediation analyses using the three passive coping subscales found that self-esteem was indirectly associated with HRQOL through its effects specifically on catastrophizing as a passive coping strategy. Results suggest that pediatric patients’ general self-esteem can impact their HRQOL through passive coping and specifically, maladaptive cognitions (e.g., catastrophizing). Interventions aimed at addressing both self-esteem and catastrophizing as a passive coping strategy may offer promise for improving HRQOL in youth with IBD.
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DOI：
10.1097/mpg.0b013e3181f5714e
发表时间：
2011-03-01
影响因子：
2.9
作者：
Herzer, Michele;Denson, Lee A.;Hommel, Kevin A.
通讯作者：
Hommel, Kevin A.
影响因子：
3.6
作者：
Reed-Knight, Bonney;van Tilburg, Miranda A. L.;Feld, Andrew D.
通讯作者：
Feld, Andrew D.
影响因子：
3.5
作者：
van der Zaag-Loonen, HJ;Grootenhuis, MA;Derkx, HHF
通讯作者：
Derkx, HHF
影响因子：
3.6
作者：
Walker, LS;Smith, CA;VanSlyke, DA
通讯作者：
VanSlyke, DA
影响因子：
4.9
作者：
Levy, Rona L.;van Tilburg, Miranda A. L.;Whitehead, William E.
通讯作者：
Whitehead, William E.