Coping strategies and quality of life of adolescents with inflammatory bowel disease
Coping strategies and quality of life of adolescents with inflammatory bowel disease
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DOI：
10.1023/b:qure.0000025598.89003.0c
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发表时间：
2004-06-01
影响因子：
3.5
通讯作者：
Derkx, HHF
中科院分区：
文献类型：
--
作者：
van der Zaag-Loonen, HJ;Grootenhuis, MA;Derkx, HHF
目的：比较青少年抑郁症患者的一般应对方式。炎症性肠病（IBD）与健康同伴使用方式的相关性，并评估应对方式与健康相关生活质量（HRQoL）之间的关系。方法：采用通用应对方式量表、疾病相关应对方式量表和疾病特异性HRQoL量表对65例IBD青少年（12 ~ 18岁）进行分析。通用仪器的规范性数据是可用的。将IBD患者的平均域评分与规范评分进行比较。以HRQoL域为因变量，以人口统计学、疾病相关特征和应对方式为自变量，对模型进行多元线性回归分析。结果：IBD青少年比健康同龄人使用回避型应对方式。HRQoL与疾病相关的应对方式和疾病活动有关。在六个HRQoL域中的三个域中，更多地使用预测性应对方式（对疾病有积极的期望）和更少地使用抑郁反应模式与更好的HRQoL相关。结论：本研究提示应对方式与生活质量存在相关性。
Objective: This study aims to compare generic coping styles adopted by adolescents suffering from in. flammatory bowel disease (IBD) to styles used by their healthy peers, and to assess the association between coping styles and health-related quality of life (HRQoL). Methods: A generic coping style instrument, a disease-related coping style instrument and a disease-specific HRQoL instrument were administered to 65 adolescents ( 12 - 18 years old) with IBD. Normative data from the generic instrument were available. Mean domain scores of IBD patients were compared to normative scores. Multivariate linear regression analyses were performed on models with HRQoL domains as dependent, and preselected demographic and disease-related characteristics and coping styles as independent variables. Results: Adolescents with IBD use more avoidant coping styles than their healthy peers. HRQoL is associated with disease-related coping styles and with disease activity. More use of a predictive coping style ( having positive expectations about the disease) and less use of a depressive reaction pattern are associated with better HRQoL in three out of six HRQoL domains. Conclusion: This study suggests an association between coping styles and HRQoL.