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Gepubliceerd in: Quality of Life Research 9/2009

01-11-2009

Gender-related traits, quality of life, and psychological adjustment among women with irritable bowel syndrome

Auteurs: Sabrina C. Voci, Kenneth M. Cramer

Gepubliceerd in: Quality of Life Research | Uitgave 9/2009

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Abstract

Objective

Irritable bowel syndrome (IBS) is a functional illness associated with significant impairment in quality of life. Compared to men, women are more likely to meet criteria for IBS, to seek treatment, and experience greater detriments in quality of life. In addition to physiological factors, psychosocial factors may contribute to such gender differences. We examined whether traits associated with masculine (agentic) and feminine (communal) gender roles were linked with adjustment to IBS.

Methods

Women with IBS (N = 144) completed online self-report measures of gender-related traits (agency, communion, unmitigated agency, unmitigated communion, lack of agency, lack of communion), IBS-specific quality of life (IBS-QOL), and psychological adjustment (negative and positive affect).

Results

Agency was positively associated with all dimensions of IBS-QOL and psychological adjustment. Select dimensions of IBS-QOL were lower among women higher in unmitigated agency (social reactions, body image) or unmitigated communion (interference with activity), and both traits were associated with increased negative affect. Lack of agency was associated with increased IBS-QOL (food avoidance) and decreased positive affect. Communion and lack of communion were not associated with either IBS-QOL or psychological adjustment.

Conclusions

Findings may help elucidate psychosocial factors contributing to quality of life among women with IBS.
Literatuur
1.
go back to reference Longstreth, G. F., Thompson, W. G., Chey, W. D., Houghton, L. A., Mearin, F., & Spiller, R. C. (2006). Functional bowel disorders. Gastroenterology, 130, 1480–1491.PubMedCrossRef Longstreth, G. F., Thompson, W. G., Chey, W. D., Houghton, L. A., Mearin, F., & Spiller, R. C. (2006). Functional bowel disorders. Gastroenterology, 130, 1480–1491.PubMedCrossRef
2.
go back to reference Saito, Y. A., Schoenfeld, P., & Locke, G. R. (2002). The epidemiology of irritable bowel syndrome in North America: A systematic review. The American Journal of Gastroenterology, 97, 1910–1915.PubMed Saito, Y. A., Schoenfeld, P., & Locke, G. R. (2002). The epidemiology of irritable bowel syndrome in North America: A systematic review. The American Journal of Gastroenterology, 97, 1910–1915.PubMed
3.
go back to reference Chang, L., Toner, B. B., Fukudo, S., Guthrie, E., Locke, G. R., Norton, N. J., et al. (2006). Gender, age, society, culture, and the patient’s perspective in the functional gastrointestinal disorders. Gastroenterology, 130, 1435–1446.PubMedCrossRef Chang, L., Toner, B. B., Fukudo, S., Guthrie, E., Locke, G. R., Norton, N. J., et al. (2006). Gender, age, society, culture, and the patient’s perspective in the functional gastrointestinal disorders. Gastroenterology, 130, 1435–1446.PubMedCrossRef
4.
go back to reference Hollowell, J., Lundgren, A., & Johansson, S. (2002). Irritable bowel syndrome: Patterns of ambulatory health care and resource use in the United States, 1993–1997. Digestive Diseases and Sciences, 47, 1115–1121.PubMedCrossRef Hollowell, J., Lundgren, A., & Johansson, S. (2002). Irritable bowel syndrome: Patterns of ambulatory health care and resource use in the United States, 1993–1997. Digestive Diseases and Sciences, 47, 1115–1121.PubMedCrossRef
5.
go back to reference Bertram, S., Kurland, M., Lydick, E., Locke, G. R., III, & Yawn, B. P. (2001). The patient’s perspective of irritable bowel syndrome. Journal of Family Practice, 50, 521–525.PubMed Bertram, S., Kurland, M., Lydick, E., Locke, G. R., III, & Yawn, B. P. (2001). The patient’s perspective of irritable bowel syndrome. Journal of Family Practice, 50, 521–525.PubMed
6.
go back to reference Hahn, B. A., Yan, S., & Strassels, S. (1999). Impact of irritable bowel syndrome on quality of life and resource use in the United States and United Kingdom. Digestion, 60, 77–81.PubMedCrossRef Hahn, B. A., Yan, S., & Strassels, S. (1999). Impact of irritable bowel syndrome on quality of life and resource use in the United States and United Kingdom. Digestion, 60, 77–81.PubMedCrossRef
7.
go back to reference Gralnek, I. M., Hays, R. D., Kilbourne, A., Naliboff, B., & Mayer, E. A. (2000). The impact of irritable bowel syndrome on health-related quality of life. Gastroenterology, 119, 654–660.PubMedCrossRef Gralnek, I. M., Hays, R. D., Kilbourne, A., Naliboff, B., & Mayer, E. A. (2000). The impact of irritable bowel syndrome on health-related quality of life. Gastroenterology, 119, 654–660.PubMedCrossRef
8.
go back to reference Chang, L., & Heitkemper, M. M. (2002). Gender differences in irritable bowel syndrome. Gastroenterology, 123, 1686–1701.PubMedCrossRef Chang, L., & Heitkemper, M. M. (2002). Gender differences in irritable bowel syndrome. Gastroenterology, 123, 1686–1701.PubMedCrossRef
9.
go back to reference Toner, B. B., Segal, Z. V., Emmott, S. D., & Myran, D. (2000). Cognitive-behavioral treatment of irritable bowel syndrome: The brain-gut connection. New York: Guilford Press. Toner, B. B., Segal, Z. V., Emmott, S. D., & Myran, D. (2000). Cognitive-behavioral treatment of irritable bowel syndrome: The brain-gut connection. New York: Guilford Press.
10.
go back to reference Toner, B. B., & Akman, D. (2000). Gender role and irritable bowel syndrome: Literature review and hypothesis. American Journal of Gastroenterology, 95, 11–16.PubMedCrossRef Toner, B. B., & Akman, D. (2000). Gender role and irritable bowel syndrome: Literature review and hypothesis. American Journal of Gastroenterology, 95, 11–16.PubMedCrossRef
11.
go back to reference Helgeson, V. S. (1994). Relation of agency and communion to well-being: Evidence and potential explanations. Psychological Bulletin, 116, 412–428.CrossRef Helgeson, V. S. (1994). Relation of agency and communion to well-being: Evidence and potential explanations. Psychological Bulletin, 116, 412–428.CrossRef
12.
go back to reference Helgeson, V. S., & Fritz, H. L. (1999). Unmitigated agency and unmitigated communion: Distinctions from agency and communion. Journal of Research in Personality, 33, 131–158.CrossRef Helgeson, V. S., & Fritz, H. L. (1999). Unmitigated agency and unmitigated communion: Distinctions from agency and communion. Journal of Research in Personality, 33, 131–158.CrossRef
13.
go back to reference Saragovi, C., Koestner, R., Di Dio, L., & Aube, J. (1997). Agency, communion, and well-being: Extending Helgeson’s (1994) model. Journal of Personality and Social Psychology, 73, 593–609.CrossRef Saragovi, C., Koestner, R., Di Dio, L., & Aube, J. (1997). Agency, communion, and well-being: Extending Helgeson’s (1994) model. Journal of Personality and Social Psychology, 73, 593–609.CrossRef
14.
go back to reference Whitley, B. E. (1983). Sex role orientation and self-esteem: A critical meta-analytic review. Journal of Personality and Social Psychology, 44, 765–778.PubMedCrossRef Whitley, B. E. (1983). Sex role orientation and self-esteem: A critical meta-analytic review. Journal of Personality and Social Psychology, 44, 765–778.PubMedCrossRef
15.
go back to reference Helgeson, V. S., & Lepore, S. J. (2004). Quality of life following prostate cancer: The role of agency and unmitigated agency. Journal of Applied Social Psychology, 34, 2559–2585.CrossRef Helgeson, V. S., & Lepore, S. J. (2004). Quality of life following prostate cancer: The role of agency and unmitigated agency. Journal of Applied Social Psychology, 34, 2559–2585.CrossRef
16.
go back to reference Trudeau, K. J., Danoff-Burg, S., Revenson, T. A., & Paget, S. A. (2003). Agency and communion in people with rheumatoid arthritis. Sex Roles, 49, 303–311.CrossRef Trudeau, K. J., Danoff-Burg, S., Revenson, T. A., & Paget, S. A. (2003). Agency and communion in people with rheumatoid arthritis. Sex Roles, 49, 303–311.CrossRef
17.
go back to reference Ghaed, S. G., & Gallo, L. C. (2006). Distinctions among agency, communion, and unmitigated agency and communion according to the interpersonal circumplex, five-factor model, and social-emotional correlates. Journal of Personality Assessment, 86, 77–88.PubMedCrossRef Ghaed, S. G., & Gallo, L. C. (2006). Distinctions among agency, communion, and unmitigated agency and communion according to the interpersonal circumplex, five-factor model, and social-emotional correlates. Journal of Personality Assessment, 86, 77–88.PubMedCrossRef
18.
go back to reference Korabik, K., & McCreary, D. R. (2000). Testing a model of socially desirable and undesirable gender-role attributes. Sex Roles, 43, 665–685.CrossRef Korabik, K., & McCreary, D. R. (2000). Testing a model of socially desirable and undesirable gender-role attributes. Sex Roles, 43, 665–685.CrossRef
19.
go back to reference McCreary, D. R., & Korabik, K. (1994). Examining the relationships between the socially desirable and undesirable aspects of agency and communion. Sex Roles, 31, 637–651.CrossRef McCreary, D. R., & Korabik, K. (1994). Examining the relationships between the socially desirable and undesirable aspects of agency and communion. Sex Roles, 31, 637–651.CrossRef
20.
go back to reference Helgeson, V. S., & Fritz, H. L. (2000). The implications of unmitigated agency and unmitigated communion for domains of problem behavior. Journal of Personality, 68, 1031–1057.PubMedCrossRef Helgeson, V. S., & Fritz, H. L. (2000). The implications of unmitigated agency and unmitigated communion for domains of problem behavior. Journal of Personality, 68, 1031–1057.PubMedCrossRef
21.
go back to reference Fritz, H. L., & Helgeson, V. S. (1998). Distinctions of unmitigated communion from communion: Self-neglect and over involvement with others. Journal of Personality and Social Psychology, 75, 121–140.PubMedCrossRef Fritz, H. L., & Helgeson, V. S. (1998). Distinctions of unmitigated communion from communion: Self-neglect and over involvement with others. Journal of Personality and Social Psychology, 75, 121–140.PubMedCrossRef
22.
go back to reference Helgeson, V. S. (1993). Implications of agency and communion for patient and spouse adjustment to a first coronary event. Journal of Personality and Social Psychology, 64, 807–816.PubMedCrossRef Helgeson, V. S. (1993). Implications of agency and communion for patient and spouse adjustment to a first coronary event. Journal of Personality and Social Psychology, 64, 807–816.PubMedCrossRef
23.
go back to reference Danoff-Burg, S., Mosher, C. E., & Grant, C. A. (2006). Relations of agentic and communal personality traits to health behavior and substance use among college students. Personality and Individual Differences, 40, 353–363.CrossRef Danoff-Burg, S., Mosher, C. E., & Grant, C. A. (2006). Relations of agentic and communal personality traits to health behavior and substance use among college students. Personality and Individual Differences, 40, 353–363.CrossRef
24.
go back to reference Helgeson, V. S. (1990). The role of masculinity in a prognostic predictor of heart attack severity. Sex Roles, 22, 755–774.CrossRef Helgeson, V. S. (1990). The role of masculinity in a prognostic predictor of heart attack severity. Sex Roles, 22, 755–774.CrossRef
25.
go back to reference Helgeson, V. S. (2003). Unmitigated communion and adjustment to breast cancer: Associations and explanations. Journal of Applied Social Psychology, 33, 1643–1661.CrossRef Helgeson, V. S. (2003). Unmitigated communion and adjustment to breast cancer: Associations and explanations. Journal of Applied Social Psychology, 33, 1643–1661.CrossRef
26.
go back to reference Helgeson, V. S., & Fritz, H. L. (1998). A theory of unmitigated communion. Personality and Social Psychology Review, 2, 173–183.PubMedCrossRef Helgeson, V. S., & Fritz, H. L. (1998). A theory of unmitigated communion. Personality and Social Psychology Review, 2, 173–183.PubMedCrossRef
27.
go back to reference Wiggins, J. S. (1995). Interpersonal adjectives scales: Professional manual. Lutz, FL: Psychological Assessment Resources, Inc. Wiggins, J. S. (1995). Interpersonal adjectives scales: Professional manual. Lutz, FL: Psychological Assessment Resources, Inc.
28.
go back to reference Ali, A., Richardson, D. C., & Toner, B. B. (1998). Feminine gender role and illness behavior in irritable bowel syndrome. Journal of Gender, Culture, and Health, 3, 59–65.CrossRef Ali, A., Richardson, D. C., & Toner, B. B. (1998). Feminine gender role and illness behavior in irritable bowel syndrome. Journal of Gender, Culture, and Health, 3, 59–65.CrossRef
29.
go back to reference Hirokawa, K., & Dohi, I. (2007). Agency and communion related to mental health in Japanese young adults. Sex Roles, 56, 517–524.CrossRef Hirokawa, K., & Dohi, I. (2007). Agency and communion related to mental health in Japanese young adults. Sex Roles, 56, 517–524.CrossRef
30.
go back to reference Spence, J. T., Helmreich, R. L., & Holahan, C. K. (1979). Negative and positive components of psychological masculinity and femininity and their relationships to self-reports of neurotic and acting out behaviors. Journal of Personality and Social Psychology, 37, 1673–1682.PubMedCrossRef Spence, J. T., Helmreich, R. L., & Holahan, C. K. (1979). Negative and positive components of psychological masculinity and femininity and their relationships to self-reports of neurotic and acting out behaviors. Journal of Personality and Social Psychology, 37, 1673–1682.PubMedCrossRef
31.
go back to reference Helgeson, V. S., Escobar, O., Siminerio, L., & Becker, D. (2007). Unmitigated communion and health among adolescents with and without diabetes: The mediating role of eating disturbances. Personality and Social Psychology Bulletin, 33, 519–536.PubMedCrossRef Helgeson, V. S., Escobar, O., Siminerio, L., & Becker, D. (2007). Unmitigated communion and health among adolescents with and without diabetes: The mediating role of eating disturbances. Personality and Social Psychology Bulletin, 33, 519–536.PubMedCrossRef
32.
go back to reference Wiggins, J. S., Trapnell, P., & Phillips, N. (1988). Psychometric and geometric characteristics of the revised interpersonal adjective scales (IAS-R). Multivariate Behavioral Research, 23, 517–530.CrossRef Wiggins, J. S., Trapnell, P., & Phillips, N. (1988). Psychometric and geometric characteristics of the revised interpersonal adjective scales (IAS-R). Multivariate Behavioral Research, 23, 517–530.CrossRef
33.
go back to reference Wiggins, J. S. (1991). Agency and communion as conceptual coordinates for the understanding and measurement of interpersonal behavior. Thinking Clearly About Psychology, 2, 89–113. Wiggins, J. S. (1991). Agency and communion as conceptual coordinates for the understanding and measurement of interpersonal behavior. Thinking Clearly About Psychology, 2, 89–113.
34.
go back to reference Patrick, D. L., Drossman, D. A., Frederick, I. O., Dicesare, J., & Puder, K. L. (1998). Quality of life in persons with irritable bowel syndrome: Development and validation of a new measure. Digestive Diseases and Sciences, 43, 400–411.PubMedCrossRef Patrick, D. L., Drossman, D. A., Frederick, I. O., Dicesare, J., & Puder, K. L. (1998). Quality of life in persons with irritable bowel syndrome: Development and validation of a new measure. Digestive Diseases and Sciences, 43, 400–411.PubMedCrossRef
35.
go back to reference Patrick, D. L., Drossman, D. A., & Frederick, I. O. (1997). A quality-of-life measure for persons with irritable bowel syndrome (IBS-QOL). User’s manual and scoring diskette for United States version. Seattle, Washington: University of Washington. Patrick, D. L., Drossman, D. A., & Frederick, I. O. (1997). A quality-of-life measure for persons with irritable bowel syndrome (IBS-QOL). User’s manual and scoring diskette for United States version. Seattle, Washington: University of Washington.
36.
go back to reference Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 1063–1070.PubMedCrossRef Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 1063–1070.PubMedCrossRef
37.
go back to reference Drossman, D. A., Corrazziari, E., Delvaux, M., Spiller, R., Talley, N. J., Thompson, W. G., et al. (2006). Rome III: The functional gastrointestinal disorders. McLean, VA: Degnon Associates. Drossman, D. A., Corrazziari, E., Delvaux, M., Spiller, R., Talley, N. J., Thompson, W. G., et al. (2006). Rome III: The functional gastrointestinal disorders. McLean, VA: Degnon Associates.
38.
go back to reference Downey, R. G., & King, C. (1998). Missing data in likert ratings: A comparison of replacement methods. Journal of General Psychology, 125, 175–191.PubMedCrossRef Downey, R. G., & King, C. (1998). Missing data in likert ratings: A comparison of replacement methods. Journal of General Psychology, 125, 175–191.PubMedCrossRef
39.
go back to reference Danoff-Burg, S., Revenson, T. A., Trudeau, K. J., & Paget, S. A. (2004). Unmitigated communion, social constraints, and psychological distress among women with rheumatoid arthritis. Journal of Personality, 72, 29–46.PubMedCrossRef Danoff-Burg, S., Revenson, T. A., Trudeau, K. J., & Paget, S. A. (2004). Unmitigated communion, social constraints, and psychological distress among women with rheumatoid arthritis. Journal of Personality, 72, 29–46.PubMedCrossRef
40.
go back to reference Fritz, H. L. (2000). Gender-linked personality traits predict mental health and functional status following a first coronary event. Health Psychology, 19, 420–428.PubMedCrossRef Fritz, H. L. (2000). Gender-linked personality traits predict mental health and functional status following a first coronary event. Health Psychology, 19, 420–428.PubMedCrossRef
41.
go back to reference Lengua, L. J., & Stormshak, E. A. (2000). Gender, gender roles, and personality: Gender differences in the prediction of coping and psychological symptoms. Sex Roles, 43, 787–820.CrossRef Lengua, L. J., & Stormshak, E. A. (2000). Gender, gender roles, and personality: Gender differences in the prediction of coping and psychological symptoms. Sex Roles, 43, 787–820.CrossRef
42.
go back to reference Pressman, S. D., & Cohen, S. (2005). Does positive affect influence health? Psychological Bulletin, 131, 925–971.PubMedCrossRef Pressman, S. D., & Cohen, S. (2005). Does positive affect influence health? Psychological Bulletin, 131, 925–971.PubMedCrossRef
43.
go back to reference Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). UK: Lawrence Erlbaum Associates. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). UK: Lawrence Erlbaum Associates.
44.
go back to reference Kressin, N. R., Spiro, A., III, & Skinner, K. M. (2000). Negative affectivity and health-related quality of life. Medical Care, 38, 858–867.PubMedCrossRef Kressin, N. R., Spiro, A., III, & Skinner, K. M. (2000). Negative affectivity and health-related quality of life. Medical Care, 38, 858–867.PubMedCrossRef
45.
go back to reference Parsons, E. M., & Betz, N. E. (2001). The relationship of participation in sports and physical activity to body objectification, instrumentality, and locus of control among young women. Psychology of Women Quarterly, 25, 209–222.CrossRef Parsons, E. M., & Betz, N. E. (2001). The relationship of participation in sports and physical activity to body objectification, instrumentality, and locus of control among young women. Psychology of Women Quarterly, 25, 209–222.CrossRef
46.
go back to reference Stanton, A. L., Revenson, T. A., & Tennen, H. (2007). Health psychology: Psychological adjustment to chronic disease. Annual Review of Psychology, 58, 565–592.PubMedCrossRef Stanton, A. L., Revenson, T. A., & Tennen, H. (2007). Health psychology: Psychological adjustment to chronic disease. Annual Review of Psychology, 58, 565–592.PubMedCrossRef
47.
go back to reference Taylor, S. E. (1983). Adjustment to threatening events: A theory of cognitive adaptation. American Psychologist, 38, 1161–1173.CrossRef Taylor, S. E. (1983). Adjustment to threatening events: A theory of cognitive adaptation. American Psychologist, 38, 1161–1173.CrossRef
Metagegevens
Titel
Gender-related traits, quality of life, and psychological adjustment among women with irritable bowel syndrome
Auteurs
Sabrina C. Voci
Kenneth M. Cramer
Publicatiedatum
01-11-2009
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 9/2009
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-009-9532-9

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