Swipe om te navigeren naar een ander artikel
Inflammatory bowel diseases (IBD) and their treatment are known to negatively impact on patients’ body image, especially female patients. However, although there are broad evidences of body image impairment in female IBD patients, its negative impact on the quality of life (QoL) of non-operated women is not clearly and specifically studied. The aim of the current study was therefore to analyse, in a sample of non-operated female IBD patients, the factors that contribute to body image impairment and its impact on QoL.
Ninety-six non-operated women (39.7 % with CD and 60.3 % with UC), aged between 18 and 40 years old, completed an online survey with validated self-report measures, which included the Body Image Scale and the WHO Brief Quality of Life Assessment Scale.
Negative body image was correlated with lower psychological and physical QoL and increased corticosteroids use, associated medical complications, body mass index (BMI), and IBD symptomatology. Regression analyses revealed that BMI and IBD symptomatology significantly predicted body image impairment. Furthermore, results from path analyses indicated that BMI and IBD symptomatology’s effect on psychological and physical QoL was mediated through the negative effects of body image impairment. This model explained 31 % of psychological QoL and 41 % of physical QoL.
These findings suggest that non-operated female patients are subject to pervasive and harmful effects of body image impairment on psychological and physical functioning. Therefore, psychological interventions aiming to target body dissatisfaction should be implemented in the health care of IBD, independently of patients’ operative status.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Arbuckle, J. L. (2006). Amos (Version 7.0) [computer program]. Chicago: SPSS.
Canavarro, M. C., Serra, A. V., Simoes, M. R., Rijo, D., Pereira, M., Gameiro, S., et al. (2009). Development and psychometric properties of the World Health Organization Quality of Life Assessment Instrument (WHOQOL-100) in Portugal. International Journal of Behavioral Medicine, 16(2), 116–124. doi: 10.1007/s12529-008-9024-2. CrossRefPubMed
Cohen, J., Cohen, P., West, S., & Aiken, L. (2003). Applied multiple regression/correlation analysis for the behavioural sciences (3rd ed.). New Jersey: Lawrence Erlbaum Associates.
De Rooy, E. C., Toner, B. B., Maunder, R. G., Greenberg, G. R., Baron, D., Steinhart, A. H., et al. (2001). Concerns of patients with inflammatory bowel disease: Results from a clinical population. The American Journal of Gastroenterology, 96(6), 1816–1821. doi: 10.1111/j.1572-0241.2001.03877.x. CrossRefPubMed
Graff, L. A., Walker, J. R., Lix, L., Clara, I., Rawsthorne, P., Rogala, L., et al. (2006). The relationship of inflammatory bowel disease type and activity to psychological functioning and quality of life. Clinical Gastroenterology and Hepatology, 4, 1491–1501. doi: 10.1016/j.cgh.2006.09.027. CrossRefPubMed
Grogan, S. (2008). Body image: Understanding body dissatisfaction in men, women, and children. London: Routledge.
Hasselgren, P. O., Alamdari, N., Aversa, Z., Gonnella, P., Smith, I. J., & Tizio, S. (2010). Corticosteroids and muscle wasting: Role of transcription factors, nuclear cofactors, and hyperacetylation. Current Opinion in Clinical Nutrition and Metabolic Care, 13(4), 423–428. doi: 10.1097/MCO.0b013e32833a5107. CrossRefPubMedPubMedCentral
IBM Corp. (2011). IBM SPSS statistics for windows, version 20.0. Armonk, NY: IBM Corp.
Kline, R. B. (2005). Principles and practice of structural equation modeling. New York: The Guilford Press.
MacKinnon, D. P. (2008). Introduction to statistical mediation analysis. Mahwah, NJ: Erlbaum.
Muller, K. R., Prosser, R., Bampton, P., & Andrews, J. M. (2008). Female gender and surgery lead to greater perceived impact of inflammatory bowel disease (IBD) on body image and sexual function: A neglected issue. Gastroenterology, 134(4), A-140. doi: 10.1016/S0016-5085(08)60650-2.
Schumacker, R. E., & Lomax, R. G. (2004). A beginner’s guide to structural equation modeling (2nd ed.). Mahwah, NJ: Lawrence Erlbaum Associates.
Simões, M. R. (1994). Investigação no âmbito da aferição nacional dos Testes das Matrizes Coloridas de Raven [Investigation regarding the national aferition of the Raven’s progressive matrices]. Doctoral dissertation presented to the Faculty of Psychology and Education Sciences of the University of Coimbra, Portugal.
Swami, V., Frederick, D. A., Aavik, T., Alcalay, L., Allik, J., Anderson, D., et al. (2010). The attractive female body weight and female body dissatisfaction in 26 countries across 10 world regions: Results of the international body project I. Personality and Social Psychology Bulletin, 36(3), 309–325. doi: 10.1177/0146167209359702. CrossRefPubMed
WHO. (1995). Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. Technical Report Series No. 854.
- The effects of body image impairment on the quality of life of non-operated Portuguese female IBD patients
Inês A. Trindade
- Springer International Publishing