Gender-related traits, quality of life, and psychological adjustment among women with irritable bowel syndrome
- 180 Downloads
- 6 Citations
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.
Keywords
Irritable bowel syndrome Quality of life Gender Psychological adjustmentAbbreviations
- AG
Agency
- CM
Communion
- UA
Unmitigated agency
- UC
Unmitigated communion
- LA
Lack of agency
- LC
Lack of communion
- IBS
Irritable bowel syndrome
- IBS-QOL
IBS-specific quality of life
- HRQOL
Health-related quality of life
- PA
Positive affect
- NA
Negative affect
References
- 1.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.PubMedCrossRefGoogle Scholar
- 2.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.PubMedGoogle Scholar
- 3.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.PubMedCrossRefGoogle Scholar
- 4.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.PubMedCrossRefGoogle Scholar
- 5.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.PubMedGoogle Scholar
- 6.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.PubMedCrossRefGoogle Scholar
- 7.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.PubMedCrossRefGoogle Scholar
- 8.Chang, L., & Heitkemper, M. M. (2002). Gender differences in irritable bowel syndrome. Gastroenterology, 123, 1686–1701.PubMedCrossRefGoogle Scholar
- 9.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.Google Scholar
- 10.Toner, B. B., & Akman, D. (2000). Gender role and irritable bowel syndrome: Literature review and hypothesis. American Journal of Gastroenterology, 95, 11–16.PubMedCrossRefGoogle Scholar
- 11.Helgeson, V. S. (1994). Relation of agency and communion to well-being: Evidence and potential explanations. Psychological Bulletin, 116, 412–428.CrossRefGoogle Scholar
- 12.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.CrossRefGoogle Scholar
- 13.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.CrossRefGoogle Scholar
- 14.Whitley, B. E. (1983). Sex role orientation and self-esteem: A critical meta-analytic review. Journal of Personality and Social Psychology, 44, 765–778.PubMedCrossRefGoogle Scholar
- 15.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.CrossRefGoogle Scholar
- 16.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.CrossRefGoogle Scholar
- 17.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.PubMedCrossRefGoogle Scholar
- 18.Korabik, K., & McCreary, D. R. (2000). Testing a model of socially desirable and undesirable gender-role attributes. Sex Roles, 43, 665–685.CrossRefGoogle Scholar
- 19.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.CrossRefGoogle Scholar
- 20.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.PubMedCrossRefGoogle Scholar
- 21.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.PubMedCrossRefGoogle Scholar
- 22.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.PubMedCrossRefGoogle Scholar
- 23.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.CrossRefGoogle Scholar
- 24.Helgeson, V. S. (1990). The role of masculinity in a prognostic predictor of heart attack severity. Sex Roles, 22, 755–774.CrossRefGoogle Scholar
- 25.Helgeson, V. S. (2003). Unmitigated communion and adjustment to breast cancer: Associations and explanations. Journal of Applied Social Psychology, 33, 1643–1661.CrossRefGoogle Scholar
- 26.Helgeson, V. S., & Fritz, H. L. (1998). A theory of unmitigated communion. Personality and Social Psychology Review, 2, 173–183.PubMedCrossRefGoogle Scholar
- 27.Wiggins, J. S. (1995). Interpersonal adjectives scales: Professional manual. Lutz, FL: Psychological Assessment Resources, Inc.Google Scholar
- 28.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.CrossRefGoogle Scholar
- 29.Hirokawa, K., & Dohi, I. (2007). Agency and communion related to mental health in Japanese young adults. Sex Roles, 56, 517–524.CrossRefGoogle Scholar
- 30.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.PubMedCrossRefGoogle Scholar
- 31.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.PubMedCrossRefGoogle Scholar
- 32.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.CrossRefGoogle Scholar
- 33.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.Google Scholar
- 34.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.PubMedCrossRefGoogle Scholar
- 35.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.Google Scholar
- 36.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.PubMedCrossRefGoogle Scholar
- 37.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.Google Scholar
- 38.Downey, R. G., & King, C. (1998). Missing data in likert ratings: A comparison of replacement methods. Journal of General Psychology, 125, 175–191.PubMedCrossRefGoogle Scholar
- 39.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.PubMedCrossRefGoogle Scholar
- 40.Fritz, H. L. (2000). Gender-linked personality traits predict mental health and functional status following a first coronary event. Health Psychology, 19, 420–428.PubMedCrossRefGoogle Scholar
- 41.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.CrossRefGoogle Scholar
- 42.Pressman, S. D., & Cohen, S. (2005). Does positive affect influence health? Psychological Bulletin, 131, 925–971.PubMedCrossRefGoogle Scholar
- 43.Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). UK: Lawrence Erlbaum Associates.Google Scholar
- 44.Kressin, N. R., Spiro, A., III, & Skinner, K. M. (2000). Negative affectivity and health-related quality of life. Medical Care, 38, 858–867.PubMedCrossRefGoogle Scholar
- 45.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.CrossRefGoogle Scholar
- 46.Stanton, A. L., Revenson, T. A., & Tennen, H. (2007). Health psychology: Psychological adjustment to chronic disease. Annual Review of Psychology, 58, 565–592.PubMedCrossRefGoogle Scholar
- 47.Taylor, S. E. (1983). Adjustment to threatening events: A theory of cognitive adaptation. American Psychologist, 38, 1161–1173.CrossRefGoogle Scholar