This study examined the effect of minor daily stressors on the primary indices of Crohn's disease in 10 adult volunteers from a support group for individuals with inflammatory bowel disease. All subjects monitored the occurrence of daily stress concurrently with the signs and symptoms of their disease for 28 days. The results of the regression and between-subject analyses indicate a relation between daily stress and self-rated disease severity in Crohn's disease. The effects of daily stress on signs and symptoms of Crohn's disease were significant even after controlling for the effects of major life events. Individual within-subject correlations, however, indicated that stress and indicators of disease were highly related for only three subjects. The results of the current study therefore suggest that at least for some individuals with Crohn's disease, daily stress is related to self-reported indicators of the illness.
This is a preview of subscription content, access via your institution.
Buy single article
Instant access to the full article PDF.
Tax calculation will be finalised during checkout.
Best, W. R., Becktel, J. M., Singleton, J. W., and Kern, F. (1976). Development of a Crohn's disease activity index.Gastroenterology 70: 439–444.
Brantley, P. J., and Jones, G. N. (1989).The Daily Stress Inventory: Professional Manual, Psychological Assessment Resources, Odessa, FL.
Brantley, P. J., Waggoner, C. D., Jones, G. N., and Rappaport, N. B. (1987). A daily stress inventory: Development, reliability, and validity.J. Behav. Med. 10: 61–74.
Brantley, P. J., Cocke, T. B., Jones, G. N., and Goreczny, A. J. (1988a). The Daily Stress Inventory: Validity and effect of repeated administration.J. Psychopathol. Behav. Assess. 10: 75–81.
Brantley, P. J., Dietz, L. S., McKnight, G. T., Jones, G. N., and Tulley, R. (1988b). Convergence between the Daily Stress Inventory and endocrine measures of stress.J. Consult. Clin. Psychol. 56: 549–551.
Caspi, A., Bolger, N., and Eckenrode, J. (1987). Linking person and context in the daily stress process.J. Personal. Soc. Psychol. 52: 184–195.
Cohen, J., and Cohen, P. (1983).Applied Multiple Regression/Correlation Analysis for the Behavioral Sciences, 2nd ed., Erlbaum, Hillsdale, NJ.
Cohn, E. M., Lederman, I. I., and Shore, E. (1970). Regional enteritis and its relation to emotional disorders.Am. J. Gastro. 54: 378–387.
Crocket, R. (1952). Psychiatric findings in Crohn's disease.Lancet 1: 946–949.
DeLongis, A., Coyne, J. C., Dakof, G., Folkman, S., and Lazarus, R. S. (1982). Relationship of daily hassles, uplifts, and major life events to health status.Health Psychol. 1: 119–136.
Ford, C., Glober, G., and Castelnuovo-Tedesco, P. (1969). A psychiatric study of patients with regional enteritis.JAMA 208: 311–315.
Goldberg, D. (1970). A psychiatric study of patients with diseases of the small intestine.Gut 11: 459–465.
Greene, B., Blanchard, E. B., and Suls, J. (1989). Long term monitoring of psychosocial stress and inflammatory bowel disease symptoms in patients with inflammatory bowel disease. Poster presented at the 23rd annual meeting of the Association for Advancement of Behavior Therapy, Washington, DC.
Helzer, J. E., Chammas, S., Norland, C. C., Stillings, W. A., and Alpers, D. H. (1984). A study of the association between Crohn's disease and psychiatric illness.Gastroenterology 86: 324–336.
Korelitz, B. I. (1982). Epidemiological and psychosocial aspects of inflammatory bowel disease with observations on children, families, and pregnancy.Am. J. Gastro. 77: 929–933.
McKegney, F. P., Gordon, R. O., and Levine, S. M. (1970). A psychosomatic comparison of patients with ulcerative colitis and Crohn's disease.Psychosom. Med. 32: 153–160.
Parfitt, H. L. (1967). Psychiatric aspects of regional enteritis.Can. Med. Assoc. J. 97: 807.
Sperling, M. (1960). The psycho-analytic treatment of a case of chronic regional ileitis.Int. J. Psychoanal. 41: 612.
Whitehead, W. E., and Schuster, M. M. (1985).Gastrointestinal Disorders: Behavioral and Physiological Basis for Treatment, Academic Press, Orlando, FL.
Whybrow, P. C., Kane, F. J., and Lipton, M. A. (1968). Regional ileitis and psychiatric disorder.Psychosom. Med. 30: 209–221.
Winship, D. H., Summers, R. W., Singleton, J. W., Best, W. R., Becktel, J. M., Lenk, L. F., and Kern, F., Jr. (1979). National Cooperative Crohn's Disease Study: Study design and conduct of the study.Gastroenterology 77: 829–842.
About this article
Cite this article
Garrett, V.D., Brantley, P.J., Jones, G.N. et al. The relation between daily stress and Crohn's disease. J Behav Med 14, 87–96 (1991). https://doi.org/10.1007/BF00844770
- daily stress
- inflammatory bowel disease
- life events
- Crohn's disease