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Krankheitsbelastung bei chronisch entzündlichen Darmerkrankungen

Relevanz des subjektiven Krankheitskonzepts

Disease distress in inflammatory bowel disease

Relevance of subjective illness perceptions

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Zusammenfassung

Hintergrund

Chronisch entzündliche Darmerkrankungen (CED) gehen häufig mit psychosozialen Beeinträchtigungen einher. Ziel dieser Studie war es, die Relevanz subjektiver Krankheitskonzepte hinsichtlich Krankheitsbelastung bei CED zu untersuchen.

Methode

Anhand der querschnittlichen Erhebung an 62 CED-Patienten soll der Zusammenhang zwischen (1) subjektivem Krankheitskonzept (Illness Perception Questionnaire, revised; IPQ-R), (2) medizinischen Parametern der Erkrankung, (3) affektiven Parametern (Hospital Anxiety and Depression Scale, HADS) und krankheitsbezogener Gesamtbelastung (Fragebogen zur Messung psychosozialer Belastungen bei CED, FBCED) ermittelt werden.

Ergebnisse

Sowohl subjektive Krankheitskonzepte als auch körperliches Befinden zeigten sich in multiplen Regressionsanalysen als signifikante Prädiktoren krankheitsbezogener Belastung und trugen bedeutend zur Varianzaufklärung (R2=0,70) bei.

Schlussfolgerung

Auch wenn medizinische und affektive Parameter kontrolliert werden, spielen subjektive Krankheitskonzepte der Patienten eine bedeutende Rolle hinsichtlich der krankheitsbezogenen Gesamtbelastung. Dies eröffnet Möglichkeiten, einen somatopsychologischen Ansatz in die Therapie der CED zu integrieren.

Abstract

Background

Psychosocial distress is considerable in inflammatory bowel disease (IBD). The aim of this study was to assess the association of illness perceptions with disease-specific distress in patients with IBD in the context of various medical and psychological parameters.

Method

A total of 62 patients suffering from IBD were examined for illness perceptions using the illness perception questionnaire revised (IPQ-R), medical parameters and affective parameters using the hospital anxiety and depression scale (HADS) in a cross-sectional study. Associations with disease-specific distress were assessed.

Results

In multiple regression analyses illness perceptions and also physical well-being were identified as significant predictors of disease-specific distress and showed significant effects on the explanation for the amount of variance (R2=0.70).

Conclusion

Even in the context of various medical and psychological parameters illness perceptions showed significant associations with disease-specific distress in patients with IBD.

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Authors and Affiliations

  1. Psychosomatische und Psychotherapeutische Abteilung, Friedrich-Alexander-Universität Erlangen-Nürnberg, Universitätsklinikum Erlangen, Schwabachanlage 6, 91054, Erlangen, Deutschland

    Stefanie Krille & Alexandra Martin

  2. Verhaltenstherapeutische Ambulanz am Fachbereich Psychologie, Justus-Liebig-Universität Gießen, Gießen, Deutschland

    Catrin Schöne

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  1. Stefanie Krille
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  2. Catrin Schöne
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  3. Alexandra Martin
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Correspondence to Stefanie Krille.

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Krille, S., Schöne, C. & Martin, A. Krankheitsbelastung bei chronisch entzündlichen Darmerkrankungen. Psychotherapeut 55, 209–216 (2010). https://doi.org/10.1007/s00278-010-0743-x

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