Relationship of Mindfulness, Quality of Life, and Psychiatric Symptoms Among Patients with Ulcerative Colitis
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Inflammatory bowel disease (IBD) is a significant health problem. IBD patients have an exaggerated response to stress, which is also implicated as a flare-up trigger. Stress management techniques can potentially prevent flare-ups and improve quality of life. This study examines the relationship between dispositional mindfulness and perceived stress, quality of life, and psychiatric distress. Participants with ulcerative colitis (UC) completed questionnaires and were classified into two groups: asymptomatic and symptomatic. Independent samples t tests determined whether the groups differed significantly on mindfulness and psychosocial variables. Pearson's bivariate correlations were used to test for linear relationships between scores on the mindfulness measure and scores on psychosocial variables. In the asymptomatic group, mindfulness scores were significantly and inversely correlated with anxiety, depression, and perceived stress scores, and significantly but positively correlated with quality of life. In the symptomatic group, mindfulness was significantly and inversely correlated with perceived stress scores and was not significantly correlated with other psychosocial variables. Our data suggest that mindfulness training, which can be incorporated into a stress management program, may be an important component in treating UC, by improving physical and psychiatric functioning. Randomized, placebo-controlled trials are necessary to determine whether MBSR is useful in managing UC.
KeywordsUlcerative colitis Mindfulness Depression Anxiety Stress Psychiatric symptoms
- Beck, A. T. (1996). BDI-II, beck depression inventory: manual. Boston: Harcourt Brace Publishers.Google Scholar
- Carlson, L. E., Speca, M., Patel, K. D., & Goody, E. (2004). Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress and levels of cortisol, dehydroepiandrosterone sulfate (DHEAS) and melatonin in breast and prostate cancer outpatients. Psychoneuroendocrinology, 29, 448–474.PubMedCrossRefGoogle Scholar
- Evans, S., Ferrando, S., Carr, C., & Haglin, D. (2010). Mindfulness-based stress reduction (MBSR) and distress in a community-based sample. Clinical Psychology & Psychotherapy. doi: 10.1002/cpp.727. Published online in Wiley Online Library (wileyonlinelibrary.com).
- Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain and illness. New York: Delacorte Press.Google Scholar
- Mikocka-Walus, A. A., Turnbull, D. A., Moulding, N. T., Wilson, I. G., Andrews, J. M., & Holtmann, G. J. (2007). Controversies surrounding the comorbidity of depression and anxiety in inflammatory bowel disease patients: a literature review. Inflammatory Bowel Diseases, 13, 225–234.PubMedCrossRefGoogle Scholar
- Santorelli, S.F. (1992). A qualitative case analysis of mindfulness meditation training in an outpatient stress reduction clinic, and its implications for self-knowledge. Doctoral Dissertation, University of Massachusetts School of Education. University Microfilms International, Kalamazoo, MI.Google Scholar
- Spielberger, C. D. (1983). Manual for the State-Trait Anxiety Inventory STAI. Palo Alto: Consulting Psychologists Press.Google Scholar
- Spielberger, C. D., & Sydeman, S. J. (1994). State-trait anxiety inventory and state-trait anger inventory. In M. Maruish (Ed.), The use of psychological testing for treatment planning and outcome assessment (pp. 292–321). Hillsdale: Erlbaum.Google Scholar