Abstract
Idiopathic, chronic inflammatory bowel disease (IBD) refers to two diseases—ulcerative colitis (UC) and Crohn's disease (CD). Despite an abundant literature discussing the pathophysiology and treatment of these diseases, little if any empirical studies have focused on patients' subjective experiences with their diseases. The purpose of this paper was to identify and discuss the concerns of individuals with IBD and to suggest that the integration of concerns in clinical management is necessary for a comprehensive understanding of these chronic and debilitating diseases. In addition, case studies were included to highlight the concerns of people with IBD. Our review of the literature identified eight categories of concerns for individuals with IBD. They included loss of energy, loss of control, body image, isolation and fear, not reaching full potential, feeling dirty, and lack of information from the medical community. In conclusion, we argue that the efficacy of treatment for IBD would be greatly improved if psychosocial issues were to be integrated into treatment protocols.
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REFERENCES
Mallet SJ, Lennard-Jones JE, Bomgleu J, Gilon E: Living with the disease. Lancet 2:619-621, 1978
Rees J, Mayberry J, Calcraft B: What the patient wants to know about Crohn's disease. J Clin Gastroenterol 5:221-222, 1983
Martin A, Leone L, Castagliuolo I, Di Mario F, Naccarato R: What do patients want to know about their inflammatory bowel disease? Ital J Gastroenterol 24:477-480, 1992
Maunder RG, de Rooy EC, Toner BB, Greenberg GR, Steinhart HA, McLeod RS, Cohen Z: Health-related concerns of people who receive psychological support for inflammatory bowel disease. Can J Gastroenterol 11(8):681-685, 1997
de Rooy EC, Toner BB, Greenberg GR, Cohen Z, Baron D, Steinhart HA, McLeod R: Concerns of outpatients with in-flammatory bowel disease: Identification and impact (submitted)
Drossman DA, Patrick D, Mitchell M, Zagami E, Appelbaum M: Health-related quality of life in inflammatory bowel disease: Functional status and patient worries and concerns. Dig Dis Sci 34(9):1379-1386, 1989
Mitchell A, Guyant G, Singer J, Irvine EJ, Goodacre R, Tompkins C, Williams N, Wagner F: Quality of life in patients with inflammatory bowel disease. J Clin Gastroenterol 10(3):306-310, 1988
Godber D: Lay counselling and inflammatory bowel disease. Stress Med 5:211-212, 1989
Drossman DA, Leserman J, Li Z, Mitchell CM, Zagami EA, Patrick DL: The rating form of IBD patient concerns: A new measure of health status. Psychosom Med 53:701-712, 1991
Kirsner JB, Shorter R: Diseases of the Colon, Rectum, & Anal Canal. Baltimore, Williams & Wilkins, 1994
Dion KK, Dion KL: On the love of beauty and the beauty of love: Two psychologists study attraction. In The Social Psychologists: Research Adventures. GG Brannigan, MR Merrans (eds). New York, McGraw-Hill, 1995, pp 115-127
Lips HM: Sex and Gender: An Introduction. Mountain View, Mayfield. 1997
Gloeckner M, Starling J: Providing sexual information to ostomy patients. Dis Colon Rectum 2:575-579, 1982
Druss R, O'Connor J, Stern L: Psychologic response to colectomy II. Adjustment to a permanent colostomy. Arch Gen Psychiatry 20:419-427, 1969
Rolstad B, Wilson G, Rothenberger DA: Sexual concerns in the patient with an ileostomy. Dis Colon Rectum 26:170-171, 1983
Brown C, Jasper K: Consuming Passions. Toronto, Second Story Press, 1983
Whitehead WE, Schuster MM: Gastrointestinal Disorders: Behavioral and Physiological Basis for Treatment. Orlando, Academic Press, 1985
McIllmurray MB, Langman, MJS: Large bowel cancer: Causation and management. Gut 17:815-820, 1975
Colcher S: Family Structure, stress, and individual adjustment to ulcerative colitis. Dissertation. Abstr Int 44(10):3200B, 1984
Zigmund E, Wood B: Implications of contrasting patterns of divorce in families of children with gastrointestinal disorders. Fam Syst Med 4:385, 1986
Engstorm I: Mental health and psychological functioning in children and adolescents with inflammatory bowel disease: A comparison with children having other chronic illnesses and with healthy children. J Child Psychol 33:563-582, 1992
Gazzard B, Price H, Libby G, Dawson A: The social toll of Crohn's disease. Br Med J 2:1117-1119, 1978
Guyatt G, Mitchell A, Irvine E, Singer J, Williams N, Goodacre R, Tompkins C: A new measure of health status for clinical trials in inflammatory bowel disease. Gastroenterology 96:804-810, 1989
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Casati, J., Toner, B.B., De Rooy, E.C. et al. REVIEW: Concerns of Patients with Inflammatory Bowel Disease. Dig Dis Sci 45, 26–31 (2000). https://doi.org/10.1023/A:1005492806777
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DOI: https://doi.org/10.1023/A:1005492806777