Psychosocial factors associated with pain-related interference included depression , catastrophising , fear avoidance , lower self-efficacy and worse mental well-being .
Conclusions Pain in IBD is significantly associated with cognitive and behavioural factors as well as low mood .
Objective Pain is frequently reported by patients with inflammatory bowel disease ( IBD ) .
Pain in IBD is not fully explained by disease activity or other clinical findings , and a recent systematic review suggested that psychosocial factors have an important role in IBD-pain .
The aim of this study was to investigate psychosocial factors associated with pain in IBD .
A longitudinal study of the profiles of psychological thriving, resilience, and loss in people with inflammatory bowel disease.
OBJECTIVES Despite the toll of inflammatory bowel disease ( IBD ) on adjustment , many patients are resilient to the challenges associated with living with IBD , and successfully cope with their illness and thrive . Yet there is little research on why some individuals with IBD enter a trajectory of growth , while others may struggle to adapt . The aim of this study was to investigate the adjustment-related factors that distinguished thriving , resilience , and loss in people with IBD across personal growth , life satisfaction , and relationship quality domains . DESIGN Prospect i ve cohort design with two data collection points , 6 months apart . METHODS From a sample of 420 people with active IBD who completed an online survey , 152 participants completed the follow-up survey and were included in the analyses . Participants completed measures of thriving , and cognitive , affective , social , and disease-related variables known to predict adjustment . RESULTS Time 1 ANCOVAs and pairwise comparisons controlling for demographics distinguished loss from resilience and thriving on the four outcomes - coping efficacy , illness acceptance , depressive symptoms , and perceived social support - for all three domains . Time 2 ANCOVAs and pairwise comparisons controlling for baseline outcomes revealed that the Time thriving categories predicted differences in Time 2 adjustment , mainly for the life satisfaction domain , with those experiencing loss reporting poorer adjustment than those experiencing resilience and thriving . CONCLUSIONS Findings highlight the distinctions among profiles of thriving , resilience , and loss in adjustment to IBD , and suggest that strategies that enhance coping and address depressive symptoms may optimize thriving in the context of IBD . Statement of contribution What is already known on this subject ? Inflammatory bowel disease ( IBD ) is associated with depression , poor coping , and stressful symptoms . Previous research has focused mainly on poor adjustment to IBD rather than on positive growth . There is little research on why some patients with IBD thrive or are resilient , while others struggle to adapt . What does this study add ? This study is the first to longitudinally examine the profiles of thriving , resilience , and loss in individuals with IBD . The thriving profiles differed in coping efficacy , illness acceptance , depressive symptoms , and social support outcomes at Time 1 , and predicted adjustment at T2 mainly for the life satisfaction domain . Strategies that enhance coping and social support may optimize thriving in the context of IBD
Psychosocial factors associated with pain-related interference included depression , catastrophising , fear avoidance , lower self-efficacy and worse mental well-being .
Conclusions Pain in IBD is significantly associated with cognitive and behavioural factors as well as low mood .
Objective Pain is frequently reported by patients with inflammatory bowel disease ( IBD ) .
Pain in IBD is not fully explained by disease activity or other clinical findings , and a recent systematic review suggested that psychosocial factors have an important role in IBD-pain .
The aim of this study was to investigate psychosocial factors associated with pain in IBD .