Purpose

The purpose of this study was to explore self-esteem and associations between self-esteem and sociodemographic, clinical, and psychological factors in patients with inflammatory bowel disease (IBD), a disease of chronic relapsing inflammation of the gastrointestinal tract. IBD symptoms, including pain, fatigue, and diarrhea, as well as potential life-long medical treatment and surgery, may be demanding, cause significant challenges, and influence self-esteem.

Methods

In this cross-sectional multicenter study, participants were recruited from nine hospitals in the southeastern and western regions of Norway from March 2013 to April 2014. Data were collected using self-report questionnaires. Self-esteem was assessed by the Rosenberg Self-Esteem Scale, fatigue was assessed by the Fatigue Questionnaire, self-efficacy was assessed by the General Self-Efficacy Scale, and disease activity was assessed by the Simple Clinical Colitis Activity Index for ulcerative colitis (UC) and Harvey Bradshaw Index for Crohn’s disease (CD). Multiple linear regression analysis was applied to examine associations between self-esteem and sociodemographic, clinical, and psychological factors.

Results

In total, 411 of 452 (91%) patients had evaluable data and were included in this study. The mean scores on self-esteem, self-efficacy, total fatigue, anxiety, and depression were similar between UC patients and CD patients. Male gender, being employed, and higher self-efficacy were independently associated with higher self-esteem, whereas anxiety and depression were independently associated with lower self-esteem. Neither disease activity nor fatigue were associated with self-esteem in the final multiple regression analyses.

Conclusion

Patient-centered interventions that improve self-esteem and reduce anxiety and depression seem to be important to optimize IBD management.

中文翻译：

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炎症性肠病患者的自尊心。

目的

这项研究的目的是探讨自尊和患者的炎症性肠病（IBD）社会人口，临床和心理因素之间的自尊和协会，胃肠道的慢性复发性炎症疾病。IBD症状（包括疼痛，疲劳和腹泻）以及可能的终生医学治疗和手术可能要求苛刻，引起重大挑战并影响自尊。

方法

在这项横断面的多中心研究中，从2013年3月至2014年4月，从挪威东南部和西部地区的9家医院招募了参与者。使用自我报告调查表收集数据。通过Rosenberg自尊量表评估自尊心，通过疲劳问卷调查评估疲劳程度，通过一般自我效能量表评估自我效能，通过溃疡性结肠炎的简单临床结肠炎活动指数评估疾病活动性（ UC）和克罗恩氏病（CD）的Harvey Bradshaw指数。应用多元线性回归分析来检查自尊与社会人口统计学，临床和心理因素之间的关联。

结果

共有452名患者中的411名（91％）具有可评估的数据，并包括在本研究中。UC患者和CD患者在自尊，自我效能，总疲劳，焦虑和抑郁方面的平均得分相似。男性，受雇和较高的自我效能感与较高的自尊独立相关，而焦虑和抑郁与较低的自尊则独立相关。在最终的多元回归分析中，疾病活动和疲劳都与自尊无关。

结论

以患者为中心的干预措施可以提高自尊心，减少焦虑和抑郁情绪，对于优化IBD管理似乎很重要。