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International Journal of Colorectal Disease
Published in: International Journal of Colorectal Disease 5/2017

01-05-2017 | Original Article

An 18-month study of the effects of IBD symptomatology and emotion regulation on depressed mood

Authors: Inês A. Trindade, Cláudia Ferreira, Mariana Moura-Ramos, José Pinto-Gouveia

Published in: International Journal of Colorectal Disease | Issue 5/2017

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Abstract

Purpose

Depressive symptomatology in IBD patients is known to predict disease activity, which, in turn, can increase depressive symptoms in perpetuating a cycle between depression and IBD symptomatology. The mechanisms that contribute to the relationship between disease activity and depressive symptoms are not clearly investigated yet. Since emotion regulation has been considered particularly relevant to define the impact of adverse experiences on different outcomes, the current study aimed to examine the longitudinal influence of two maladaptive emotion regulation processes, cognitive fusion and brooding, on the association between disease activity and depressed mood.

Methods

This study was conducted over an 18-month period, using a sample of 116 IBD patients that completed self-report validated measures in three different waves. Correlation analyses and cross-lagged panel models were performed.

Results

The main result from this study discovered that the experience of IBD symptomatology at baseline, although positively linked to the manifestation of depressed mood 18 months later (r = 0.25; p < 0.01), does not directly predict depressive symptoms. This relationship is rather indirect, as it is explained by the engagement in cognitive fusion (p = 0.028) and brooding (p = 0.017). These maladaptive emotion regulation processes, that were revealed to be consistent over time, link IBD symptoms with subsequent depressed mood.

Conclusions

These findings indicate that clinicians should be aware of the emotion regulation processes patients tend to use to handle difficult experiences. The inclusion of psychological assessments and interventions in the healthcare of IBD patients should be seriously considered. Further implications are discussed.
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Metadata
Title
An 18-month study of the effects of IBD symptomatology and emotion regulation on depressed mood
Authors
Inês A. Trindade
Cláudia Ferreira
Mariana Moura-Ramos
José Pinto-Gouveia
Publication date
01-05-2017
Publisher
Springer Berlin Heidelberg
Published in
International Journal of Colorectal Disease / Issue 5/2017
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI
https://doi.org/10.1007/s00384-017-2774-z

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