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Quality of Life Research

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Open Access 01-08-2017

The association of catastrophizing with quality-of-life outcomes in patients with irritable bowel syndrome

Authors: LeeAnne B. Sherwin, Emily Leary, Wendy A. Henderson

Published in: Quality of Life Research | Issue 8/2017

Abstract

Background

Catastrophizing is a cognitive process characterized by a propensity to concentrate on and magnify the value of an actual or anticipated painful stimulus and negatively assesses one’s ability to cope. Catastrophizing is an important predictor of pain-related outcomes. A cornerstone symptom of irritable bowel syndrome (IBS) is abdominal pain or discomfort. Also individuals with IBS have been reported to have a tendency to catastrophize. In a sample of individuals who suffer from IBS, we hypothesized that those individuals who catastrophize (catastrophizers) would have worse outcomes as compared to those who do not catastrophize (non-catastrophizers).

Methods

One hundred and one adults with IBS (79% female, mean age 42 years, 97% Caucasian) were recruited from outpatient clinics and data were collected through self-report measures. Catastrophizing was measured with the catastrophizing subscale of the Coping Strategies Questionnaire, illness representations were measured with The Revised Illness Perception Questionnaire (IPQ-R), psychological distress was measured with the Brief Symptom Inventory 18 (BSI-18), and health-related quality of life was measured using the Irritable Bowel Syndrome-Quality of Life (IBS-QOL) measure. Descriptive statistics, correlations, and multiple linear regression analyses were completed to describe participants, the associations of the variables of interest, and the unique relationship between psychosocial variables and HRQOL.

Results

Overall, participants reported poor HRQOL (M = 63.32, range 0–100). Catastrophizers differed significantly on IBS-QOL from non-catastrophizers (M = 48.98 vs. non-catastrophizers M = 78.53; p < 0.001), BSI-18 (M = 21.35 vs. non-catastrophizers M = 6.76; p < 0.001), and IPQ-R, specifically the consequences (M = 21.75 vs. non-catastrophizers M = 17.20; p < 0.001) and emotional representations (M = 20.90 vs. non-catastrophizers M = 15.43; p < 0.001). Catastrophizing was positively correlated with the consequences (r = .54; p < 0.01) and emotional representations (r = .65; p < 0.01) and negatively correlated with total HRQOL (r = −0.76; p < 0.01).

Conclusion

The findings indicated that participants who catastrophized reported worse psychosocial and functional outcomes. Thus, catastrophizing, in addition to psychological distress variables, may be an important factor to address in optimizing health outcomes in individuals with IBS. In addition, illness perceptions were strongly related to catastrophizing and HRQOL; assessment and integration of illness perceptions as well as catastrophizing into the management of individuals who suffer with IBS may maximize the health outcomes.

Longstreth, G. F., Thompson, W. G., Chey, W. D., Houghton, L. A., Mearin, F., & Spiller, R. C. (2006). Functional bowel disorders. Gastroenterology, 130(5), 1480–1491. doi:10.1053/j.gastro.2005.11.061.CrossRefPubMed

Tanaka, Y., Kanazawa, M., Fukudo, S., & Drossman, D. A. (2011). Biopsychosocial model of irritable bowel syndrome. Journal of Neurogastroenterology and Motility, 17(2), 131–139. doi:10.5056/jnm.2011.17.2.131.CrossRefPubMedPubMedCentral

Rutter, C. L., & Rutter, D. R. (2002). Illness representation, coping and outcome in irritable bowel syndrome (IBS). British Journal of Health Psychology, 7(Part 4), 377–391, doi:10.1348/135910702320645372.CrossRefPubMed

Sherwin, L. B., Leary, E., & Henderson, W. A. (2016). Effect of Illness representations and catastrophizing on quality of life in adults with irritable bowel syndrome. Journal of Psychosocial Nursing and Mental Health Services, 54(9), 44–53. doi:10.3928/02793695-20160803-01.CrossRefPubMed

van Tilburg, M. A. L., Palsson, O. S., & Whitehead, W. E. (2013). Which psychological factors exacerbate irritable bowel syndrome? Development of a comprehensive model. Journal of Psychosomatic Research, 74(6), 486–492, doi:10.1016/j.jpsychores.2013.03.004.CrossRefPubMedPubMedCentral

Sullivan, M. J., Thorn, B., Haythornthwaite, J. A., Keefe, F., Martin, M., Bradley, L. A., et al. (2001). Theoretical perspectives on the relation between catastrophizing and pain. The Clinical journal of pain, 17(1), 52–64.CrossRefPubMed

Keefe, F. J., Brown, G. K., Wallston, K. A., & Caldwell, D. S. (1989). Coping with rheumatoid arthritis pain: Catastrophizing as a maladaptive strategy. Pain, 37(1), 51–56. doi:10.1016/0304-3959(89)90152-8.CrossRefPubMed

Edwards, R. R., Bingham, C. O. 3rd, Bathon, J., & Haythornthwaite, J. A. (2006). Catastrophizing and pain in arthritis, fibromyalgia, and other rheumatic diseases. Arthritis and rheumatism, 55(2), 325–332. doi:10.1002/art.21865.CrossRefPubMed

Whitehead, W. E., Palsson, O., & Jones, K. R. (2002). Systematic review of the comorbidity of irritable bowel syndrome with other disorders: What are the causes and implications? Gastroenterology, 122(4), 1140–1156. doi:10.1053/gast.2002.32392.CrossRefPubMed

10.

Whitehead, W. E., Palsson, O. S., Levy, R. R., Feld, A. D., Turner, M., & Von Korff, M. (2007). Comorbidity in irritable bowel syndrome. The American journal of gastroenterology, 102(12), 2767–2776.CrossRefPubMed

11.

Naliboff, B. D., Kim, S. E., Bolus, R., Bernstein, C. N., Mayer, E. A., & Chang, L. (2012). Gastrointestinal and psychological mediators of health-related quality of life in IBS and IBD: A structural equation modeling analysis. The American journal of gastroenterology, 107(3), 451–459.CrossRefPubMed

12.

Koloski, N. A., Boyce, P. M., Jones, M. P., & Talley, N. J. (2012). What level of IBS symptoms drives impairment in health-related quality of life in community subjects with irritable bowel syndrome?. Quality of Life Research, 21(5), 829–836, doi:10.1007/s11136-011-9985-5.CrossRefPubMed

13.

Rey, E., García-Alonso, M., Moreno-Ortega, M., Almansa, C., Alvarez-Sanchez, A., & Díaz-Rubio, M. (2009). Influence of psychological distress on characteristics of symptoms in patients with GERD: The role of IBS comorbidity. Digestive Diseases and Sciences, 54(2), 321–327, doi:10.1007/s10620-008-0352-5.CrossRefPubMed

14.

Leventhal, H., Diefenbach, M., & Leventhal, E. A. (1992). Illness cognition: Using common sense to understand treatment adherence and affect cognition interactions. Cognitive Therapy and Research, 16, 143–163.CrossRef

15.

Moss-Morris, R., Weinman, J., Petrie, K., Horne, R., Cameron, L., & Buick, D. (2002). The revised illness perception questionnaire (IPQ-R). Psychology & Health, 17(1), 1–16. doi:10.1080/08870440290001494.CrossRef

16.

Patrick, D. L., Drossman, D. A., Frederick, I. O., DiCesare, J., & Puder, K. L. (1998). Quality of life in persons with irritable bowel syndrome: development and validation of a new measure. Digestive Diseases Science, 43, 400–411. doi:10.1023/a:1018831127942.CrossRef

17.

Agresti, A., & Franklin, C. A. (2012). Statistics: The art and science of learning from data (3rd edn.). Boston: Pearson.

18.

Crombez, G., Eccleston, C., Baeyens, F., & Eelen, P. (1998). When somatic information threatens, catastrophic thinking enhances attentional interference. Pain, 75(2–3), 187–198.CrossRefPubMed

19.

Rosenstiel, A. K., & Keefe, F. J. (1983). The use of coping strategies in chronic low back pain patients: Relationship to patient characteristics and current adjustment. Pain, 17(1), 33–44. doi:10.1016/0304-3959(83)90125-2.CrossRefPubMed

20.

Derogatis, L. R., & Melisaratos, N. (1983). The brief symptom inventory: an introductory report. Psychological Medicine, 13(03), 595–605. doi:10.1017/S0033291700048017.CrossRefPubMed

21.

Gaylord, S. A., Whitehead, W. E., Coble, R. S., Faurot, K. R., Palsson, O. S., Garland, E. L., et al. (2009). Mindfulness for irritable bowel syndrome: protocol development for a controlled clinical trial. BMC Complementary and Alternative Medicine, 9(1), 1–11, doi:10.1186/1472-6882-9-24.CrossRef

22.

Jensen, M. P., Karoly, P., & Braver, S. (1986). The measurement of clinical pain intensity: a comparison of six methods. Pain, 27(1), 117–126. doi:10.1016/0304-3959(86)90228-9.CrossRefPubMed

23.

Miller-Matero, L. R., Chipungu, K., Martinez, S., Eshelman, A., & Eisenstein, D. (2016). How do I cope with pain? Let me count the ways: awareness of pain coping behaviors and relationships with depression and anxiety. Psychology, Health & Medicine, 22(1), 19–27. doi:10.1080/13548506.2016.1191659.

24.

Roth, R. S., Geisser, M. E., & Williams, D. A. (2012). Interventional pain medicine: retreat from the biopsychosocial model of pain. Transl Behav Med, 2(1), 106–116. doi:10.1007/s13142-011-0090-7.CrossRefPubMed

25.

Sobol-Kwapinska, M., Bąbel, P., Plotek, W., & Stelcer, B. (2016). Psychological correlates of acute postsurgical pain: A systematic review and meta-analysis. European Journal of Pain. doi:10.1002/ejp.886.

26.

Lackner, J. M., & Quigley, B. M. (2005). Pain catastrophizing mediates the relationship between worry and pain suffering in patients with irritable bowel syndrome. Behaviour Research and Therapy, 43(7), 943–957. doi:10.1016/j.brat.2004.06.018.CrossRefPubMed

27.

Gerson, C. D., Gerson, M. J., Chang, L., Corazziari, E. S., Dumitrascu, D., Ghoshal, U. C., et al. (2015). A cross-cultural investigation of attachment style, catastrophizing, negative pain beliefs, and symptom severity in irritable bowel syndrome. Neurogastroenterology & Motility, 27(4), 490–500. doi:10.1111/nmo.12518.CrossRef

28.

Fond, G., Loundou, A., Hamdani, N., Boukouaci, W., Dargel, A., Oliveira, J., et al. (2014). Anxiety and depression comorbidities in irritable bowel syndrome (IBS): a systematic review and meta-analysis. European Archives of Psychiatry and Clinical NeuroScience, 264(8), 651–660. doi:10.1007/s00406-014-0502-z.CrossRefPubMed

29.

Hausteiner-Wiehle, C., & Henningsen, P. (2014). Irritable bowel syndrome: relations with functional, mental, and somatoform disorders. World journal of gastroenterology: WJG, 20(20), 6024–6030. doi:10.3748/wjg.v20.i20.6024.CrossRefPubMedPubMedCentral

30.

Sibelli, A., Chalder, T., Everitt, H., Workman, P., Windgassen, S., & Moss-Morris, R. (2016). A systematic review with meta-analysis of the role of anxiety and depression in irritable bowel syndrome onset. Psychological medicine, 46(15), 3065–3080. doi:10.1017/S0033291716001987.CrossRefPubMed

31.

Talley, N. J., Kellow, J. E., Boyce, P., Tennant, C., Huskic, S., & Jones, M. (2008). Antidepressant therapy (imipramine and citalopram) for irritable bowel syndrome: a double-blind, randomized, placebo-controlled trial. Digestive diseases and sciences, 53(1), 108–115. doi:10.1007/s10620-007-9830-4.CrossRefPubMed

32.

Wall, G. C., Bryant, G. A., Bottenberg, M. M., Maki, E. D., & Miesner, A. R. (2014). Irritable bowel syndrome: A concise review of current treatment concepts. World Journal of Gastroenterology : WJG, 20(27), 8796–8806. doi:10.3748/wjg.v20.i27.8796.PubMedPubMedCentral

33.

Thorn, B. E., Pence, L. B., Ward, L. C., Kilgo, G., Clements, K. L., Cross, T. H., et al. (2007). A randomized clinical trial of targeted cognitive behavioral treatment to reduce catastrophizing in chronic headache sufferers. The Journal of Pain, 8(12), 938–949. doi:10.1016/j.jpain.2007.06.010.CrossRefPubMed

34.

Turner, J. A., Holtzman, S., & Mancl, L. (2007). Mediators, moderators, and predictors of therapeutic change in cognitive–behavioral therapy for chronic pain. Pain, 127(3), 276–286. doi:10.1016/j.pain.2006.09.005.CrossRefPubMed

35.

Li, L., Xiong, L., Zhang, S., Yu, Q., & Chen, M. (2014). Cognitive-behavioral therapy for irritable bowel syndrome: a meta-analysis. Journal of psychosomatic research, 77(1), 1–12. doi:10.1016/j.jpsychores.2014.03.006.CrossRefPubMed

36.

MacInnes, J. (2014). An exploration of illness representations and treatment beliefs in heart failure. Journal of Clinical Nursing, 23(9–10), 1249–1256. doi:10.1111/jocn.12307.CrossRefPubMed

37.

Norton, S., Hughes, L. D., Chilcot, J., Sacker, A., van Os, S., Young, A., et al. (2014). Negative and positive illness representations of rheumatoid arthritis: a latent profile analysis. Journal of behavioral medicine, 37(3), 524–532. doi:10.1007/s10865-013-9506-9.PubMed

38.

Anagnostopoulos, F., & Spanea, E. (2005). Assessing illness representations of breast cancer: a comparison of patients with healthy and benign controls. Journal of psychosomatic research, 58(4), 327–334. doi:10.1016/j.jpsychores.2004.09.011.CrossRefPubMed

39.

Hoogerwerf, M. A., Ninaber, M. K., Willems, L. N., & Kaptein, A. A. (2012). Feelings are facts: illness perceptions in patients with lung cancer. Respiratory medicine, 106(8), 1170–1176. doi:10.1016/j.rmed.2012.04.006.CrossRefPubMed

40.

Shadish, W. R., Cook, T. D., & Campbell, D. T. (2002). Experimental and Quasi-Experimental Designs for Generalized Causal Inference (2nd ed.). Belmont: Wadsworth Cengage Learning.

41.

Cain, K. C., Jarrett, M. E., Burr, R. L., Rosen, S., Hertig, V. L., & Heitkemper, M. M. (2009). Gender differences in gastrointestinal, psychological, and somatic symptoms in irritable bowel syndrome. Digestive diseases and sciences, 54(7), 1542–1549. doi:10.1007/s10620-008-0516-3.CrossRefPubMed

42.

Drossman, D. A., Leserman, J., Li, Z., Keefe, F., Hu, Y. J., & Toomey, T. C. (2000). Effects of coping on health outcome among women with gastrointestinal disorders. Psychosomatic medicine, 62(3), 309–317.CrossRefPubMed

Title: The association of catastrophizing with quality-of-life outcomes in patients with irritable bowel syndrome
Authors: LeeAnne B. Sherwin
Emily Leary
Wendy A. Henderson
Publication date: 01-08-2017
Publisher: Springer International Publishing
Published in: Quality of Life Research / Issue 8/2017
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-017-1554-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

The association of catastrophizing with quality-of-life outcomes in patients with irritable bowel syndrome

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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