Abstract:
ObjectiveTo investigate the characteristics of psychological symptoms in patients with inflammatory bowel disease (IBD) and relationship between psychological symptoms and quality of life, and provide certain theoretical basis for the corresponding psychological treatment of IBD patients with mental and psychological disorder.
MethodsThe psychological assessment in 159 patients with IBD and 89 healthy people were implemented using the general status questionnaire, symptom check list-90 (SCL-90) scale, inflammatory bowel disease questionnaire (IBDQ) and MOS item short from health survey (SF-36).The effects of the psychological symptoms of IBD patients on their quality of life were evaluated.
ResultsCompared with the healthy people, the total score, and positive rates and scores of somatization, depression, hostility, paranoia and other aspects were higher in IBD patients (P < 0.05 to P < 0.01).The SF-36 score and other dimension scores except for mental health in IBD patients were lower than those in healthy people (P < 0.01).Compared with the SCL-90-negative IBD patients, the total score and scores of whole body, gut and emotions in SCL-90-positive IBD patients were lower (P < 0.01).The results of multiple linear regression analysis showed that the depression, interpersonal sensitivity and paranoia were the influencing factors of the quality of life in patients with IBD (P < 0.05 to P < 0.01).
ConclusionsThe IBD patients are prone to be complicated with abnormal psychological symptoms such as compulsion, interpersonal relationship, depression, hostility and low quality of life.The quality of life is mainly affected by illness, depression, interpersonal sensitivity and paranoia.The depression, paranoia and interpersonal sensitivity in patients at active phase of disease are severe, and the quality of life of the patient is low.