title: Coping methods of patients with inflammatory bowel disease and prediction of perceived health, functional status, and well-being.
abstract: Inflammatory bowel disease (IBD) is chronic, incurable, and requires that affected patients cope with their condition on a constant basis. The purpose of this descriptive study was to predict the perceived health, functioning, and well-being among patients with IBD through the use and effectiveness of various coping methods. Forty-six patients with IBD completed the Jalowiec Coping Scale, the Health Status Questionnaire, and a demographic questionnaire. Results indicate that use of evasive, fatalistic, and emotive coping methods along with optimistic coping effectiveness were significantly inversely correlated with health perception and well-being. No coping effectiveness variables and only the use of evasive, fatalistic, and supportive coping methods were significantly inversely correlated with perceived functioning. Regression analysis indicated that 20% of the variance in health perception could be predicted from the use of emotive coping method. Fatalistic coping method use explained 24% of the variance in perceived functioning. Finally, 51% of the variability in perceived well-being could be predicted from the use of fatalistic coping method and the effectiveness of optimistic method. These findings indicate that emotion-focused coping methods are important predictors of the health, functioning, and well-being perceptions of patients with IBD.
authors.affiliation: Medical College of Ohio School of Nursing in Toledo 43699-0008, USA.
authors.forename: D M
authors.initials: DM
authors.lastname: Smolen
authors.forename: R
authors.initials: R
authors.lastname: Topp
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006304:Health Status; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000523:psychology* / Q000534:rehabilitation; D007389:Internal-External Control; D008297:Male; D008875:Middle Aged; D015404:Nursing Methodology Research; D011788:Quality of Life; D011795:Surveys and Questionnaires