Anxiety, functional health status, and coping ability in patients with ulcerative colitis who are undergoing colonoscopic surveillance.
BACKGROUND
Patients with long-standing extensive ulcerative colitis (UC) have an increased risk of developing colorectal cancer (CRC). High-risk UC patients are nowadays enrolled in surveillance programs to decrease CRC incidence and mortality, although little is known about patients' concerns and anxiety when subjected to colonoscopic surveillance. The aims of this study were to evaluate functional health status, general state of health, anxiety, and coping ability in patients with UC taking part in such a program in a university hospital setting.


METHODS
Forty-one patients with long-standing, extensive/total UC in remission (median disease duration, 21.0 years) undergoing surveillance comprised the study group. Twenty patients with extensive disease but with shorter disease duration (median, 8.0 years) and 19 patients with only distal involvement UC acted as controls. Four different self-administered questionnaires (SAQs) were used. The SAQ assessments were made twice in the study group and once in the controls.


RESULTS
No statistically significant differences were found in any of the SAQ assessments. The median scores obtained were well within the ranges seen in normal healthy subjects.


CONCLUSIONS
Colonoscopic surveillance in long-standing UC does not seem to generate increased anxiety or impairment of functional or general health status among participating patients. Rather, UC patients in clinical remission seem to cope just as well as healthy individuals irrespective of the CRC risk or surveillance procedures.
Oxelmark
Lena
L
Department of Medicine at Karolinska Hospital, Kalstad University, Karolinska Institute, Stockholm, Sweden. lena.oxelmark@medks.ki.se
Nordström
Gun
G
Sjöqvist
Urban
U
Löfberg
Robert
R
D000223:Adaptation, Psychological; D001007:Anxiety; D016022:Case-Control Studies; D003093:Colitis, Ulcerative / Q000150:complications / Q000473:pathology / Q000523:psychology*; D003113:Colonoscopy / Q000523:psychology*; D015179:Colorectal Neoplasms / Q000209:etiology; D006304:Health Status; D006801:Humans; D011788:Quality of Life; D012307:Risk Factors