title: Illness perceptions in IBD influence psychological status, sexual health and satisfaction, body image and relational functioning: A preliminary exploration using Structural Equation Modeling.
abstract: OBJECTIVE
  This study aimed to characterize the relationships between illness perceptions, body image and self-consciousness, sexual health (sexual problems and sexual satisfaction), anxiety and depression, and marital and family functioning in patients with IBD.
  
  
  METHODS
  Seventy-four IBD patients (44 CD, 13 males, 61 females, mean age 38 years) completed an online questionnaire. Illness perceptions explored with the Brief Illness Perceptions Questionnaire, and anxiety and depression measured using the Hospital Anxiety and Depression Scale, Sexual Problems Scale, Sexual Satisfaction Scale, Marital Functioning Scale, Family Functioning Scale, and Body Image and Self-Consciousness During Intimacy Scale.
  
  
  RESULTS
  Exploratory Structural Equation Modeling (SEM) provided a final model with an excellent fit (χ(2) (25)=27.84, p=.32, χ(2)/N=1.11, CFI>0.99, RMSEA<0.04, SRMR<0.07, GFI>0.93). Illness perceptions had a significant direct influence on depression (β=0.49, p<0.001), anxiety (β=0.55, p<0.001), and family functioning (β=-0.17, p<0.001). Several mediating pathways were also found involving sexual problems, sexual satisfaction, and body image and self-consciousness during intimacy. Being female was associated with increased sexual problems but increased sexual satisfaction.
  
  
  CONCLUSIONS
  The findings provide further evidence for the adverse impact of patient IBD-related illness perceptions on anxiety and depression. The findings also provide the preliminary evidence for the impact of illness perceptions and psychological comorbidity in relation to sexual health and relationship and family functioning. These aspects of psychological processing provide a framework and direction for further research into the nature of IBD and its influence on the patient and their family.
authors: Faculty of Life and Social Sciences, Swinburne University of Technology, Melbourne, Australia. sknowles@swin.edu.au
authors: S R
authors: SR
authors: Knowles
authors: C
authors: C
authors: Gass
authors: F
authors: F
authors: Macrae
mesh_terms: D000328:Adult; D001007:Anxiety / Q000150:complications / Q000523:psychology; D001828:Body Image / Q000523:psychology*; D003863:Depression / Q000150:complications / Q000523:psychology; D007172:Erectile Dysfunction / Q000150:complications / Q000523:psychology; D005260:Female; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000150:complications / Q000523:psychology*; D007398:Interpersonal Relations; D008297:Male; D008960:Models, Psychological; D010465:Perception; D011569:Psychiatric Status Rating Scales; D012649:Self Concept; D012737:Sex Factors; D019529:Sexuality; D011795:Surveys and Questionnaires
keywords: Common Sense Model; Depression and anxiety; Inflammatory Bowel Disease; Marital and family functioning; Sexual health