title: Assessing the Relationship between Sources of Stress and Symptom Changes among Persons with IBD over Time: A Prospective Study.
abstract: Objective. To describe the sources of stress for persons with IBD and changes with changes in symptoms.Methods. 487 participants were recruited from a population-based IBD registry. Stress was measured at study entry and three months later, using a general stress measure and the Sources of Stress Scale. Four symptom pattern groups were identified: persistently inactive, persistently active, inactive to active, and active to inactive.Results. General stress levels were stable within each symptom pattern group over the three-month period, even for those with changing symptom activity. The persistently active group had higher general stress at month 0 and month 3 than the persistently inactive group and higher mean ratings of most sources of stress. IBD was rated as a highly frequent source of stress by 20-30% of the persistently active group compared to 1-2% of the inactive group. Finances, work, and family were rated as high frequency stresses in the persistently active group at a similar level to IBD stress. In the groups with fluctuating symptoms, there was little change in stress ratings with changes in symptom activity.Conclusion. Stress was experienced across several domains in addition to stress related to IBD. Persons with active symptoms may benefit from targeted stress interventions.
authors: Department of Psychology, University of Manitoba, Winnipeg, MB, Canada; IBD Clinical and Research Centre, Winnipeg, MB, Canada.
authors: Matthew T
authors: MT
authors: Bernstein
authors: IBD Clinical and Research Centre, Winnipeg, MB, Canada; Department of Internal Medicine, University of Manitoba, Winnipeg, MB, Canada.
authors: Laura E
authors: LE
authors: Targownik
authors: IBD Clinical and Research Centre, Winnipeg, MB, Canada; Department of Clinical Health Psychology, University of Manitoba, Winnipeg, MB, Canada.
authors: Kathryn A
authors: KA
authors: Sexton
authors: IBD Clinical and Research Centre, Winnipeg, MB, Canada; Department of Clinical Health Psychology, University of Manitoba, Winnipeg, MB, Canada.
authors: Lesley A
authors: LA
authors: Graff
authors: IBD Clinical and Research Centre, Winnipeg, MB, Canada.
authors: Norine
authors: N
authors: Miller
authors: IBD Clinical and Research Centre, Winnipeg, MB, Canada; Department of Clinical Health Psychology, University of Manitoba, Winnipeg, MB, Canada.
authors: John R
authors: 0000-0002-5349-1689
authors: JR
authors: Walker
mesh_terms: D000328:Adult; D000368:Aged; D003093:Colitis, Ulcerative / Q000523:psychology*; D003424:Crohn Disease / Q000523:psychology*; D018450:Disease Progression; D004651:Employment / Q000523:psychology*; D005195:Family Relations / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D012720:Severity of Illness Index; D013315:Stress, Psychological / Q000209:etiology*; D013997:Time Factors