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I am a total failure: associations between beliefs and anxiety and depression in patients with inflammatory bowel disease with poor mental quality of life

Published online by Cambridge University Press:  19 August 2019

Floor Bennebroek Evertsz’ ,
Mirjam A.G. Sprangers ,
Laura M. de Vries ,
Robbert Sanderman ,
Pieter C.F. Stokkers ,
Mathilde G.E. Verdam ,
Huibert Burger  and
Claudi L.H. Bockting
Floor Bennebroek Evertsz’*
Affiliation:
Department of Medical Psychology, Amsterdam University of Medical Centres, University of Amsterdam, Meibergdreef 15, 1105 AZ Amsterdam, The Netherlands
Mirjam A.G. Sprangers
Affiliation:
Department of Medical Psychology, Amsterdam University of Medical Centres, University of Amsterdam, Meibergdreef 15, 1105 AZ Amsterdam, The Netherlands
Laura M. de Vries
Affiliation:
Department of Medical Psychology, Amsterdam University of Medical Centres, Vrije University of Amsterdam, De Boelelaan 1118, 1081 HZ, Amsterdam, The Netherlands
Robbert Sanderman
Affiliation:
Department of Health Psychology, University Medical Centre Groningen, University of Groningen, Antonius Deusinglaan 1, 9713 AV, Groningen, The Netherlands
Pieter C.F. Stokkers
Affiliation:
Department of Gastroenterology, Sint Lucas Andreas Hospital, Jan Tooropstraat 164, 1061 AE, Amsterdam, The Netherlands
Mathilde G.E. Verdam
Affiliation:
Department of Medical Psychology, Amsterdam University of Medical Centres, University of Amsterdam, Meibergdreef 15, 1105 AZ Amsterdam, The Netherlands Research Institute of Child Development and Education, University of Amsterdam, Amsterdam, The Netherlands
Huibert Burger
Affiliation:
Department of General Practice, University Medical Centre, University of Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands
Claudi L.H. Bockting
Affiliation:
Department of Psychiatry, Amsterdam University of Medical Centres, University of Amsterdam, Meibergdreef 15,1105 AZ Amsterdam, The Netherlands
*
*Corresponding author. Email: f.bennebroek@amsterdamumc.nl
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Abstract

Background:

According to cognitive behavioural theory, cognitive factors (i.e. underlying general dysfunctional beliefs and (situation) specific illness beliefs) are theorized to lead to outcomes like anxiety and depression. In clinical practice, general dysfunctional beliefs are generally not tackled directly in short-term-therapy.

Aims:

The goal of the present study was to investigate the associations of general versus specific illness beliefs on anxiety and depressive symptoms and psychiatric disorders among a subgroup of patients with inflammatory bowel disease (IBD) with poor mental quality of life (QoL).

Method:

This study concerns cross-sectional data, collected at baseline from a randomized clinical trial. One hundred and eighteen patients, recruited at four Dutch hospitals, with poor QoL (score ≤23 on the mental health subscale of the Short-Form 36-item Health-Survey; SF-36) were included. General dysfunctional beliefs were measured by the Dysfunctional Attitude Scale (DAS), specific illness beliefs by the Illness Perceptions Questionnaire-Revised (IPQ-R), anxiety and depressive symptoms by the Hospital Anxiety and Depression Scale (HADS), and psychiatric disorders by the Structured Clinical Interview for DSM-IV Axis-I Disorders (SCID-I).

Results:

Univariate analyses showed associations between the level of anxiety and/or depression and general dysfunctional beliefs and four specific illness beliefs (consequences, personal control, emotional representations and treatment control). Among patients with IBD with psychiatric disorders, only the DAS was significantly associated with anxiety and depression (DAS added to IPQ-R and IPQ-R added to DAS).

Conclusions:

Psychological interventions may have to target general dysfunctional beliefs of patients with IBD with co-morbid psychiatric disorders to be effective. These patients with IBD are especially in need of psychological treatment.

Keywords

anxietydepressiondysfunctional beliefsillness beliefsinflammatory bowel diseasepsychiatric disorders
Type
Main
Information
Behavioural and Cognitive Psychotherapy , Volume 48 , Issue 1 , January 2020 , pp. 91 - 102
Copyright
© British Association for Behavioural and Cognitive Psychotherapies 2019 

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