Patient self-reported concerns in inflammatory bowel diseases: A gender-specific subjective quality-of-life indicator.

Details

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State: Public
Version: Final published version
Serval ID
serval:BIB_B33471643EB1
Type
Article: article from journal or magazin.
Collection
Publications
Title
Patient self-reported concerns in inflammatory bowel diseases: A gender-specific subjective quality-of-life indicator.
Journal
PloS one
Author(s)
Pittet V., Vaucher C., Froehlich F., Burnand B., Michetti P., Maillard M.H.
Working group(s)
Swiss IBD Cohort Study Group
ISSN
1932-6203 (Electronic)
ISSN-L
1932-6203
Publication state
Published
Issued date
2017
Peer-reviewed
Oui
Volume
12
Number
2
Pages
e0171864
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Patient-reported disease perceptions are important components to be considered within a holistic model of quality of care. Gender may have an influence on these perceptions. We aimed to explore gender-specific concerns of patients included in a national bilingual inflammatory bowel disease cohort.
Following a qualitative study, we built a questionnaire comprising 37 items of concern. Answers were collected on a visual analog scale ranging from 0 to 100. Principal axis factor analysis was used to explore concern domains. Linear multiple regressions were conducted to assess associations with patient characteristics.
Of 1102 patients who replied to the survey, 54% were female and 54% had Crohn's disease. We identified six domains of concern: socialization and stigmatization, disease-related constraints and uncertainty, symptoms and their impact on body and mind, loss of body control (including sexuality), disease transmission, and long-term impact of the disease. Cancer concerns were among the highest scored by all patients (median 61.8). Severity of symptoms was the only factor associated with concerns, unrelated to dimension and gender (p<0.015). In women, being >40 years decreased disease-related constraints and uncertainty concerns, and being at home or unemployed increased them. Treatments were associated with increased socialization and stigmatization and with increased disease-related constraints and uncertainty concerns in men. Overall, psychosomatic characteristics were highly associated with concerns for both men and women. Depending on the concern dimensions, increased levels of concern were associated with the highest signs of anxiety in women or depression in men, as well as lower health-related quality of life in men.
Patients have numerous concerns related to their illness that need to be reassessed regularly. Concerns differ between men and women, suggesting that information and communication about the disease should take gender differences and subjective perceptions of quality of life into consideration.

Keywords
Adult, Aged, Employment, Female, Humans, Inflammatory Bowel Diseases/diagnosis, Inflammatory Bowel Diseases/epidemiology, Inflammatory Bowel Diseases/psychology, Male, Middle Aged, Quality of Life, Self Report/standards, Sex Factors, Social Behavior
Pubmed
Web of science
Open Access
Yes
Create date
21/02/2017 18:56
Last modification date
20/08/2019 15:21
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