Body Image Dissatisfaction in Patients with Inflammatory Bowel Disease

Details

• Alternative Title:
  Inflamm Bowel Dis
• Personal Author:
  Saha, Sumona ; Zhao, Ying-Qi ; Shah, Samir A. ; Esposti, Silvia Degli ; Lidofsky, Sheldon ; Shapiro, Jason ; LeLeiko, Neil ; Bright, Renee ; Law, Meaghan ; Moniz, Heather ; Samad, Zahid ; Merrick, Marjorie ; Sands, Bruce E.
• Description:
  Background
  
  Despite the fact that the inflammatory bowel diseases (IBD) and their treatments may affect physical appearance, the effect of IBD on body image is poorly understood. The aims of this study were to determine whether body image dissatisfaction (BID) changes over time in patients with IBD and to examine the demographic and disease-related variables associated with decreased body image.
  
  Methods
  
  Adults aged 18 and above in the Ocean State Crohn's and Colitis Area Registry with at least 2 years of follow-up were eligible for this study. All patients were enrolled within 6 months of IBD diagnosis and followed prospectively. BID was assessed using a modified version of the Adapted Satisfaction With Appearance (ASWAP) questionnaire. Total ASWAP scores and 2 sub-scores were calculated. To assess for changes over time, general linear models for correlated data were used for continuous outcomes and generalized estimating equations were used for discrete outcomes.
  
  Results
  
  Two hundred seventy-four patients were studied. BID was found to be stable over time among men and women with IBD despite overall improvements in disease activity. No differences were found in BID according to IBD subtype. Female gender, greater disease activity, higher symptom burden, longer duration of steroid use, dermatologic and musculoskeletal manifestations of IBD, and ileocolonic disease location among patients with Crohn's disease were associated with greater BID. Greater BID was associated with lower health-related quality of life (HRQOL).
  
  Conclusions
  
  BID remains stable in an incident cohort of IBD despite improved disease activity and is associated with lower HRQOL
  
  
• Subjects:
  Adolescent Adult Aged Body Image Cohort Studies Emotions Female Follow-Up Studies Humans Inflammatory Bowel Diseases Male Middle Aged Patient Satisfaction Prognosis Quality Of Life Registries Surveys And Questionnaires Young Adult

  More +
• Source:
  Inflamm Bowel Dis. 21(2):345-352
• Pubmed ID:
  25569736
• Pubmed Central ID:
  PMC4373552
• Document Type:
  Journal Article
• Funding:
  R21 DK078555/DK/NIDDK NIH HHSUnited States/ ; 1 U01 DP004785-01/DP/NCCDPHP CDC HHSUnited States/ ; K12 HD055894/HD/NICHD NIH HHSUnited States/ ; 1 UO1 DP000340-03/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000340/DP/NCCDPHP CDC HHSUnited States/ ; 1R21DK078555-01/DK/NIDDK NIH HHSUnited States/ ; K12HD055894/HD/NICHD NIH HHSUnited States/
• Volume:
  21
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:89de0cd36bd9242d6ea79e35ccab496ac375a77b863f337b3a1f50af6beb48db
• Download URL:
  https://stacks.cdc.gov/view/cdc/30344/cdc_30344_DS1.pdf
• File Type:
  [PDF - 262.35 KB ]