A Comparison of Obsessive Beliefs, Depression and Anxiety in Patients with Inflammatory Bowel Disease Patients with Gastro-Esophageal Reflux Disease and Healthy Individuals in Ahvaz in 2016

Document Type : Original Article

Authors

1 MD, MPH, PhD, Dept of Clinical Psychology, Shahid Chamran University of Ahvaz, Ahvaz, Iran.

2 MSc, Dept of Clinical Psychology, Shahid Chamran University of Ahvaz, Ahvaz, Iran.

3 PhD, Dept of Industrial Psychology, Shahid Chamran University of Ahvaz, Ahvaz, Iran.

Abstract

Introduction: Psychological factors such as obsessive beliefs, depression and anxiety have a major impact not only on the mental and physical health of individuals but also on the treatment, recovery and relapse of the disease. The aim of this research was to compare obsessive beliefs, depression and anxiety among inflammatory bowel disease (IBD) patients, gastro esophageal reflux disease (GERD) patients and healthy people.
Materials and Methods: This research is a descriptive and causal-comparative study. Using purposeful sampling, 150 people, including 50 healthy subjects, 50 patients with inflammatory bowel disease and 50 patients with GERD were selected as the sample. Data were collected using the Obsessive Belief Questionnaire, the Depression Questionnaire and the Anxiety Inventory and was analyzed using multivariate analysis of variance.
Results: The results showed that there are significant differences (p<0/001) between IBD and GERD and healthy people in obsessive beliefs, depression and anxiety. The mean of obsessive beliefs in IBD patients (119/744±15/423) was higher than the other two groups (p<0/001). Also, depression (12/489±2/941) and Anxiety (16/881±5/735) in IBD patients were higher than the other two groups.
Conclusion: According to the results, there is a significant difference between the inflammatory bowel disease and healthy people in the components of obsessive beliefs, depression and anxiety. So, there may be psycho-neuro-immunologic relationship between obsessive beliefs with inflammatory bowel disease, mediated by depression and anxiety.

Keywords

References

  1. Group OCCW. Development and initial validation of the obsessive beliefs questionnaire and the interpretation of intrusions inventory. Behaviour Research and Therapy 2001;39(8):987-1006.
  2. Taylor DJ, Zimmerman MR, Gardner CE, Williams JM, Grieser EA, Tatum JI, et al. A pilot randomized controlled trial of the effects of cognitive-behavioral therapy for insomnia on sleep and daytime functioning in college students. Behavior therapy 2014;45(3):376-89.
  3. Xavier R, Podolsky D. Unravelling the pathogenesis of inflammatory bowel disease. Nature 2007;448(7152):427-34.
  1. Talley NJ, Abreu MT, Achkar J-P, Bernstein CN, Dubinsky MC, Hanauer SB, et al. An evidence-based systematic review on medical therapies for inflammatory bowel disease. The American journal of gastroenterology 2011;106(S1):S2.
  2. Bredenoord AJ, Pandolfino JE, Smout AJ. Gastro-oesophageal reflux disease. The Lancet 2013;381(9881):1933-42.
  3. Knez R, Peršić M, Vlašić-Cicvarić I. Do parents of children with inflammatory bowel disease have more obsessive compulsive personality features than those of healthy offspring. Literature review Soc Psihijat 2013;40:128-32.
  1. Bennebroek Evertsz' F, Thijssens N, Stokkers P, Grootenhuis M, Bockting C, Nieuwkerk P, et al. Do Inflammatory Bowel Disease patients with anxiety and depressive symptoms receive the care they need? Journal of Crohn's and Colitis 2012;6(1):68-76.
  2. Jelenova D, Prasko J, Ociskova M, Karaskova E, Hunkova M, Kolarova J, et al. Quality of life in adolescents with inflammatory bowel disease and their parents–comparison with healthy controls. Neuroendocrinology Letters 2015;36(8):787-92.
  3. Graff LA, Walker JR, Bernstein CN. Depression and anxiety in inflammatory bowel disease: a review of comorbidity and management. Inflammatory bowel diseases 2009;15(7):1105-18.
  4. Bradley LA, Richter JE, Pulliam TJ, Haile JM, Scarinci IC, Schan CA, et al. The relationship between stress and symptoms of gastroesophageal reflux: the influence of psychological factors. American Journal of Gastroenterology 1993;88(1):11-9.
  5. Taché Y, Bernstein CN. Evidence for the role of the brain-gut axis in inflammatory bowel disease: depression as cause and effect? Gastroenterology 2009;136(7):2058-61.
  6. Riley S, Mani V, Goodman M, Lucas S. Why do patients with ulcerative colitis relapse? Gut 1990;31(2):179-83.
  7. Delavar A. Theoretical and practical research in the humanities and social sciences. 2nd ed. Tehran: Roshd Publications; 2009: 137.
  8. Yorulmaz O, Yılmaz AE, Gençöz T. Psychometric properties of the thought–action fusion scale in a Turkish sample. Behaviour Research and Therapy 2004;42(10):1203-14.
  9. Shams G, Esmaeili TY, Gadiri KN, Ebrahimkhani N. Validity and reliability of the Persian version of obsessive beliefs scale. Journal of Cognitive Sciences 2004;6(1):23-36. [Persian]
  10. Rajabi G, Harizavi M, TAGHI PM. Evaluating the model of the relationship between self-compassion, marital empathy, and depression with mediating marital forgiveness in Female.Biannual journal of applied counseling 2016;6(2):1-22. [Persian]
  11. Kaviani H, Musavi AS. Psychometric Properties of Beck Anxiety Inventory in the Age and Sexual Stages of the Iranian Population. Faculty of Medicine, TUMS 2009;66(2): 136-40. [Persian]
  12. Burke P, Meyer V, Kocoshis S, Orenstein D, Chandra R, Sauer J. Obsessive-compulsive symptoms in childhood inflammatory bowel disease and cystic fibrosis. JAACAP 1989;28(4):525-7.
  13. Vlachos II, Barbatis C, Tsopanomichalou M, Abou-Assabeh L, Goumas K, Ginieri-Coccossis M, et al. Correlation between depression, anxiety, and polymorphonuclear cells’ resilience in ulcerative colitis: the mediating role of heat shock protein 70. BMC gastroenterology 2014;14(1):77.
  14. Walker JR, Ediger JP, Graff LA, Greenfeld JM, Clara I, Lix L, et al. The Manitoba IBD cohort study: a population-based study of the prevalence of lifetime and 12-month anxiety and mood disorders. The American journal of gastroenterology 2008;103(8):1989-97.
  15. Tabatabaeian M, Afshar H, Roohafza HR, Daghaghzadeh H, Feizi A, Sharbafchi MR, et al. Psychological status in Iranian patients with ulcerative colitis and its relation to disease activity and quality of life. J Res Med Sci:JIUMS 2015;20(6):577-84.
  16. Mahvi SHM, Fathi AA, Tabatabaei K, Amini M. Comparison of mental health level of people with irritable bowel syndrome, inflammatory bowel disease and healthy people. JRPH 2009;2(3):75-82. [Persian]
  17. Mazaheri M, Afshar H,Mohamadi N,Daghaghzadeh H,Bagherian R,Adibi P. Comparison of Alexithymia, anxiety, depression and severity of gastrointestinal symptoms in patients with digestive disorders and psychiatric patients. Journal of Gastroenterology 2010;8(2):92-102.  [Persian]
  18. Khan WI. The role of 5-HT dysregulation in inflammatory bowel disease. Gastroenterology & hepatology 2013;9(4):259-61.

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