Daily Hassles Affect the Somatic and Psychological Health of Patients With Crohn's Disease

Orly Sarid, Vered Slonim-Nevo, Dan Greenberg, Doron Schwartz, Michael Friger, Ruslan Sergienko, Elena Chernin, Hillel Vardi, Selwyn H. Odes

Research output: Contribution to journalMeeting Abstractpeer-review

Abstract

Introduction: Daily hassles are irritating and frustrating events that occur in the individual's everyday life. The degree of exposure to hassles, calculated from the Daily Hassles Scale (DHS), was a good predictor of patients' somatic and psychological health (DeLongis 1982).The impact of hassles in patients with Crohn's disease (CD), however, has not been examined.
Methods: Adult CD patients were recruited consecutively from the IBD service at five Israeli Teaching Hospitals, and from the Patients' Organization via the internet. Patients completed these instruments: DHS, Brief Symptom Inventory (BSI, measures psychological symptoms, yields a Global Severity Index, GSI), SF-36: Physical Health and Mental Health (generic quality of life measure), SIBDQ (CD-specific quality of life), Satisfaction with Life Scale (SWLS, measures patients' well-being), Multidimensional Scale of Perceived Social Support (MSPSS, measures social support), Family Assessment Device (family functioning), List of
Threatening Experiences (LTE, measure of stress), Work Productivity and Activity Impairment (WPAI). Disease severity was graded by the CD-specific Harvey-Bradshaw Index (HBI). Data are means ± SD. Results: The cohort comprised 400 patients, mean age 38.7 ± 14.1
years, 39.3 % males, 60% married or partnered, 67% working. Disease duration was 11.4± 8.8 years, 70% of cases had a HBI <7, 43.3% were on biologics, and 34.5% were postsurgery. The DHS was 88.0 ± 23.2 (possible range 51-204) indicating a low exposure rate to daily hassles. Hassle subscales (social, work, time, money, social acceptance, stigmatization) were low as well. There were significant associations (p<0.05 or p<0.01) of total DHS with age (correlation coefficient -.101), HBI (.283), disease duration (-.105), economic status (-
.399), as well as with psychological measures GSI (.689), SWLS (-.480), FAD (.456), LTE (.413), MSPSS (-.369), the quality of life measures Physical Health (-.255), Mental Health (-.568), SIBDQ (-.468), and WPAI scales of presenteeism (.219), activity impairment (.305) and work impairment (.186). In a series of multiple linear regression models, DHS was a significant predictor of SIBDQ, SF:36 Mental Health, SF:36 Physical Health, GSI and SWLS (Table 1). Conclusions: In this CD cohort disease activity was mild. While exposure to hassles was low, there were significant associations of hassles with a variety of medical,
psychological, quality of life and work measures. CD patients exposed to many hassles are stressed and will benefit from psychological consultation.
Summary of 5 multiple linear regression models with log transformations, with Daily Hassles as independent variable.
Original languageEnglish GB
Pages (from-to)S1002-S1002
JournalGastroenterology
Volume150
Issue number4
DOIs
StatePublished - Apr 2016

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