Attachment and quality of life in patients with inflammatory bowel disease

• Published in: International journal of colorectal disease Vol. 29; no. 10; pp. 1291 - 1296
• Main Authors: Agostini, Alessandro, Moretti, Marco, Calabrese, Carlo, Rizzello, Fernando, Gionchetti, Paolo, Ercolani, Mauro, Campieri, Massimo
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.10.2014; Springer; Springer Nature B.V
• Subjects: Adolescent; Adult; Aged; Care and treatment; Cross-Sectional Studies; Gastroenterology; Hepatology; Humans; Inflammatory bowel disease; Inflammatory Bowel Diseases - psychology; Internal Medicine; Interpersonal Relations; Male; Medical research; Medicine; Medicine & Public Health; Medicine, Experimental; Middle Aged; Original Article; Proctology; Psychometrics; Quality of Life; Social aspects; Surgery; Surveys and Questionnaires; Ulcerative colitis; Young Adult; Inflammatory bowel disease; Attachment; Quality of life
• DOI: 10.1007/s00384-014-1962-3
• ISSN: 0179-1958; 1432-1262

Purpose Inflammatory bowel diseases (IBD) are chronic disorders affecting psychological well-being, quality of life (QOL), social interactions, and close interpersonal relationships of patients affected. The attachment theory provides a theoretical framework to evaluate the quality of close interpersonal relationships in the context of chronic disorders. The aims of this study were to compare the attachment dimensions between IBD patients and healthy controls and to evaluate the impact of these dimensions on QOL in IBD patients. Methods One hundred three consecutive IBD outpatients (70 with Crohn’s disease and 33 with ulcerative colitis) were recruited in the IBD Unit of the University of Bologna. They were clinically evaluated and filled out the questionnaire Short Form health survey-36 (SF-36), assessing QOL, and the attachment style questionnaire (ASQ), assessing attachment dimensions. One hundred three matched healthy subjects filled out the same questionnaires and represented the control group. Results IBD patients exhibited worst scores in the QOL measures (both physical and mental health) and in the attachment dimensions Relationships as secondary and Preoccupation with relationships. In IBD, the significant predictors of physical health were disease activity and disease type, while the significant predictors of mental health were disease activity and type, surgery, and the attachment dimensions Confidence and Preoccupation with relationships. Conclusions Compared to controls, in IBD patients, the close interpersonal relationships are characterized by attachment insecurity that, in turn, is a significant predictor of QOL. These findings suggest plausible insights for psychological interventions in IBD patients with deterioration in QOL.