P095 PSYCHOLOGICAL DISTRESS IN PATIENTS WITH CROHN’S DISEASE: A CROSS-SECTIONAL STUDY USING THE BRIEF SYMPTOM INVENTORY INSTRUMENT Academic Article uri icon

abstract

  • Background Crohn’s disease (CD) patients all experience psychological distress, but its characteristics are incompletely understood. We report an in-depth cross-sectional study in 297 patients. Methods The Brief Symptom Inventory (BSI, Derogatis 1983) measures psychological distress: 59 items assess depression, somatization, obsession-compulsive, interpersonal sensitivity, anxiety, hostility, phobic anxiety, paranoid ideation and psychoticism. BSI summary scores are: General Severity Index (GSI, mean of category scores, range 0–4), Positive Symptom Total (PST, sum of recorded symptoms) and Positive Symptom Distress Index (PSDI, summated item values divided by PST); higher scores imply more distress. Patients completed demographics, Patient-Harvey-Bradshaw Index (P-HBI), BSI, Family Assessment Device (FAD, measures family functioning) and Multidimensional Scale of Perceived Social Support (MSPSS, measures social support). Results GSI scores were similarly elevated in men 1.0 ± 8.7 and women .0 ± 8.8, but significantly higher in single 1.2±.8 vs coupled .9±.8, smokers 1.3±.8 vs non-smokers .9±.8 and non-working 1.2±.9 vs working .9±.7. PST scores were: men 25.8 ± 15.2 vs women 26.4 ± 13.7 (ns), single 29.6 ± 14.0 vs coupled 23.1 ± 14.0, smokers 30.3 ± 14.0 vs non-smokers 25.0 ± 14.4 and non-working 29.3 ± 14.6 vs working 24.4 ± 18.8. PSDI scores were: men 1.8 ± 1.7 vs women 1.8 ± 1.7 (ns), single 1.9±.6 vs coupled 1.7±.6, smokers 2.0±.6 vs non-smokers 1.7±.6, and non-working 1.9±.7 vs working 1.7±.6. GSI, PST and PSDI scores correlated significantly with age, economic status, P-HBI, FAD and MSPSS (Table 1). Multivariate regression analysis identified age, economic status, FAD, MSPSS, P-HBI as predictors of distress (Table 2). Notably, gender did not predict distress. Conclusion Psychological distress is increased in CD and predicted by age, economic status, family relationship, social support and disease activity. Caregivers should incorporate these findings in patient management. View large Download slide View large Download slide View large Download slide View large Download slide

publication date

  • January 18, 2018