Tu1270 Characterization of Variables Impacting on the Quality of Life of Israeli Patients With Crohn's Disease Academic Article uri icon

abstract

  • sensations and is heightened in panic disorders. Private body consciousness is attendance to internal bodily states and is associated with greater frequency and intensity of chronic pain. Dissociation is neglect of body states and affects managing chronic diseases. Body awareness is healthy attention placed on the body and processes, and is improved in mindfulness based psychotherapy. Aims: The study aimed to identify, in CD patients, constructs meaningful in psychotherapy, hypothesizing that emotion processing distress and body connection issues would be present in severe disease. Methods: A prospective crosssectional study was conducted at St. Paul's Hospital, Vancouver, BC, Canada. Fifty outpatients participated; 36% were in remission, 30% had mild activity, and 34% had moderate-to severe activity. Participants completed validated surveys, including: the Emotional Processing Scale, Scale of Body Connection, Private Body Consciousness Scale, and Body Vigilance Scale. Scores were compared to control standards derived from the general population. The Harvey Bradshaw Index was used to assess CD severity. Results: Moderate-to severe disease patients emotion processing distress was significantly greater than healthy controls and remission (p<0.001, p<0.001; Figure 1). CD activity was significantly correlated to emotion processing distress (r=0.458, p=0.001). In remission Irritable Bowel Syndrome-like symptoms were associated with significantly greater emotional suppression (p<0.05). Moderate-to severe patients body vigilance was significantly greater than healthy controls and remission (p<0.001, p=0.0069; Table 1). Moderate-to severe patients private body consciousness was significantly greater than healthy controls and chronic pain controls (p=0.01, p<0.0001). Body awareness was significantly reduced in moderate-to severe disease than healthy controls (p<0.0001). Body dissociation was significantly correlated to emotion processing distress (r=0.69, p<0.001). Conclusions: This study, using validated psychological surveys indicates emotion processing distress and body awareness issues in moderate-to severe Crohn's, where theoretically, psychological treatments would be most helpful. Table 1. Body Vigilance AVG of Crohn's Disease Subgroups Versus Controls

publication date

  • January 1, 2015