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Sense of coherence and quality of life in women with and without irritable bowel syndrome.
Nurs Res 2003 Sep-Oct; 52(5):329-37NR

Abstract

BACKGROUND

Despite ongoing physical and psychological distress, little is known about sense of coherence (SOC) and holistic quality of life (QOL) in women with irritable bowel syndrome (IBS).

OBJECTIVES

The purposes of this study were to (a) describe and compare SOC and holistic QOL of women with and without IBS, and (b) examine the relationships among SOC, holistic QOL, and gastrointestinal (GI) and psychological distress symptoms.

METHOD

A two-group comparison design was used to test the study hypotheses that women with IBS would have lower SOC and holistic QOL than control women without IBS, and that SOC and holistic QOL would be inversely related to GI and psychological distress. A total of 324 women were studied (n= 235 with IBS, n= 89 controls). Measures included the 13-item SOC Questionnaire, Modified Flanagan QOL Scale, Bowel Disease Questionnaire, and Symptom-Checklist-90-R.

RESULTS

Both SOC and holistic QOL were lower in women with IBS (p <.001). Correlations between SOC and global distress, depression, anxiety, and somatization without GI symptoms were moderately and inversely related (r= -.64, -.64, -.53, and -.31, respectively; p <.001) in the total sample. Relationships between holistic QOL and psychological distress indicators were universally of lower magnitude (r= -.56 to -.27, p <.001). The only GI symptom indicator significantly related to SOC and holistic QOL was alternating constipation and diarrhea (tau= -.21 and -.17, respectively; p <.001).

DISCUSSION

Women with IBS have a reduced SOC and holistic QOL when compared to women without IBS. It remains to be determined whether interventions targeted at enhancing SOC and holistic QOL can impact the psychological distress associated with IBS.

Authors+Show Affiliations

Department of Biobehavioral Nursing and Health Systems, University of Washington, Seattle 98195-7266, USA. underhil@u.washington.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

14501547

Citation

Motzer, Sandra Adams, et al. "Sense of Coherence and Quality of Life in Women With and Without Irritable Bowel Syndrome." Nursing Research, vol. 52, no. 5, 2003, pp. 329-37.
Motzer SA, Hertig V, Jarrett M, et al. Sense of coherence and quality of life in women with and without irritable bowel syndrome. Nurs Res. 2003;52(5):329-37.
Motzer, S. A., Hertig, V., Jarrett, M., & Heitkemper, M. M. (2003). Sense of coherence and quality of life in women with and without irritable bowel syndrome. Nursing Research, 52(5), pp. 329-37.
Motzer SA, et al. Sense of Coherence and Quality of Life in Women With and Without Irritable Bowel Syndrome. Nurs Res. 2003;52(5):329-37. PubMed PMID: 14501547.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sense of coherence and quality of life in women with and without irritable bowel syndrome. AU - Motzer,Sandra Adams, AU - Hertig,Vicky, AU - Jarrett,Monica, AU - Heitkemper,Margaret M, PY - 2003/9/23/pubmed PY - 2003/10/18/medline PY - 2003/9/23/entrez SP - 329 EP - 37 JF - Nursing research JO - Nurs Res VL - 52 IS - 5 N2 - BACKGROUND: Despite ongoing physical and psychological distress, little is known about sense of coherence (SOC) and holistic quality of life (QOL) in women with irritable bowel syndrome (IBS). OBJECTIVES: The purposes of this study were to (a) describe and compare SOC and holistic QOL of women with and without IBS, and (b) examine the relationships among SOC, holistic QOL, and gastrointestinal (GI) and psychological distress symptoms. METHOD: A two-group comparison design was used to test the study hypotheses that women with IBS would have lower SOC and holistic QOL than control women without IBS, and that SOC and holistic QOL would be inversely related to GI and psychological distress. A total of 324 women were studied (n= 235 with IBS, n= 89 controls). Measures included the 13-item SOC Questionnaire, Modified Flanagan QOL Scale, Bowel Disease Questionnaire, and Symptom-Checklist-90-R. RESULTS: Both SOC and holistic QOL were lower in women with IBS (p <.001). Correlations between SOC and global distress, depression, anxiety, and somatization without GI symptoms were moderately and inversely related (r= -.64, -.64, -.53, and -.31, respectively; p <.001) in the total sample. Relationships between holistic QOL and psychological distress indicators were universally of lower magnitude (r= -.56 to -.27, p <.001). The only GI symptom indicator significantly related to SOC and holistic QOL was alternating constipation and diarrhea (tau= -.21 and -.17, respectively; p <.001). DISCUSSION: Women with IBS have a reduced SOC and holistic QOL when compared to women without IBS. It remains to be determined whether interventions targeted at enhancing SOC and holistic QOL can impact the psychological distress associated with IBS. SN - 0029-6562 UR - https://www.unboundmedicine.com/medline/citation/14501547/Sense_of_coherence_and_quality_of_life_in_women_with_and_without_irritable_bowel_syndrome_ L2 - http://Insights.ovid.com/pubmed?pmid=14501547 DB - PRIME DP - Unbound Medicine ER -