TY - JOUR
T1 - Back/Joint Pain, Illness Perceptions and Coping are Important Predictors of Quality of Life and Work Productivity in Patients With Inflammatory Bowel Disease
T2 - A 12-Month Longitudinal Study
AU - van der Have, Mike
AU - Brakenhoff, Lianne K P M
AU - van Erp, Sanne J H
AU - Kaptein, Ad A
AU - Leenders, Max
AU - Scharloo, Margreet
AU - Veenendaal, Roeland A
AU - van der Heijde, Désirée M F M
AU - van der Meulen-de Jong, Andrea E
AU - Hommes, Daan W
AU - Fidder, Herma H
N1 - Copyright © 2014 European Crohn’s and Colitis Organisation (ECCO). Published by Oxford University Press. All rights reserved. For permissions, please email: [email protected].
PY - 2015/3
Y1 - 2015/3
N2 - BACKGROUND AND AIMS: Back and joint pain are the most common extraintestinal symptoms reported by patients with inflammatory bowel disease (IBD). We assessed the impact of back/joint pain, illness perceptions and coping on quality of life (QOL) and work productivity in patients with IBD.METHODS: Our cohort included 155 IBD patients with and 100 without arthropathy. Arthropathy was defined as daily back pain for ≥ three months and/or peripheral joint pain and/or joint swelling over the last year. At baseline and at 12 months, patients completed questionnaires on the extent of back/joint pain, IBD disease activity, illness perceptions, coping, QOL, and work productivity. The impact of back/joint pain, illness perceptions and coping on QOL and work productivity was determined, using linear mixed models.RESULTS: In total, 204 IBD patients (72% Crohn's disease, 40% male, mean age 44±14 years) completed questionnaires at both time points. At both time points, IBD patients with back/joint pain reported a significantly lower QOL and work productivity compared to IBD patients without back/joint pain. Predictors of low QOL were back/joint pain (ß -1.04, 95% CI -1.40,-0.68), stronger beliefs about the illness consequences (ß-0.39, 95% CI -0.59,-0.18) and emotional impact of IBD (ß -0.47, 95% CI -0.66,-0.28), and the coping strategy "decreasing activity" (ß -0.26, 95% CI-0.48,-0.03). Predictors of work productivity were back/joint pain (ß 0.22, 95% CI 0.07,0.37) and illness consequences (ß 0.14, 95% CI 0.06,0.22).CONCLUSION: Back/joint pain, illness perceptions and coping are significant predictors of QOL and work productivity, after controlling for disease activity.
AB - BACKGROUND AND AIMS: Back and joint pain are the most common extraintestinal symptoms reported by patients with inflammatory bowel disease (IBD). We assessed the impact of back/joint pain, illness perceptions and coping on quality of life (QOL) and work productivity in patients with IBD.METHODS: Our cohort included 155 IBD patients with and 100 without arthropathy. Arthropathy was defined as daily back pain for ≥ three months and/or peripheral joint pain and/or joint swelling over the last year. At baseline and at 12 months, patients completed questionnaires on the extent of back/joint pain, IBD disease activity, illness perceptions, coping, QOL, and work productivity. The impact of back/joint pain, illness perceptions and coping on QOL and work productivity was determined, using linear mixed models.RESULTS: In total, 204 IBD patients (72% Crohn's disease, 40% male, mean age 44±14 years) completed questionnaires at both time points. At both time points, IBD patients with back/joint pain reported a significantly lower QOL and work productivity compared to IBD patients without back/joint pain. Predictors of low QOL were back/joint pain (ß -1.04, 95% CI -1.40,-0.68), stronger beliefs about the illness consequences (ß-0.39, 95% CI -0.59,-0.18) and emotional impact of IBD (ß -0.47, 95% CI -0.66,-0.28), and the coping strategy "decreasing activity" (ß -0.26, 95% CI-0.48,-0.03). Predictors of work productivity were back/joint pain (ß 0.22, 95% CI 0.07,0.37) and illness consequences (ß 0.14, 95% CI 0.06,0.22).CONCLUSION: Back/joint pain, illness perceptions and coping are significant predictors of QOL and work productivity, after controlling for disease activity.
KW - Arthralgia
KW - Common Sense Model
KW - coping
KW - illness perceptions
KW - inflammatory bowel disease
KW - quality of life
KW - work productivity
U2 - 10.1093/ecco-jcc/jju025
DO - 10.1093/ecco-jcc/jju025
M3 - Article
C2 - 25547976
SN - 1873-9946
VL - 9
SP - 276
EP - 283
JO - Journal of Crohn's & Colitis
JF - Journal of Crohn's & Colitis
IS - 3
ER -