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Relationship between cognitive appraisals of symptoms and negative mood for subtypes of irritable bowel syndrome

机译：肠易激综合症亚型的症状认知评估与负性情绪的关系

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Background The onset and course of irritable bowel syndrome (IBS) are strongly influenced by psychological factors, and treatment often includes cognitive-behavioral therapy. We conducted a study of the relationships between cognitive appraisal of IBS symptoms and negative mood for the subtypes of IBS. Method The participants were 1087 college students who completed a set of questionnaires that included the Rome II Modular Questionnaire, Self-reported IBS Questionnaire, Cognitive Appraisal Rating Scale, and the Hospital Anxiety and Depression Scale. Results The participants included 206 individuals with IBS; 61 had diarrhea-predominant IBS (IBSD) and 45 had constipation-predominant IBS (IBSC). The overall IBS group scored higher on anxiety and depression than the control group. The IBSD and IBSC groups each had significantly higher scores for anxiety but did not significantly differ from the control group in scores for depression. There were no significant differences between the IBSD and IBSC groups in their cognitive appraisal of IBS symptoms. For the IBSD group, anxiety was significantly, positively correlated with commitment, effect, and threat, and depression was significantly, negatively correlated with controllability. In contrast, there were no significant correlations between mood and cognitive appraisal for the IBSC group. Multiple regression analyses with abdominal symptoms as dependent variables and cognitive appraisals as independent variables showed that for the IBSD group, abdominal pain was significantly, positively correlated with commitment, and abdominal discomfort was significantly, positively correlated with appraisal of effect and threat. For the IBSC group, abdominal pain and hard stool were significantly, positively correlated with commitment, and abdominal discomfort was significantly, positively correlated with appraisal of effect and threat. Conclusion IBS patients as a general group report high levels of anxiety and depression. However, IBSD and IBSC were both associated only with high anxiety, but not depression, when compared to the non-IBS control group. For the IBSD group, anxiety was associated with cognitive appraisals, but this association was not found for the IBSC group. These groups did not differ in their associated cognitive appraisals, and are similar in terms of the positive relationship between abdominal pain and discomfort and the cognitive appraisals of coping.
机译：背景肠易激综合症（IBS）的发作和病程受到心理因素的强烈影响，治疗通常包括认知行为疗法。我们对IBS症状的IBS症状的认知评估与负性情绪之间的关系进行了研究。方法参与者是1087名大学生，他们完成了一系列的问卷调查，包括罗马II模块化问卷，自我报告的IBS问卷，认知评估量表和医院焦虑与抑郁量表。结果参与者包括206名患有IBS的人; 61例以腹泻为主的IBS（IBSD），45例以便秘为主的IBS（IBSC）。总体而言，IBS组在焦虑和抑郁方面的得分高于对照组。 IBSD和IBSC组的焦虑评分均明显较高，但抑郁评分与对照组无明显差异。 IBSD和IBSC组在对IBS症状的认知评估上没有显着差异。对于IBSD组，焦虑与承诺，影响和威胁呈显着正相关，而抑郁与可控制性呈显着负相关。相比之下，IBSC组的情绪与认知评估之间没有显着相关性。以腹部症状为因变量，以认知评估为自变量的多元回归分析表明，对于IBSD组，腹痛显着，与承诺成正相关，腹部不适与效果和威胁的评估成正相关。对于IBSC组，腹痛和硬便与承诺显着正相关，而腹部不适与效果和威胁评估呈正相关。结论IBS患者作为一般人群，其焦虑和抑郁水平较高。但是，与非IBS对照组相比，IBSD和IBSC都仅与高度焦虑相关，而与抑郁无关。对于IBSD组，焦虑与认知评估有关，但在IBSC组中未发现这种关联。这些组在相关的认知评估上没有差异，在腹痛和不适与应对的认知评估之间的正相关方面相似。

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