The importance of cognitive flexibility and flexibility in coping with stress for the quality of life in inflammatory bowel disease patients during biological therapy. A preliminary report

Agata Rudnik; Grażyna Piotrowicz; Małgorzata A Basińska; Vahid Rashedi

doi:10.5114/pg.2018.81081

The importance of cognitive flexibility and flexibility in coping with stress for the quality of life in inflammatory bowel disease patients during biological therapy. A preliminary report

Prz Gastroenterol. 2019;14(2):121-128. doi: 10.5114/pg.2018.81081. Epub 2019 Jan 7.

Authors

Agata Rudnik^{1

2}, Grażyna Piotrowicz², Małgorzata A Basińska³, Vahid Rashedi^{4

5}

Affiliations

¹ Institute of Psychology, University of Gdansk, Gdansk, Poland.
² Department of Gastroenterology, Independent Public Health Care of the Ministry of the Internal Affairs, Gdansk, Poland.
³ Department of Clinical Psychology, Kazimierz Wielki University, Bydgoszcz, Poland.
⁴ School of Behavioural Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran.
⁵ Iranian Research Centre on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

Abstract

Introduction: There are studies demonstrating the relation between psychological factors and efficiency of treatment in the course of inflammatory bowel diseases (IBD).

Aim: To investigate the relation between cognitive flexibility and flexibility in coping with stress and the quality of life, as well as the sense of satisfaction with life, in patients undergoing the biological treatment.

Material and methods: The study group consisted of 33 adults who were diagnosed with Crohn's disease (CD) or ulcerative colitis (UC). The Flexibility in Coping with Stress Questionnaire (FCSQ-14), the Cognitive Flexibility Inventory (CFI), the Quality of Life SF36v2 Questionnaire, the Satisfaction with Life Scale (SWLS), and the socio-demographic questionnaire were used to gather the data.

Results: A total of 14 females and 19 males were included in this analysis. The results did not prove that the disease diagnosis (UC or CD) differed the level of psychological resources. However, older respondents achieved lower results in cognitive flexibility. A positive correlation was observed between both cognitive flexibility and flexibility in coping with stress and different dimensions of quality of life and satisfaction with life.

Conclusions: There is a relationship between both cognitive flexibility and flexibility in coping with stress and health-related quality of life. These factors can be considered to be a kind of resource that helps to cope with challenges posed by a chronic illness, including IBD. Therefore, it is significant to increase their level by applying tailored therapeutic methods.

Keywords: Crohn’s disease; biological treatment; mindfulness; quality of life; ulcerative colitis.