Dispositional Mindfulness and Inflammatory Bowel Disease: Mindful Awareness Mediates the Relation Between Severity and Quality of Life, Stress, and Fatigue
Por:
Navarrete, J, Gonzalez-Moret, R, Cortes, X, Lison, J, Soria, J, Banos, R and Cebolla, A
Publicada:
1 jun 2021
Ahead of Print:
1 mar 2021
Resumen:
Objectives Inflammatory bowel disease (IBD) is a chronic and idiopathic gastrointestinal pathology whose bi-directional relation with psychological variables (e.g., quality of life, fatigue, and stress) has been studied in depth. Dispositional mindfulness has been related to a better quality of life and health in chronic diseases. The present study aims to examine the potential mediator influence of dispositional mindfulness in the association between disease severity and health-related quality of life, stress, and fatigue in IBD patients. Methods In a cross-sectional study, 152 patients diagnosed with IBD were recruited from the digestive unit of Sagunt Hospital (Spain) where they were receiving treatment. Dispositional mindfulness, fatigue, perceived stress, health-related quality of life, and illness severity were measured. Subsequently, descriptive statistical analyses, Pearson product-moment correlations, multivariate analysis of variance, and mediation analyses were performed. Results Dispositional mindfulness facets were positively associated with quality of life, lower fatigue, and lower perceived stress levels (except for the observe subscale). Mediation analyses showed that IBD severity (moderate vs. mild patients) indirectly influenced quality of life (ab = -6.16, 95% CI [-13.46, -0.76]), perceived stress (ab = 2.23, 95% CI [0.41, 4.24]), and fatigue (ab = 3.24, 95% CI [0.48, 6.66]) through its effect on the dispositional mindfulness facet "acting with awareness." Conclusions Dispositional mindful awareness seems to be a protective factor in addition to a promising intervention target in IBD patients, whose severity only influences quality of life, perceived stress, and fatigue through it.
Filiaciones:
Navarrete, J:
Univ Valencia, Dept Personal Evaluat & Psychol Treatments, Avd Blasco Ibanez 21, Valencia, Spain
Gonzalez-Moret, R:
CEU Univ, Dept Nursing, Univ Cardenal Herrera CEU, Castellon de La Plana, Spain
:
Hosp Univ Sagunto, Digest Med Sect, Internal Med Serv, Valencia, Spain
Lison, J:
Inst Carlos III, Obes & Nutr Pathophysiol CIBER CB06 03, Madrid, Spain
CEU Univ, Dept Med, Univ Cardenal Herrera CEU, Valencia, Spain
Soria, J:
Univ Cardenal Herrera CEU Univ, Dept Biomed Sci, Valencia, Spain
Banos, R:
Univ Valencia, Dept Personal Evaluat & Psychol Treatments, Avd Blasco Ibanez 21, Valencia, Spain
Inst Carlos III, Obes & Nutr Pathophysiol CIBER CB06 03, Madrid, Spain
Cebolla, A:
Univ Valencia, Dept Personal Evaluat & Psychol Treatments, Avd Blasco Ibanez 21, Valencia, Spain
Inst Carlos III, Obes & Nutr Pathophysiol CIBER CB06 03, Madrid, Spain
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