Perceptions of illness stigma in patients with inflammatory bowel disease and irritable bowel syndrome
- 20 March 2011
- journal article
- Published by Springer Science and Business Media LLC in Quality of Life Research
- Vol. 20 (9), 1391-1399
- https://doi.org/10.1007/s11136-011-9883-x
Abstract
To compare the experiences of perceived stigma (PS) in both patients with irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD) and examine its relationship to patient-reported outcomes in both patient populations. IBD and IBS patients were recruited from an outpatient gastroenterology clinic and online via support message boards and classifieds. Participants completed a series of questionnaires to measure the perception of illness stigma, psychological functioning, and clinical and demographic data. Two hundred and sixty-nine IBS and 227 IBD patients participated. IBS patients were more likely to report high levels of perceived stigma across a wider range of sources, with the largest difference being for health care providers. Twenty-seven percent of IBS patients reported moderate to high levels of perceived stigma, compared with 8% of IBD. While perception of stigma was correlated with poorer patient-reported outcomes in both patient groups, correlations were larger for IBD compared with IBS. This study demonstrates that both IBD and IBS patients perceive stigma about their illness. As demonstrated by increased depression and anxiety, decreased self-esteem and self-efficacy, and lower quality of life in both patient groups, PS was shown to have a negative impact on clinical outcomes.Keywords
This publication has 35 references indexed in Scilit:
- Impact of perceived stigma on inflammatory bowel disease patient outcomesInflammatory Bowel Diseases, 2009
- Development and initial validation of a measure of perceived stigma in irritable bowel syndromePsychology, Health & Medicine, 2009
- Health Psychology: Psychological Adjustment to Chronic DiseaseAnnual Review of Psychology, 2007
- Toward Understanding the Insight Paradox: Internalized Stigma Moderates the Association Between Insight and Social Functioning, Hope, and Self-esteem Among People with Schizophrenia Spectrum DisordersSchizophrenia Bulletin, 2006
- Health-related stigma: Rethinking concepts and interventions 1Psychology, Health & Medicine, 2006
- Review article: psychosocial factors in the quality of life of patients with inflammatory bowel diseaseAlimentary Pharmacology & Therapeutics, 2005
- STIGMA: BARRIER TO MENTAL HEALTH CARE AMONG ETHNIC MINORITIESIssues in Mental Health Nursing, 2005
- Perceived stigma in functional somatic syndromes and comparable medical conditionsJournal of Psychosomatic Research, 2004
- Stigma, shame, and blame experienced by patients with lung cancer: qualitative studyBMJ, 2004
- Stigma as a Barrier to Recovery: The Consequences of Stigma for the Self-Esteem of People With Mental IllnessesPsychiatric Services, 2001