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A group-based patient education programme for high-anxiety patients with Crohn's disease or ulcerative colitis
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
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2003 In: Scandinavian Journal of Gastroenterology, ISSN 1502-7708, Vol. 38, 763-769 p.Article in journal (Refereed) Published
Place, publisher, year, edition, pages
2003. Vol. 38, 763-769 p.
URN: urn:nbn:se:uu:diva-96339OAI: oai:DiVA.org:uu-96339DiVA: diva2:170881
Available from: 2007-11-01 Created: 2007-11-01 Last updated: 2014-03-04Bibliographically approved
In thesis
1. Quality of Life and Coping with Ulcerative colitis and Crohn's disease
Open this publication in new window or tab >>Quality of Life and Coping with Ulcerative colitis and Crohn's disease
2007 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aim of this thesis was to investigate health-related quality of life (HRQoL) and coping strategies for individuals with ulcerative colitis (UC) or Crohn’s disease (CD), and to study the effect of a group-based patient information on anxiety/depression and HRQoL. HRQoL and anxiety/depression were investigated (n=492) (Study I). In Study II, anxiety/depression, HRQoL, satisfaction with information and evaluation of the patient information were studied (n=49). Coping with disease activity was investigated in 166 patients reporting current exacerbation (Study III). Fifteen patients were interviewed about disease-related stress, how this is managed and the need of support from the health care (Study IV). Patients with UC reported better HRQoL and less anxiety/depression than did patients with CD during both remission and exacerbation. Satisfaction with information had increased at follow-up 6 months after patient information. The information and the possibility to discuss with lecturers and group members were valued as most important. No change was found in anxiety/depression or HRQoL at follow-up. Both problem-focused and emotion-focused strategies were employed to cope with disease activity, with no difference between patients with UC or CD. The urgent need of toilet availability and stress associated to social situations were the major disease-related stressors. This stress was managed by finding out the location of toilets, bringing toilet paper and extra underwear and emptying bowel before an activity. The patients wanted information and possibilities to talk to experienced staff and to other patients about how to live with the disease. This thesis shows that HRQoL for some patients with UC, and primarily for patients with CD, is impaired. Thus medical staff should be observant of the psychosocial well-being of patients with CD and also of patients with relapse. Methods to identify and support patients with anxiety/depression and poor HRQoL need to be developed. Interventions should target the patient’s specific problems and at appropriate times.

Place, publisher, year, edition, pages
Uppsala: Universitetsbiblioteket, 2007. 71 p.
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Social Sciences, ISSN 1652-9030 ; 31
anxiety, coping, Crohn's disease, depression, exacerbation, health-related quality of life, ulcerative colitis
National Category
urn:nbn:se:uu:diva-8277 (URN)978-91-554-7000-5 (ISBN)
Public defence
2007-11-30, Sal IX, Universitetsbyggnaden, Övre Slottsgatan 2, Uppsala, 13:00
Available from: 2007-11-01 Created: 2007-11-01Bibliographically approved

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Larsson, Kjerstin
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