Sirois, F. orcid.org/0000-0002-0927-277X and Hirsch, J. (2017) A longitudinal study of the profiles of psychological thriving, resilience, and loss in people with inflammatory bowel disease. British Journal of Health Psychology, 22 (4). pp. 920-939. ISSN 1359-107X
Abstract
Objectives: Despite the toll of inflammatory bowel disease (IBD) on adjustment, many patients are resilient to the challenges associated with living with IBD, and successfully cope with their illness and thrive. Yet there is little research on why some individuals with IBD enter a trajectory of growth while others may struggle to adapt. The aim of this study was to investigate the adjustment-related factors that distinguished thriving, resilience, and loss in people with IBD across personal growth, life satisfaction, and relationship quality domains. Design: Prospective cohort design with two data collection points, six months apart. Methods: From a sample of 420 people with active IBD who completed an online survey, 152 participants completed the follow-up survey and were included in the analyses. Participants completed measures of thriving, and cognitive, affective, social, and disease-related variables known to predict adjustment. Results: Time 1 ANCOVAs and pairwise comparisons controlling for demographics distinguished loss from resilience and thriving on the four outcomes - coping efficacy, illness acceptance, depressive symptoms, and perceived social support – for all three domains. Time 2 ANCOVAs and pairwise comparisons controlling for baseline outcomes revealed that the Time thriving categories predicted differences in Time 2 adjustment, mainly for the life satisfaction domain, with those experiencing loss reporting poorer adjustment than those experiencing resilience and thriving. Conclusions: Findings highlight the distinctions among profiles of thriving, resilience and loss in adjustment to IBD, and suggest that strategies that enhance coping and address depressive symptoms may optimize thriving in the context of IBD.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2017 The British Psychological Society. This is an author produced version of a paper subsequently published in British Journal of Health Psychology. Uploaded in accordance with the publisher's self-archiving policy. |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Science (Sheffield) > Department of Psychology (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 20 Jul 2017 14:13 |
Last Modified: | 14 Aug 2018 00:38 |
Published Version: | https://doi.org/10.1111/bjhp.12262 |
Status: | Published |
Publisher: | Wiley |
Refereed: | Yes |
Identification Number: | 10.1111/bjhp.12262 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:119284 |