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A systematic review of the psychological correlates of adjustment outcomes in adults with inflammatory bowel disease

Research output: Contribution to journalArticle

Original languageEnglish
Pages (from-to)28–40
JournalClinical Psychology Review
Volume47
Early online date10 Jun 2016
DOIs
Publication statusPublished - Jul 2016

Documents

  • A systematic review of the_JORDAN_Accepted 6Jun2016_GREEN AAM

    A_systematic_review_of_the_JORDAN_Accepted_6Jun2016_GREEN_AAM.pdf, 732 KB, application/pdf

    10/06/2018

    Accepted author manuscript

    CC BY-NC-ND

    © 2016. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/

King's Authors

Abstract

Inflammatory bowel disease (IBD) is a chronic long term condition which poses significant psychosocial adjustment challenges. The purpose of this review was to systematically identify psychological factors related to adjustment in adults with IBD with the aim of suggesting evidence based targets that may be modifiable though psychological intervention. Twenty five studies met inclusion criteria and were included in the systematic review and a narrative synthesis was conducted. A wide range of psychological variables were addressed covering six broad categories; personality traits, interpersonal traits, stress and coping, emotions and emotional control, IBD related cognitions and non IBD related cognitions. The most consistent relationship was found between certain emotion focused coping strategies and worse adjustment outcomes in IBD. Some evidence also hi-lighted a relationship between personality traits (such as neuroticism,) perceived stress, emotions and emotional control (such as alexithymia) and IBD related cognitions (such as illness perceptions) and negative adjustment outcomes. The results of this review suggest that interventions to improve adjustment in IBD may benefit from a focus on coping strategies, perceived stress and IBD related cognitions.

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