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Coping strategies, satisfaction with life, and quality of life in Crohn’s disease: A gender perspective using structural equation modeling analysis

Author

Listed:
  • O Sarid
  • V Slonim-Nevo
  • A Pereg
  • M Friger
  • R Sergienko
  • D Schwartz
  • D Greenberg
  • I Shahar
  • E Chernin
  • H Vardi
  • L Eidelman
  • A Segal
  • G Ben-Yakov
  • N Gaspar
  • D Munteanu
  • A Rozental
  • A Mushkalo
  • V Dizengof
  • N Abu-Freha
  • A Fich
  • S Odes
  • on behalf of the Israeli IBD Research Nucleus (IIRN)

Abstract

Objective: To identify coping strategies and socio-demographics impacting satisfaction with life and quality of life in Crohn’s disease (CD). Methods: 402 patients completed the Patient Harvey-Bradshaw Index, Brief COPE Inventory, Satisfaction with Life Scale (SWLS), Short Inflammatory Bowel Disease Questionnaire (SIBDQ). We performed structural equation modeling (SEM) of mediators of quality of life and satisfaction with life. Results: The cohort comprised: men 39.3%, women 60.1%; P-HBI 4.75 and 5.74 (p = 0.01). In inactive CD (P-HBI≤4), both genders had SWLS score 23.8; men had SIBDQ score 57.4, women 52.6 (p = 0.001); women reported more use of emotion-focused, problem-focused and dysfunctional coping than men. In active CD, SWLS and SIBDQ scores were reduced, without gender differences; men and women used coping strategies equally. A SEM model (all patients) had a very good fit (X2(6) = 6.68, p = 0.351, X2/df = 1.114, SRMR = 0.045, RMSEA = 0.023, CFI = 0.965). In direct paths, economic status impacted SWLS (β = 0.39) and SIBDQ (β = 0.12), number of children impacted SWLS (β = 0.10), emotion-focused coping impacted SWLS (β = 0.11), dysfunctional coping impacted SWLS (β = –0.25). In an indirect path, economic status impacted dysfunctional coping (β = –0.26), dysfunctional coping impacted SIBDQ (β = –0.36). A model split by gender and disease activity showed that in active CD economic status impacted SIBDQ in men (β = 0.43) more than women (β = 0.26); emotional coping impacted SWLS in women (β = 0.36) more than men (β = 0.14). Conclusions: Gender differences in coping and the impacts of economic status and emotion-focused coping vary with activity of CD. Psychological treatment in the clinic setting might improve satisfaction with life and quality of life in CD patients.

Suggested Citation

  • O Sarid & V Slonim-Nevo & A Pereg & M Friger & R Sergienko & D Schwartz & D Greenberg & I Shahar & E Chernin & H Vardi & L Eidelman & A Segal & G Ben-Yakov & N Gaspar & D Munteanu & A Rozental & A Mus, 2017. "Coping strategies, satisfaction with life, and quality of life in Crohn’s disease: A gender perspective using structural equation modeling analysis," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-15, February.
    • Handle: RePEc:plo:pone00:0172779
    DOI: 10.1371/journal.pone.0172779
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    References listed on IDEAS

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    1. Dana Anaby & Tal Jarus & Bruno Zumbo, 2010. "Psychometric Evaluation of the Hebrew Language Version of the Satisfaction with Life Scale," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 96(2), pages 267-274, April.
    2. Charles F. Manski & Joram Mayshar, 2003. "Private Incentives and Social Interactions: Fertility Puzzles in Israel," Journal of the European Economic Association, MIT Press, vol. 1(1), pages 181-211, March.
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    2. Alicia Aurora Rodríguez & Óscar Martínez & Imanol Amayra & Juan Francisco López-Paz & Mohammad Al-Rashaida & Esther Lázaro & Patricia Caballero & Manuel Pérez & Sarah Berrocoso & Maitane García & Paul, 2021. "Diseases Costs and Impact of the Caring Role on Informal Carers of Children with Neuromuscular Disease," IJERPH, MDPI, vol. 18(6), pages 1-16, March.

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