Sammendrag
Purpose The purpose of this study was to explore self-esteem and associations between self-esteem and sociodemographic,
clinical, and psychological factors in patients with infammatory bowel disease (IBD), a disease of chronic relapsing infammation of the gastrointestinal tract. IBD symptoms, including pain, fatigue, and diarrhea, as well as potential life-long medical
treatment and surgery, may be demanding, cause signifcant challenges, and infuence self-esteem.
Methods In this cross-sectional multicenter study, participants were recruited from nine hospitals in the southeastern and
western regions of Norway from March 2013 to April 2014. Data were collected using self-report questionnaires. Selfesteem was assessed by the Rosenberg Self-Esteem Scale, fatigue was assessed by the Fatigue Questionnaire, self-efcacy
was assessed by the General Self-Efcacy Scale, and disease activity was assessed by the Simple Clinical Colitis Activity
Index for ulcerative colitis (UC) and Harvey Bradshaw Index for Crohn’s disease (CD). Multiple linear regression analysis
was applied to examine associations between self-esteem and sociodemographic, clinical, and psychological factors.
Results In total, 411 of 452 (91%) patients had evaluable data and were included in this study. The mean scores on selfesteem, self-efcacy, total fatigue, anxiety, and depression were similar between UC patients and CD patients. Male gender,
being employed, and higher self-efcacy were independently associated with higher self-esteem, whereas anxiety and
depression were independently associated with lower self-esteem. Neither disease activity nor fatigue were associated with
self-esteem in the fnal multiple regression analyses.
Conclusion Patient-centered interventions that improve self-esteem and reduce anxiety and depression seem to be important
to optimize IBD management.
Keywords Self-esteem · Self-efcacy · Coping · Infammatory bowel disease · Ulcerative colitis · Crohn’s disease · Health
psychology · Chronic disease · Health-related quality of life
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