Research focus on vital limitations of patients with inflammatory bowel diseases

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Abstract

Chronic diseases, whose burden is regarded as one of the major challenges for national healthcare systems, significantly affect quality of life and contribute to the formation of vital limitations in daily life. Crohn disease and ulcerative colitis are the most common forms of inflammatory bowel disease. Patients with inflammatory bowel diseases are forced to live with a long-term and severe illness; some symptoms persist even during clinical remission and negatively affect social relationships, as well as personal, professional, and everyday life. This study aimed to examine the vital limitations of patients with inflammatory bowel diseases based on scientific data. A systematic review was conducted according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) methodology. Relevant publications were identified through the PubMed and eLIBRARY.RU databases for the period 2001–2024. The final analysis included 54 publications selected by keywords: соматические и социальные ограничения при воспалительных заболеваниях кишечника / somatic and social limitations in inflammatory bowel diseases, качество жизни / quality of life, бремя хронических заболеваний / the burden of chronic diseases, as well as by reference lists of retrieved articles. Inclusion criteria: original studies, literature reviews, and meta-analyses containing data on vital limitations in inflammatory bowel diseases. Case reports and expert opinions were excluded. Vital limitations of patients with inflammatory bowel diseases were examined from the perspective of the sociology of everyday life, where they are interpreted as barriers to daily living, and the sociology of medicine, which addresses the social perception of health, life with a chronic illness, and public attitudes toward the patient. Research studies highlight vital limitations arising in patients with inflammatory bowel diseases or treatment complications, encompassing various aspects of daily functioning. Given their impact on quality of life and clinical prognosis, these limitations should be considered in the development of a continuum of integrated medical and social care for patients with inflammatory bowel diseases.

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Vyacheslav A. Dmitriev

Saratov State Medical University named after V.I. Razumovsky

Email: doctordmitriev@gmail.com
ORCID iD: 0009-0007-2180-8817
SPIN-code: 7916-2340

MD, Cand. Sci. (Medicine)

Russian Federation, Saratov

Irina L. Krom

Saratov State Medical University named after V.I. Razumovsky

Author for correspondence.
Email: irina.crom@yandex.ru
ORCID iD: 0000-0003-1355-5163
SPIN-code: 4854-1094

MD, Dr. Sci. (Medicine), Professor

Russian Federation, Saratov

References

  1. Stamboltsyan VSh, Bakulin IG, Aslanov BI, Kirillova AA. Inflammatory bowel diseases: epidemiology and risk factors (review). Koloproktologia. 2024;23(4(90)):148–158. doi: 10.33878/2073-7556-2024-23-4-148-158 EDN: HCMWEJ
  2. Macdonald GG, Koehn C, Attara G, et al. Patient perspectives on the challenges and responsibilities of living with chronic inflammatory diseases: qualitative study. J Particip Med. 2018;10(4):e10815. doi: 10.2196/10815
  3. Künsebeck HW, Körber J, Freyberger H. Quality of life in patients with inflammatory bowel disease. Psychother Psychosom. 1990;54(2–3):110–116. doi: 10.1159/000288385
  4. Irvine EJ. Quality of life — measurement in inflammatory bowel disease. Scand J Gastroenterol Suppl. 1993;199:36–39. doi: 10.3109/00365529309098355
  5. Reshetnikov AV, Prisyazhnaya NV, Pavlov SV, et. al. Rheumatoid arthritis in the Russian Federation: sociological aspekts. Medical news of North Caucasus. 2019;14(2):374–376. doi: 10.14300/mnnc.2019.14092 EDN: XRPKZM
  6. Reshetnikov A, Gevandova M, Prisyazhnaya N, Vyatkina N. The role of parents in their child's cancer diagnosis, treatment, rehabilitation, and socialization. Indian J Pediatr. 2024;91(1):30–34. doi: 10.1007/s12098-022-04387-7 EDN: CRZKBY
  7. Prisyazhnaya NV, Bobrovskaya ON, Kaletskiy EG. The analysis of problems of supporting long-term nursing of individuals who lost their ability to self-care in Russia. Problems of social hygiene, public health and history of medicine. 2023;31(4):578–586. doi: 10.32687/0869-866X-2023-31-4-578-586 EDN: ADATUU
  8. Guo X, Cai L, Cao Y, et al. New pattern of individualized management of chronic diseases: focusing on inflammatory bowel diseases and looking to the future. Front Med. 2023;10:1186143. doi: 10.3389/fmed.2023.1186143 EDN: PSCIQR
  9. Tiles-Sar N, Neuser J, de Sordi D, et al. Psychological interventions for inflammatory bowel disease: a systematic review and component network meta-analysis protocol. BMJ Open. 2022;12(6):e056982. doi: 10.1136/bmjopen-2021-056982 EDN: LFKBGK
  10. Le Berre C, Peyrin-Biroulet L; SPIRIT-IOIBD study group. Selecting end points for disease-modification trials in inflammatory bowel disease: the SPIRIT consensus from the IOIBD. Gastroenterology. 2021;160(5):1452–1460.e21. doi: 10.1053/j.gastro.2020.10.065 EDN: JHJHXW
  11. Zhuzhlova NYu, Krom IL, Sazanova GYu, Razdevilova OP. Trends in the organization of medical care in the context of social determinism chronic non-communicable diseases. Modern problems of science and education. 2015;(1):229. EDN: YTIBHJ
  12. Dvornikova KA, Bystrova EYu, Platonova ON, Nozdrachev AD. Risk factors and genetic prerequisites for the developmentof inflammatory bowel diseases: current status of the problem. Progress in physiological science. 2021;52(2):61–82. doi: 10.31857/S0301179821010045 EDN: ZUOEVS
  13. Holik D, Včev A, Milostić-Srb A, et al. The effect of daily physical activity on the activity of inflammatory bowel diseases in therapy-free patients. Acta Clin Croat. 2019;58(2):202–212. doi: 10.20471/acc.2019.58.02.02
  14. Park SK, Ko BM, Goong HJ, et al. Short health scale: a valid measure of health-related quality of life in Korean-speaking patients with inflammatory bowel disease. World J Gastroenterol. 2017;23(19):3530–3537. doi: 10.3748/wjg.v23.i19.3530
  15. Kappelman MD, Rifas-Shiman SL, Porter CQ, et al. Direct health care costs of Crohn's disease and ulcerative colitis in US children and adults. Gastroenterology. 2008;135(6):1907–1913. doi: 10.1053/j.gastro.2008.09.012
  16. Mizuno H, Katashima M, Sakagami K, et al. Factors of self-care agency in patients with inflammatory bowel disease in Japan. Inflamm Intest Dis. 2024;9(1):103–114. doi: 10.1159/000538007 EDN: TVECST
  17. Keefer L, Kiebles JL, Taft TH. The role of self-efficacy in inflammatory bowel disease management: preliminary validation of a disease-specific measure. Inflamm Bowel Dis. 2011;17(2):614–620. doi: 10.1002/ibd.21314
  18. Napolitano D, Vellone E, Iovino P, et al. Self-care in patients affected by inflammatory bowel disease and caregiver contribution to self-care (IBD-SELF): a protocol for a longitudinal observational study. BMJ Open Gastroenterol. 2024;11(1):e001510. doi: 10.1136/bmjgast-2024-001510 EDN: VHGXUX
  19. Nagahori M, Imai T, Nakashoji M, et al. A web-based survey on self-management for patients with inflammatory bowel disease in Japan. PLoS One. 2023;18(7):e0287618. doi: 10.1371/journal.pone.0287618 EDN: AEIBYK
  20. Fawson S, Dibley L, Smith K, et al. Developing an online program for self-management of fatigue, pain, and urgency in inflammatory bowel disease: patients' needs and wants. Dig Dis Sci. 2022;67(7):2813–2826. doi: 10.1007/s10620-021-07109-9 EDN: PSYCDH
  21. Langbrandtner J, Steimann G, Reichel C, et al. Inflammatory bowel disease — challenges in the workplace and support for coping with disease. Rehabilitation. 2022;61(2):97–106. (In German) doi: 10.1055/a-1581-6497 EDN: HJUASK
  22. Gremyakina DA. Sociology of everyday life — scientific analysis of "routine". Modern Society: Issues of Theory, Methodology, Methods of Social Research. 2022;1:162–170. EDN: HAMEPK
  23. Borrell-Carrió F, Suchman AL, Epstein RM. The biopsychosocial model 25 years later: principles, practice, and scientific inquiry. Ann Fam Med. 2004;2(6):576–582. doi: 10.1370/afm.245
  24. Wang Z, Lu Y, Li L, et al. Relationship between severity of gastrointestinal symptoms and anxiety symptoms in patients with chronic gastrointestinal disease: the mediating role of illness perception. Psychol Res Behav Manag. 2023;16:4921–4933. doi: 10.2147/PRBM.S429132 EDN: IJXGUW
  25. Fourie S, Jackson D, Aveyard H. Living with inflammatory bowel disease: a review of qualitative research studies. Int J Nurs Stud. 2018;87:149–156. doi: 10.1016/j.ijnurstu.2018.07.017
  26. Plevinsky JM, Greenley RN, Fishman LN. Self-management in patients with inflammatory bowel disease: strategies, outcomes, and integration into clinical care. Clin Exp Gastroenterol. 2016;9:259–267. doi: 10.2147/CEG.S106302
  27. DuBois KE, Blake CE, Rudisill C, et al. Use of treatment and self-management methods: perspectives and decisions of patients with ulcerative colitis. Am J Lifestyle Med. 2024:15598276241243300. doi: 10.1177/15598276241243300 EDN: FXXWEP
  28. Radford SJ, McGing J, Czuber-Dochan W, Moran G. Systematic review: the impact of inflammatory bowel disease-related fatigue on health-related quality of life. Frontline Gastroenterol. 2020;12(1):11–21. doi: 10.1136/flgastro-2019-101355 EDN: ZQXSTG
  29. Dittner AJ, Wessely SC, Brown RG. The assessment of fatigue: a practical guide for clinicians and researchers. J Psychosom Res. 2004;56(2):157–170. doi: 10.1016/S0022-3999(03)00371-4
  30. Villoria A, García V, Dosal A, et al. Fatigue in out-patients with inflammatory bowel disease: Prevalence and predictive factors. PLoS One. 2017;12(7):e0181435. doi: 10.1371/journal.pone.0181435
  31. Czuber-Dochan W, Dibley LB, Terry H, et al. The experience of fatigue in people with inflammatory bowel disease: an exploratory study. J Adv Nurs. 2013;69(9):1987–1999. doi: 10.1111/jan.12060
  32. Woodward S, Dibley L, Coombes S, et al. Identifying disease-specific distress in patients with inflammatory bowel disease. Br J Nurs. 2016;25(12):649–660. doi: 10.12968/bjon.2016.25.12.649
  33. van Houtum L, Rijken M, Groenewegen P. Do everyday problems of people with chronic illness interfere with their disease management? BMC Public Health. 2015;15:1000. doi: 10.1186/s12889-015-2303-3 EDN: IXDBUL
  34. Luo XP, Mao R, Chen BL, et al. Over-reaching beyond disease activity: the influence of anxiety and medical economic burden on health-related quality of life in patients with inflammatory bowel disease. Patient Prefer Adherence. 2016;11:23–31. doi: 10.2147/PPA.S118589
  35. Lovén Wickman U, Yngman-Uhlin P, Hjortswang H, et al. Self-care among patients with inflammatory bowel disease: an interview study. Gastroenterol Nurs. 2016;39(2):121–128. doi: 10.1097/SGA.0000000000000120
  36. Pihl-Lesnovska K, Hjortswang H, Ek AC, Frisman GH. Patients' perspective of factors influencing quality of life while living with Crohn disease. Gastroenterol Nurs. 2010;33(1):37–44; quiz 45–46. doi: 10.1097/SGA.0b013e3181cd49d0
  37. Akhmerova PS, Garaeva AR, Ogarev VV, Sirota NA. Cognitive component of anxiety about disease progression in patients with inflammatory bowel diseases. Topical issues of medical science. 2023;(1(1)):121–122. (In Russ.) EDN: XVBPYO
  38. Groshek J, Basil M, Guo L, et al. Media consumption and creation in attitudes toward and knowledge of inflammatory bowel disease: web-based survey. J Med Internet Res. 2017;19(12):e403. doi: 10.2196/jmir.7624
  39. Taft TH, Keefer L, Leonhard C, Nealon-Woods M. Impact of perceived stigma on inflammatory bowel disease patient outcomes. Inflamm Bowel Dis. 2009;15(8):1224–1232. doi: 10.1002/ibd.20864
  40. Taft TH, Bedell A, Naftaly J, Keefer L. Stigmatization toward irritable bowel syndrome and inflammatory bowel disease in an online cohort. Neurogastroenterol Motil. 2017;29(2):10.1111/nmo.12921. doi: 10.1111/nmo.12921
  41. Skrautvol K, Nåden D. Tolerance limits, self-understanding, and stress resilience in integrative recovery of inflammatory bowel disease. Holist Nurs Pract. 2017;31(1):30–41. doi: 10.1097/HNP.0000000000000189
  42. Taft TH, Keefer L. A systematic review of disease-related stigmatization in patients living with inflammatory bowel disease. Clin Exp Gastroenterol. 2016;9:49–58. doi: 10.2147/CEG.S83533
  43. Taft TH, Ballou S, Bedell A, Lincenberg D. Psychological considerations and interventions in inflammatory bowel disease patient care. Gastroenterol Clin North Am. 2017;46(4):847–858. doi: 10.1016/j.gtc.2017.08.007
  44. Schoefs E, Vermeire S, Ferrante M, et al. What are the unmet needs and most relevant treatment outcomes according to patients with inflammatory bowel disease? A qualitative patient preference study. J Crohns Colitis. 2023;17(3):379–388. doi: 10.1093/ecco-jcc/jjac145 EDN: VOSUWG
  45. Romasenko LV, Makhov VM, Isaykina MA. Disorders of the anxiety-depressive spectrum in inflammatory bowel diseases (psychosomatic correlations). Zh Nevrol Psikhiatr Im S S Korsakova. 2019;119(4):9–13. doi: 10.17116/jnevro20191190419 EDN: MQIMBX
  46. Mackner LM, Crandall WV. Long-term psychosocial outcomes reported by children and adolescents with inflammatory bowel disease. Am J Gastroenterol. 2005;100(6):1386–1392. doi: 10.1111/j.1572-0241.2005.41428.x
  47. Bel LG, Vollebregt AM, Van der Meulen-de Jong AE, et al. Sexual dysfunctions in men and women with inflammatory bowel disease: the influence of IBD-related clinical factors and depression on sexual function. J Sex Med. 2015;12(7):1557–1567. doi: 10.1111/jsm.12913
  48. Wright EK, Kamm MA. Impact of drug therapy and surgery on quality of life in Crohn's disease: a systematic review. Inflamm Bowel Dis. 2015;21(5):1187–1194. doi: 10.1097/MIB.0000000000000271
  49. Ananthakrishnan AN, Gainer VS, Cai T, et al. Similar risk of depression and anxiety following surgery or hospitalization for Crohn's disease and ulcerative colitis. Am J Gastroenterol. 2013;108(4):594–601. doi: 10.1038/ajg.2012.471
  50. Williams-Hall R, Trennery C, Sully K, et al. A qualitative study to explore the symptoms and impacts of Crohn's disease and to develop the Crohn's disease diary. Qual Life Res. 2023;32(1):209–223. doi: 10.1007/s11136-022-03233-9 EDN: PYALKX
  51. Levenstein S, Li Z, Almer S, et al. Cross-cultural variation in disease-related concerns among patients with inflammatory bowel disease. Am J Gastroenterol. 2001;96(6):1822–1830. doi: 10.1111/j.1572-0241.2001.03878.x EDN: BDIQRJ
  52. Daniel JM. Young adults' perceptions of living with chronic inflammatory bowel disease. Gastroenterol Nurs. 2002;25(3):83–94. doi: 10.1097/00001610-200205000-00002
  53. Purc-Stephenson R, Bowlby D, Qaqish ST. "A gift wrapped in barbed wire" positive and negative life changes after being diagnosed with inflammatory bowel disease. Qual Life Res. 2015;24(5):1197–1205. doi: 10.1007/s11136-014-0843-0 EDN: GFWWWA
  54. Fletcher PC, Schneider MA, Van Ravenswaay V, Leon Z. I am doing the best that I can!: living with inflammatory bowel disease and/or irritable bowel syndrome (part II). Clin Nurse Spec. 2008;22(6):278–285. doi: 10.1097/01.NUR.0000325382.99717.ac

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