Title Ponašajno-afektivne odrednice patnje kod sindorma iritabilnog crijeva Title (english) Behavioral-Affective Determinants of Suffering in Irritable Bowel Syndrome Author Barbara Paušak Mentor Mladenka Tkalčić (mentor)Mentor Rosana Troskot Perić (komentor)Committee member Alessandra Pokrajac-Bulian (predsjednik povjerenstva)Committee member Mladenka Tkalčić (član povjerenstva)Committee member Rosana Troskot Perić (član povjerenstva)Committee member Miljana Kukić (član povjerenstva)Committee member Sanda Pletikosić Tončić (član povjerenstva)Granter University of Rijeka Defense date and country 2021-09-29, Croatia Scientific / art field, SOCIAL SCIENCES Abstract Cilj ovog istraživanja bio je ispitati povezanosti između ponašanja specifičnih za sindrom iritabilnog crijeva (SIC), katastrofiziranja, anksiozne osjetljivosti, pozitivnog raspoloženja i aspekata razine patnje, te ispitati moguće medijacijske efekte katastrofiziranja, anksiozne osjetljivosti i pozitivnog raspoloženja u odnosu između specifičnih ponašanja i aspekata razine patnje. Istraživanje je provedeno u sklopu znanstvenoistraživačkog projekta „Kognitivno-afektivne i ponašajne odrednice sindroma iritabilnog crijeva―, a u njemu je sudjelovalo 74 ispitanika (60 žena i 14 muškaraca) s dijagnozom SIC-a, u dobi od 21 do 80 godina. Ispitivanje se provodilo u tri stadija: prvi i treći stadij se odnosio na popunjavanje upitničkih mjera u bolnicama, dok se drugi stadij odnosio na samostalno dvotjedno dnevničko praćenje. Dobivena je negativna povezanost između odvojenosti bolesti i percipirane veličine bolesti. Također, dobivena je negativna povezanost ponašanja specifičnih za SIC i odvojenosti bolesti, kao i pozitivna povezanost specifičnih ponašanja i percipirane veličine bolesti. Specifična ponašanja također su pozitivno povezana i s katastrofiziranjem i s anksioznom osjetljivošću. Katastrofiziranje i anksiozna osjetljivost međusobno su pozitivno povezane, dok je pozitivno raspoloženje značajno negativno povezano s katastrofiziranjem i negativno s percipiranom veličinom bolesti. Katastrofiziranje i anksiozna osjetljivost su negativno povezane s odvojenošću bolesti, a pozitivno s percipiranom veličinom bolesti. Nadalje, katastrofiziranje i anksiozna osjetljivost ne posreduju u odnosu između izbjegavajućih ponašanja i odvojenosti bolesti, ali značajno posreduju u negativnoj povezanosti između kontrolirajućih ponašanja i odvojenosti bolesti. Osim toga, katastrofiziranje i anksiozna osjetljivost posreduju u pozitivnoj povezanosti između izbjegavajućih, kao i kontrolirajućih ponašanja i percipirane veličine bolesti. Nalazi ovog istraživanja pridonose objašnjenju SIC-a iz biopsihosocijalne perspektive, odnosno KBT modela ukazujući na važnost uloge ponašanja specifičnih za SIC, katastrofiziranja i anksiozne osjetljivosti u patnji oboljelih osoba.
Abstract (english) The aim of this study was to examine the relationships between irritable bowel syndrome (IBS)-specific behaviours, catastrophizing, anxiety sensitivity, positive mood and aspects of suffering, as well as to investigate possible mediating effects of catastrophizing, anxiety sensitivity and positive mood on relationships between specific behaviours and aspects of suffering. The research was conducted as a part of the scientific project "Cognitive-affective and behavioural determinants of irritable bowel syndrome". 74 subjects (60 women and 14 men) diagnosed with IBS participated in research, with ages ranging from 21 to 80 years. The study was conducted in three stages - the first and third stage consisted of completing various questionnaires in hospitals, while the second stage consisted of a two-week monitoring period using a diary technique. Results showed a negative correlation between self-illness separation and illness perception measure. Results also showed a negative correlation between IBS-specific behaviours and self-illness separation, as well as a positive correlation between specific behaviours and illness perception measure. Specific behaviours are also positively correlated with both catastrophizing and anxiety sensitivity. Catastrophizing and anxiety sensitivity are positively correlated, while positive mood is significantly negatively correlated with catastrophizing and negatively with illness perception measure. Catastrophizing and anxiety sensitivity are negatively correlated with self-illness separation, and positively with illness perception measure. Furthermore, catastrophizing and anxiety sensitivity do not mediate the relationship between avoidance behaviours and self-illness separation, but they do significantly mediate the negative relationship between control behaviours and self-illness separation. In addition, catastrophizing and anxiety sensitivity mediate the positive relationship between avoidance behaviours, as well as control behaviours and illness perception measure. The findings of this study contribute to the explanation of IBS from a biopsychosocial perspective, ie the CBT model, indicating the importance of roles of IBS-specific behaviours, catastrophizing and anxiety sensitivity in the suffering of patients.
Keywords
sindrom iritabilnog crijeva
izbjegavajuća ponašanja
kontrolirajuća ponašanja
PRISM-RII
patnja
kvaliteta života
katastrofiziranje
anksiozna osjetljivost
pozitivno raspoloženje
Keywords (english)
irritable bowel syndrome
avoidance behaviours
control behaviours
safety behaviours
PRISM-RII
suffering
quality of life
catastrophizing
anxiety sensitivity
positive mood
Language croatian URN:NBN urn:nbn:hr:186:865191 Study programme Title: Psychology Type of resource Text File origin Born digital Access conditions Open access Terms of use Created on 2021-10-19 10:16:44
