TY - JOUR
T1 - Self-Worth Beliefs Predict Willingness to Engage in Psychotherapy for Fatigue in Inflammatory Bowel Disease
AU - Emerson, Catherine
AU - Skvarc, David
AU - Fuller-Tyszkiewicz, Matthew
AU - Olive, Lisa
AU - Gibson, Peter R.
AU - Mikocka-Walus, Antonina
N1 - Funding Information:
Open Access funding enabled and organized by CAUL and its Member Institutions. No funding or writing assistance was received. We do not have any conflicts of interest in relation to the present study; however, outside this work, AMW has served as an educational speaker for Janssen and Ferring. CE has served as a patient advocate for Janssen. PRG has served as a speaker, a consultant, and an advisory board member for Allergan, Janssen, MSD, Pfizer, Anatara, Atmo Biosciences, Immunic Therapeutics, Novozymes, and Takeda and Bristol-Meyers Squibb, and has received research funding from MSD and Atmo Biosciences, and PRG owns stocks and shares in Atmo Biosciences.
Publisher Copyright:
© 2022, The Author(s).
PY - 2022/12
Y1 - 2022/12
N2 - Background: Fatigue in inflammatory bowel disease (IBD) is poorly controlled, with few existing interventions. Psychotherapy interventions for IBD fatigue show promise; however, due to mixed findings in efficacy and attrition, current interventions need improvement. Some research shows beliefs about psychotherapy and stigma toward psychotherapy may impact engagement in psychotherapy interventions. Aims: This study aimed to examine the effects of IBD activity, fatigue, mental health status, previous experience with psychotherapy, and stigma toward psychotherapy on willingness to use psychotherapy as a fatigue intervention. Methods: An online cross-sectional survey was conducted, and linear regression models were used to examine willingness to engage in psychotherapy for fatigue. Results: Overall, 834 participants completed the survey. Regression analysis examining demographics, mental health status, IBD activity, fatigue, pain, antidepressant use, psychotherapy experience, and self-worth intervention efficacy belief significantly explained 25% of variance in willingness to use psychotherapy for fatigue. Significant factors included antidepressant use (b =.21, p <.01), pain (b = −.05, p <.001), and self-worth intervention belief (b = −.27, p <.001), which uniquely explained 18% of variance in the outcome. Conclusions: Willingness to engage in psychotherapy for fatigue in IBD appears to be driven by expectations related to specific self-worth beliefs, rather than stigma, IBD activity, or any prior experience with psychotherapy. Clinicians should directly address these expectations with their patients.
AB - Background: Fatigue in inflammatory bowel disease (IBD) is poorly controlled, with few existing interventions. Psychotherapy interventions for IBD fatigue show promise; however, due to mixed findings in efficacy and attrition, current interventions need improvement. Some research shows beliefs about psychotherapy and stigma toward psychotherapy may impact engagement in psychotherapy interventions. Aims: This study aimed to examine the effects of IBD activity, fatigue, mental health status, previous experience with psychotherapy, and stigma toward psychotherapy on willingness to use psychotherapy as a fatigue intervention. Methods: An online cross-sectional survey was conducted, and linear regression models were used to examine willingness to engage in psychotherapy for fatigue. Results: Overall, 834 participants completed the survey. Regression analysis examining demographics, mental health status, IBD activity, fatigue, pain, antidepressant use, psychotherapy experience, and self-worth intervention efficacy belief significantly explained 25% of variance in willingness to use psychotherapy for fatigue. Significant factors included antidepressant use (b =.21, p <.01), pain (b = −.05, p <.001), and self-worth intervention belief (b = −.27, p <.001), which uniquely explained 18% of variance in the outcome. Conclusions: Willingness to engage in psychotherapy for fatigue in IBD appears to be driven by expectations related to specific self-worth beliefs, rather than stigma, IBD activity, or any prior experience with psychotherapy. Clinicians should directly address these expectations with their patients.
KW - Crohn’s disease
KW - Fatigue
KW - Inflammatory bowel disease
KW - Psychotherapy
KW - Ulcerative colitis
UR - http://www.scopus.com/inward/record.url?scp=85127629550&partnerID=8YFLogxK
U2 - 10.1007/s10620-022-07476-x
DO - 10.1007/s10620-022-07476-x
M3 - Article
C2 - 35394592
AN - SCOPUS:85127629550
SN - 0163-2116
VL - 67
SP - 5472
EP - 5482
JO - Digestive Diseases and Sciences
JF - Digestive Diseases and Sciences
IS - 12
ER -