The influence of self-criticism on depression symptoms among ambulatory patients with inflammatory bowel disease

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Trindade, Inês A.,1990-CINEICC, Faculty of Psychology and Educational Sciences, University of Coimbra,Coimbra, Portugal (author)

The influence of self-criticism on depression symptoms among ambulatory patients with inflammatory bowel disease

Article/chapterEnglish2019

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2019-10-28
John Wiley & Sons,2019
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LIBRIS-ID:oai:DiVA.org:oru-109218
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-109218URI
https://doi.org/10.1002/cpp.2398DOI

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Language:English
Summary in:English

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This research has been supported by the first author (Ines A Trindade), Ph.D. Grant (SFRH/BD/101906/2014) sponsored by Fundacao para a Ciencia e Tecnologia (Portuguese Foundation for Science and Technology).
Considering that self-criticism is an important process in the development and maintenance of depression, and taking into account the stigma associated with inflammatory bowel disease (IBD), the present study aimed to analyse whether self-criticism exacerbates the relationships of depression symptoms with IBD symptomatology and chronic illness-related shame. The sample included 53 ambulatory IBD patients (66% females) with ages from 18 to 65. Moderation analyses were conducted using structural equation modelling. Self-criticism exacerbated the associations of depression with IBD symptoms (b = 0.01; standard error [SE] = 0.00; Z = 3.73; P < .001) and illness shame (b = 0.02; SE = 0.01; Z = 2.40; P = .016). For the same level of IBD symptomatology or chronic illness-related shame, those individuals who present more feelings of inadequacy towards the self, experience more symptoms of depression. This exacerbation effect is stronger when IBD symptomatology and chronic illness-related shame are more intense. A high self-critical IBD patient may view the illness and/or symptomatology as a flaw or error that should be self-corrected. Physicians and other health professionals should be attentive to these pathological mechanisms and should attempt to alleviate them. It may be beneficial to refer high self-critical patients to psychological care.

Subject headings and genre

SAMHÄLLSVETENSKAP Psykologi Tillämpad psykologi hsv//swe
SOCIAL SCIENCES Psychology Applied Psychology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Gastroenterologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Gastroenterology and Hepatology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Psykiatri hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Psychiatry hsv//eng
depression
illness shame
inflammatory bowel disease
moderation analysis
self-criticism

Added entries (persons, corporate bodies, meetings, titles ...)

Irons, ChrisCompassionate Mind Foundation, Derby, UK (author)
Ferreira, CláudiaCINEICC, Faculty of Psychology and Educational Sciences, University of Coimbra,Coimbra, Portugal (author)
Portela, FranciscoGastroenterology Service of the Coimbra University Hospital (Centro Hospitalar Universitário de Coimbra), Coimbra, Portugal (author)
Pinto-Gouveia, JoséCINEICC, Faculty of Psychology and Educational Sciences, University of Coimbra,Coimbra, Portugal (author)
CINEICC, Faculty of Psychology and Educational Sciences, University of Coimbra,Coimbra, PortugalCompassionate Mind Foundation, Derby, UK (creator_code:org_t)

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In:Clinical Psychology and Psychotherapy: John Wiley & Sons26:6, s. 743-7501063-39951099-0879

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SOCIAL SCIENCES: SOCIAL SCIENCES; and Psychology; and Applied Psycholo ...

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