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* = Presenting author

N005 Emotional Stress and its Influence in the Clinical Evolution of Inflammatory Bowel Disease (IBD)

D. Maldaun*, R.F. Leal, M.d.L.S. Ayrizono, J.J. Fagundes, N. Maria de Paiva, C.S.R. Coy

University of Campinas, Department of Surgery, Colorectal Surgery Unit, Campinas, Brazil

Background

Inflammatory Bowel Disease (IBD) is an immunological condition, with two types being more representative and common: Ulcerative colitis (UC) and Crohn's disease (CD). IBD is important because: it is a worldwide chronic condition; it is becoming more common; it is complex to deal with; there is no cure; and responses to clinical treatment and surgery vary.The objective was to understand the influence of emotional stress and its significance in relation to the clinical evolution of patients with IBD.

Methods

Qualitative clinical treatment. This study examined fifty-three patients of both gender between the ages of 18 to 74 with IBD at the "Dr. Juvenal Ricardo Navarro Goes" Ambulatory Unit of the Diagnostic Center of Gastrointestinal Disease (GASTROCENTRO) of FCM-UNICAMP and a particular clinical in São Paulo/SP. A semi-structured interview was used to evaluate the following aspects: a) their knowledge of IBD; b) the feeling that IBD represents to them; c) the way in which they live with the symptoms of the disease; d) the feelings they felt the moment they were hospitalized. Data collection also included an examination of the patients' medical and life histories.

Results

The findings in the selected categories show that: a) 60% of the patients knew little about the disease; b) the feeling/significance of the disease for 75% of the patients was of much suffering, stress and solitude; c) 98% of them had felt infirm, both in the exacerbation of their condition and in its remission, in unique and singular ways, with consequences both psychological (anxiety, fear and depression) and social (isolation); d) 90% reported that they felt much anguish in relation to hospitalization due to its unpredictability.

Conclusion

The influence of emotional stress in the life of a human, whether young, middle-aged or old, in situations of conflict, was found to be relevant to the clinical evolution of this disease and its consequences, which can have various impacts on the organism depending on the individual's awareness of the disease and the psychological and biological resources that each individual can call upon to face it.