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P647 A pilot study: The importance of cognitive flexibility and flexibility in coping with stress for the quality of life in inflammatory bowel disease patients during biological therapy

A. Rudnik*1,2, G. Piotrowicz2, M. Basińska3, G. Rydzewska4,5, V. Rashedi6,7

1University of Gdansk, Institute of Psychology, Gdansk, Poland, 2Independent Public Health Care of the Ministry of the Internal Affairs, Department of Gastroenterology, Gdansk, Poland, 3Kazimierz Wielki University, Department of Clinical Psychology, Bydgoszcz, Poland, 4Central Clinical Hospital of the Ministry of Interior and Administration, Department of Gastroenterology, Warsaw, Poland, 5Jan Kochanowski University, The Faculty of Medicine and Health Sciences, Kielce, Poland, 6Iran University of Medical Sciences, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Tehran, Iran, Islamic Republic of, 7University of Social Welfare and Rehabilitation Sciences, Iranian Research Centre on Aging, Tehran, Iran, Islamic Republic of

Background

There are studies demonstrating the relationship between psychological factors and efficiency of treatment in the course of the inflammatory bowel disease (IBD). The biological treatment is an alternative therapy for IBD patients in whom conventional therapy failed. They often experience ups and downs, which makes it increasingly important to provide this group with appropriate psychological counselling. It is possible by, for example, getting to know their psychological resources and checking, whether their level is related to the quality of life. Such resources include cognitive flexibility and flexibility in coping with stress, which allow assessing the ability to cope with a change in life and adapt to new conditions.

Methods

The study group consisted of 33 adults (n = 33), 14 women and 19 men, who were diagnosed with CD (18) or UC (15). All persons were in the course of the biological treatment and were taking the third dosage of the drug the minimum. The average age equalled 35.3 years (SD = 13). The average duration of the disease was 8.5 years (SD = 6.9). The following research methods were used: the Flexibility in Coping with Stress Questionnaire—FCSQ-14 (Basińska et al.), the Cognitive Flexibility Inventory, CFI, (Dennis, Vander Wal, Polish adapt. by Piórowski et al.), the Quality of Life SF-36v2 Questionnaire—the Polish version; the Satisfaction with Life Scale SWLS (Diener, Emmons, Larson, Griffin, Polish adapt. by Juczyński) and the author's own questionnaire to collect the demographic data.

Results

A strong positive correlation (p < 0.01) was observed between cognitive flexibility and a lower sense of limitation imposed by physical or emotional problems in everyday functioning (r = 0.46; r = 0.49)., as well as between cognitive flexibility and the sense of satisfaction with life (r = 0.47). The mental component of the quality of life correlated positively with cognitive flexibility p < 0.05; r = 0.38). In turn, the sense of satisfaction with life correlated (p < 0.05) with the following FCSQ scales: changeability and repertoire (r = 0.39; r = 0.39) and additionally with the cognitive flexibility component alternatives (r = 0.44). The study did not prove that the disease diagnosis (UC or CD) differed the level of cognitive flexibility or flexibility in coping with stress. Older respondents achieved lower results in that scale of the cognitive flexibility (p < 0.01; r = −0.46).

Conclusion

Psychological factors, as cognitive flexibility and flexibility in coping with stress, can be considered to be resources which help to cope with challenges posed by the inflammatory bowel disease. Therefore, it is so significant to increase their level by applying psychotherapeutic methods tailored to the age and the needs of a patient.