Unrevealed Depression Involves Dysfunctional Coping Strategies in Crohn’s Disease Patients in Clinical Remission

Background and Aims. This study investigated the proportion of CD patients in clinical remission with clinical depression, and coping strategies in those with severe depressive disorders. Materials and Methods. One hundred consecutive CD patients in clinical remission were screened for anxiety and d...

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Main Authors: Caterina Viganò, Roberta Calzolari, Paola Marianna Marinaccio, Cristina Bezzio, Federica Furfaro, Gabriella Ba, Giovanni Maconi
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2016/7803262
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author Caterina Viganò
Roberta Calzolari
Paola Marianna Marinaccio
Cristina Bezzio
Federica Furfaro
Gabriella Ba
Giovanni Maconi
author_facet Caterina Viganò
Roberta Calzolari
Paola Marianna Marinaccio
Cristina Bezzio
Federica Furfaro
Gabriella Ba
Giovanni Maconi
author_sort Caterina Viganò
collection DOAJ
description Background and Aims. This study investigated the proportion of CD patients in clinical remission with clinical depression, and coping strategies in those with severe depressive disorders. Materials and Methods. One hundred consecutive CD patients in clinical remission were screened for anxiety and depression by using Hospital Anxiety and Depression Scale and patients with depressive symptoms were further investigated by means of Cognitive Behavioural Assessment 2.0 and Beck Depression Inventory (BDI). Afterwards the coping strategies were assessed through the Brief-COPE questionnaire. Results. Twenty-one patients had anxious symptoms and 16 had depressive symptoms with or without anxiety. Seven of these patients (43.8%) showed significant depressive symptoms. Compared to patients without psychiatric disorders, these patients showed significant lower score in “positive reframing” (p: 0.017) and in “planning” (p: 0.046) and higher score in “use of instrumental social support” (p<0.001), in “denial” scale (p: 0.001), and in “use of emotional social support” (p: 0.003). Conclusions. Depressed CD patients in clinical remission may have dysfunctional coping strategies, meaning that they may not be able to implement functional strategies to manage at best stress related with their disease.
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institution Kabale University
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series Gastroenterology Research and Practice
spelling doaj-art-1854f91f5c084c569f55cbe7caa18aac2025-08-20T03:54:12ZengWileyGastroenterology Research and Practice1687-61211687-630X2016-01-01201610.1155/2016/78032627803262Unrevealed Depression Involves Dysfunctional Coping Strategies in Crohn’s Disease Patients in Clinical RemissionCaterina Viganò0Roberta Calzolari1Paola Marianna Marinaccio2Cristina Bezzio3Federica Furfaro4Gabriella Ba5Giovanni Maconi6Psychiatry Unit, Department of Biomedical and Clinical Sciences, L. Sacco University Hospital, Via G.B. Grassi 74, 20157 Milan, ItalyPsychiatry Unit, Department of Biomedical and Clinical Sciences, L. Sacco University Hospital, Via G.B. Grassi 74, 20157 Milan, ItalyPsychiatry Unit, Department of Biomedical and Clinical Sciences, L. Sacco University Hospital, Via G.B. Grassi 74, 20157 Milan, ItalyGastroenterology Unit, Department of Biomedical and Clinical Sciences, L. Sacco University Hospital, Via G.B. Grassi 74, 20157 Milan, ItalyGastroenterology Unit, Department of Biomedical and Clinical Sciences, L. Sacco University Hospital, Via G.B. Grassi 74, 20157 Milan, ItalyPsychiatry Unit, Department of Biomedical and Clinical Sciences, L. Sacco University Hospital, Via G.B. Grassi 74, 20157 Milan, ItalyGastroenterology Unit, Department of Biomedical and Clinical Sciences, L. Sacco University Hospital, Via G.B. Grassi 74, 20157 Milan, ItalyBackground and Aims. This study investigated the proportion of CD patients in clinical remission with clinical depression, and coping strategies in those with severe depressive disorders. Materials and Methods. One hundred consecutive CD patients in clinical remission were screened for anxiety and depression by using Hospital Anxiety and Depression Scale and patients with depressive symptoms were further investigated by means of Cognitive Behavioural Assessment 2.0 and Beck Depression Inventory (BDI). Afterwards the coping strategies were assessed through the Brief-COPE questionnaire. Results. Twenty-one patients had anxious symptoms and 16 had depressive symptoms with or without anxiety. Seven of these patients (43.8%) showed significant depressive symptoms. Compared to patients without psychiatric disorders, these patients showed significant lower score in “positive reframing” (p: 0.017) and in “planning” (p: 0.046) and higher score in “use of instrumental social support” (p<0.001), in “denial” scale (p: 0.001), and in “use of emotional social support” (p: 0.003). Conclusions. Depressed CD patients in clinical remission may have dysfunctional coping strategies, meaning that they may not be able to implement functional strategies to manage at best stress related with their disease.http://dx.doi.org/10.1155/2016/7803262
spellingShingle Caterina Viganò
Roberta Calzolari
Paola Marianna Marinaccio
Cristina Bezzio
Federica Furfaro
Gabriella Ba
Giovanni Maconi
Unrevealed Depression Involves Dysfunctional Coping Strategies in Crohn’s Disease Patients in Clinical Remission
Gastroenterology Research and Practice
title Unrevealed Depression Involves Dysfunctional Coping Strategies in Crohn’s Disease Patients in Clinical Remission
title_full Unrevealed Depression Involves Dysfunctional Coping Strategies in Crohn’s Disease Patients in Clinical Remission
title_fullStr Unrevealed Depression Involves Dysfunctional Coping Strategies in Crohn’s Disease Patients in Clinical Remission
title_full_unstemmed Unrevealed Depression Involves Dysfunctional Coping Strategies in Crohn’s Disease Patients in Clinical Remission
title_short Unrevealed Depression Involves Dysfunctional Coping Strategies in Crohn’s Disease Patients in Clinical Remission
title_sort unrevealed depression involves dysfunctional coping strategies in crohn s disease patients in clinical remission
url http://dx.doi.org/10.1155/2016/7803262
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