Improving disease management of patients with inflammatory bowel disease: the potential role of self-concordant health goals

被引:1
作者
Horvat, Barbara [1 ]
David, Anett [2 ]
Sallay, Viola [3 ]
Rafael, Beatrix [4 ]
Njers, Sanela [5 ]
Orban, Kata [1 ]
Molnar, Tamas [2 ]
Csabai, Marta [6 ]
Martos, Tamas [3 ]
机构
[1] Univ Szeged, Doctoral Sch Clin Med, Szeged, Hungary
[2] Univ Szeged, Dept Med, Szeged, Hungary
[3] Univ Szeged, Inst Psychol, Szeged, Hungary
[4] Univ Szeged, Dept Prevent Med, Szeged, Hungary
[5] Univ Szeged, Dept Cognit & Neuropsychol, Szeged, Hungary
[6] Karol Gaspar Univ Reformed Church, Dept Clin Psychol, Budapest, Hungary
来源
FRONTIERS IN PSYCHOLOGY | 2023年 / 14卷
关键词
health-related goals; self-concordance; health behavior; chronic disease; inflammatory bowel disease; trait anxiety; ANXIETY; DEPRESSION; EFFICACY; ASSOCIATION; SATISFACTION; ADOLESCENTS; MAINTENANCE; MECHANISMS; MOTIVATION; SYMPTOMS;
D O I
10.3389/fpsyg.2023.1115160
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
Inflammatory bowel diseases (IBD) are chronic gastrointestinal conditions that significantly impact patients' quality of life. Previous research indicates that patients with IBD have a higher prevalence of anxiety compared to the general population and other chronic diseases. This pilot study aimed to investigate the relationships between goal integration, positive and negative emotions, goal self-efficacy, and trait anxiety as the outcome variable, focusing on patients' self-management strategies. Drawing from the Self-Concordance Model (SCM) of Self-Determination Theory (SDT), the study explored how goal integration is associated with more fulfilling and enjoyable experiences and fewer negative emotions, ultimately improving psychological well-being. Health-related goals were evaluated using the Personal Project Analysis technique, while the State-Trait Anxiety Inventory was utilized to measure general anxiety levels. Among the 141 participants with inflammatory bowel disease, 96 reported having health-related goals. Of these, 66 were female (68.75%), and 30 were male participants (31.25%). Path analysis revealed a moderate negative association between self-concordance (SC) and negative emotions, which, in turn, predicted higher levels of trait anxiety. Furthermore, the alternative model tested indicated that trait anxiety predicted a lower level of self-concordance. Setting well-integrated health goals involves an internal capacity, enabling patients to experience less negative emotions during self-management activities. Anxiety can hinder individuals from accessing their inner needs, resulting in less self-concordant aspirations and more negative emotions. These findings may contribute to developing prevention and intervention programs to enhance IBD patients' adherence to lifestyle changes, ultimately improving their overall well-being.
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页数:9
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