The mediating effect of psychological resilience on the level of mindfulness and general well-being in patients with inflammatory bowel disease

Background: The incidence of inflammatory lx)wel disease (IBD) increases annually, and IBD patients may experience various psychological symptoms. People with higher levels of psychological resilience tend to cope with negative events in a positive way. So here we explored the correlation of mindfulness level, psychological resilience, and general well-being in patients with inflammatory bowel disease (IBD), and the mediating effect of psychological resilience on mindfulness level and happiness in IBD. Methods: Five Facet Mindfulness Questionnaire (FFMQ), Connor-Davidson Resilience Scale (CDRICS), and General Well-Being Schedule (GWB) were used for investigation among the randomly selected IBD patients. Pearson correlation analysis and the structural equation model by Amos 24.0 were applied to explore the relationship between mindfulness level, psychological resilience, and general well-being. The mediating effect of psychological resilience was detected by bootstrap method. Results: A total of 159 of the 184 distributed questionnaires were recovered (recovery rate 73.3%), and 135 of them were used for subsequent investigations. In IBD patients, the score of mindfulness level, psychological resilience, and general well-being were (119.95 +/- 8.64), (58.37=19.32), and (73.59 +/- 13.88), respectively. Both male and female score were lower than ordinary model (52.7% and 42.9%, respectively). Pearson results displayed that mindfulness level (r=0.312-0.390, P<0.01) and overall well-being (r=0.490-0.590, P<0.01) were positively related to psychological resilience and its 3 dimensions, respectively. Similarly, mindfulness level was positively correlated with overall well-being (r=0.391, P<0.01). Mediating effect of psychological resilience between mindfulness level and overall well-being was 0.232 (P=0.001). The 95% confidence interval (95% CI) of psychological resilience as mediating effect (59.3% of total) was (0.138 to 0.332). Conclusions: We concluded that psychological resilience in IBD patients has a partially mediating effect between mindfulness level and overall well-being.