Exploring the Impact of Covid-19-Related Perceptions on Psychological Distress and Quality of Life in an International Gastrointestinal Cohort Over Time Guided by the Common Sense Model

Simon R Knowles, Stephan P Möller, Andreas Stengel, Antonina Mikocka-Walus, Nuno Ferreira, Inês A Trindade, Anna Mokrowiecka, Johan Burisch, Manuel Barreiro-de Acosta, Charles N Bernstein, Bobby Lo, David Skvarc

Abstract

The aim of this longitudinal study was to examine changes in COVID-19 and illness-related perceptions, gastrointestinal symptoms, coping, catastrophising, psychological distress, and QoL during the COVID-19 pandemic. A total of 831 adults with a gastrointestinal condition completed an online questionnaire at baseline (May-October 2020). Of those, 270 (32.5%) participants (85.2% female, mean age = 47.3 years) provided follow-up data (March-May 2021). Repeated-measures multiple analysis of variance and a cross-lagged panel model were used to test the study hypotheses. Gastrointestinal symptoms and COVID-19 perceptions at follow-up were strongly predicted by their baseline values, while illness perceptions were predicted by baseline gastrointestinal symptoms. Cross-lagged relationships indicated a reciprocal relationship between gastrointestinal symptoms and psychological distress. Moreover, gastrointestinal symptoms had substantial predictive utility, strongly predicting future gastrointestinal symptoms, and to a lesser extent, more negative illness perceptions, greater psychological distress, and greater use of adaptive coping strategies across time.

OriginalsprogEngelsk
TidsskriftJournal of clinical psychology in medical settings
Vol/bind30
Udgave nummer4
Sider (fra-til)804-820
Antal sider17
ISSN1068-9583
DOI
StatusUdgivet - dec. 2023

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