The personality traits activity, self-reproach, and negative affect jointly predict clinical recurrence, depressive symptoms, and low quality of life in inflammatory bowel disease patients.


Journal

Journal of gastroenterology
ISSN: 1435-5922
Titre abrégé: J Gastroenterol
Pays: Japan
ID NLM: 9430794

Informations de publication

Date de publication:
11 2022
Historique:
received: 25 02 2022
accepted: 24 06 2022
pubmed: 29 7 2022
medline: 28 10 2022
entrez: 28 7 2022
Statut: ppublish

Résumé

The bidirectional "gut-brain axis" has been implicated in the pathogenesis of inflammatory bowel diseases (IBD). While the influence of stress and depressive symptoms on IBD is well-characterized, the role of personality remains insufficiently investigated. Personality was assessed in 1154 Swiss IBD cohort study (SIBDCS) patients via the NEO-Five-Factor Inventory (NEO-FFI) as well as in 2600 participants of the population-based CoLaus¦PsyCoLaus cohort study (NEO-FFI-revised). The NEO-FFI subcomponents activity, self-reproach and negative affect were associated with higher IBD disease activity and were combined to a NEO-FFI risk score. This risk score was validated and its effect on clinical IBD course and psychological endpoints was analysed in time-to-event and cumulative incidence analyses. In time-to-event analyses, a high NEO-FFI risk score was predictive for the clinical endpoints of new extraintestinal manifestation [EIM, adjusted hazard ratio (aHR) = 1.64, corrected p value (q) = 0.036] and two established composite flare endpoints (aHR = 1.53-1.63, q = 0.003-0.006) as well as for the psychological endpoints depressive symptoms (aHR = 7.06, q < 0.001) and low quality of life (aHR = 3.06, q < 0.001). Furthermore, cumulative incidence analyses showed that patients at high NEO-FFI risk experienced significantly more episodes of active disease, new EIMs, one of the flare endpoints, depressive episodes and low disease-related quality of life. Personalities of IBD patients showed only minor differences from the general population sample (Pearson's r = 0.03-0.14). Personality assessed by the NEO-FFI contained considerable predictive power for disease recurrence, depressive symptoms and low quality of life in IBD patients. Nevertheless, the personalities of IBD patients did not substantially differ from the general population.

Sections du résumé

BACKGROUND
The bidirectional "gut-brain axis" has been implicated in the pathogenesis of inflammatory bowel diseases (IBD). While the influence of stress and depressive symptoms on IBD is well-characterized, the role of personality remains insufficiently investigated.
METHODS
Personality was assessed in 1154 Swiss IBD cohort study (SIBDCS) patients via the NEO-Five-Factor Inventory (NEO-FFI) as well as in 2600 participants of the population-based CoLaus¦PsyCoLaus cohort study (NEO-FFI-revised). The NEO-FFI subcomponents activity, self-reproach and negative affect were associated with higher IBD disease activity and were combined to a NEO-FFI risk score. This risk score was validated and its effect on clinical IBD course and psychological endpoints was analysed in time-to-event and cumulative incidence analyses.
RESULTS
In time-to-event analyses, a high NEO-FFI risk score was predictive for the clinical endpoints of new extraintestinal manifestation [EIM, adjusted hazard ratio (aHR) = 1.64, corrected p value (q) = 0.036] and two established composite flare endpoints (aHR = 1.53-1.63, q = 0.003-0.006) as well as for the psychological endpoints depressive symptoms (aHR = 7.06, q < 0.001) and low quality of life (aHR = 3.06, q < 0.001). Furthermore, cumulative incidence analyses showed that patients at high NEO-FFI risk experienced significantly more episodes of active disease, new EIMs, one of the flare endpoints, depressive episodes and low disease-related quality of life. Personalities of IBD patients showed only minor differences from the general population sample (Pearson's r = 0.03-0.14).
CONCLUSIONS
Personality assessed by the NEO-FFI contained considerable predictive power for disease recurrence, depressive symptoms and low quality of life in IBD patients. Nevertheless, the personalities of IBD patients did not substantially differ from the general population.

Identifiants

pubmed: 35900592
doi: 10.1007/s00535-022-01902-7
pii: 10.1007/s00535-022-01902-7
pmc: PMC9596530
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

848-866

Subventions

Organisme : Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
ID : 33CS30-148422
Organisme : Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
ID : 3200B0-105993
Organisme : Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
ID : 3200B0-118308
Organisme : Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
ID : 33CSCO-122661
Organisme : Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
ID : 33CS30-139468
Organisme : Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
ID : 33CS30-148401
Organisme : Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
ID : 33CS30-177535

Investigateurs

Claudia Anderegg (C)
Peter Bauerfeind (P)
Christoph Beglinger (C)
Stefan Begré (S)
Dominique Belli (D)
José M Bengoa (JM)
Luc Biedermann (L)
Beat Bigler (B)
Janek Binek (J)
Mirjam Blattmann (M)
Stephan Boehm (S)
Jan Borovicka (J)
Christian P Braegger (CP)
Nora Brunner (N)
Patrick Bühr (P)
Bernard Burnand (B)
Emanuel Burri (E)
Sophie Buyse (S)
Matthias Cremer (M)
Dominique H Criblez (DH)
Philippe de Saussure (P)
Lukas Degen (L)
Joakim Delarive (J)
Christopher Doerig (C)
Barbara Dora (B)
Gian Dorta (G)
Mara Egger (M)
Tobias Ehmann (T)
Ali El-Wafa (A)
Matthias Engelmann (M)
Jessica Ezri (J)
Christian Felley (C)
Markus Fliegner (M)
Nicolas Fournier (N)
Montserrat Fraga (M)
Pascal Frei (P)
Remus Frei (R)
Michael Fried (M)
Florian Froehlich (F)
Christian Funk (C)
Raoul Ivano Furlano (RI)
Suzanne Gallot-Lavallée (S)
Martin Geyer (M)
Marc Girardin (M)
Delphine Golay (D)
Tanja Grandinetti (T)
Beat Gysi (B)
Horst Haack (H)
Johannes Haarer (J)
Beat Helbling (B)
Peter Hengstler (P)
Denise Herzog (D)
Cyrill Hess (C)
Klaas Heyland (K)
Thomas Hinterleitner (T)
Philippe Hiroz (P)
Claudia Hirschi (C)
Petr Hruz (P)
Rika Iwata (R)
Res Jost (R)
Pascal Juillerat (P)
Vera Kessler Brondolo (VK)
Christina Knellwolf (C)
Christoph Knoblauch (C)
Henrik Köhler (H)
Rebekka Koller (R)
Claudia Krieger-Grübel (C)
Gerd Kullak-Ublick (G)
Patrizia Künzler (P)
Markus Landolt (M)
Rupprecht Lange (R)
Frank Serge Lehmann (FS)
Andrew Macpherson (A)
Philippe Maerten (P)
Michel H Maillard (MH)
Christine Manser (C)
Michael Manz (M)
Urs Marbet (U)
George Marx (G)
Christoph Matter (C)
Valérie McLin (V)
Rémy Meier (R)
Martina Mendanova (M)
Christa Meyenberger (C)
Pierre Michetti (P)
Benjamin Misselwitz (B)
Darius Moradpour (D)
Bernhard Morell (B)
Patrick Mosler (P)
Christian Mottet (C)
Christoph Müller (C)
Pascal Müller (P)
Beat Müllhaupt (B)
Claudia Münger-Beyeler (C)
Leilla Musso (L)
Andreas Nagy (A)
Michaela Neagu (M)
Cristina Nichita (C)
Jan Niess (J)
Natacha Noël (N)
Andreas Nydegger (A)
Nicole Obialo (N)
Carl Oneta (C)
Cassandra Oropesa (C)
Ueli Peter (U)
Daniel Peternac (D)
Laetitia Marie Petit (LM)
Franziska Piccoli-Gfeller (F)
Julia Beatrice Pilz (JB)
Valérie Pittet (V)
Nadia Raschle (N)
Ronald Rentsch (R)
Sophie Restellini (S)
Jean-Pierre Richterich (JP)
Sylvia Rihs (S)
Marc Alain Ritz (MA)
Jocelyn Roduit (J)
Daniela Rogler (D)
Gerhard Rogler (G)
Jean-Benoît Rossel (JB)
Markus Sagmeister (M)
Gaby Saner (G)
Bernhard Sauter (B)
Mikael Sawatzki (M)
Michela Schäppi (M)
Michael Scharl (M)
Martin Schelling (M)
Susanne Schibli (S)
Hugo Schlauri (H)
Sybille Schmid Uebelhart (SS)
Jean-François Schnegg (JF)
Alain Schoepfer (A)
Frank Seibold (F)
Mariam Seirafi (M)
Gian-Marco Semadeni (GM)
David Semela (D)
Arne Senning (A)
Marc Sidler (M)
Christiane Sokollik (C)
Johannes Spalinger (J)
Holger Spangenberger (H)
Philippe Stadler (P)
Michael Steuerwald (M)
Alex Straumann (A)
Bigna Straumann-Funk (B)
Michael Sulz (M)
Joël Thorens (J)
Sarah Tiedemann (S)
Radu Tutuian (R)
Stephan Vavricka (S)
Francesco Viani (F)
Jürg Vögtlin (J)
Roland von Känel (R)
Alain Vonlaufen (A)
Dominique Vouillamoz (D)
Rachel Vulliamy (R)
Jürg Wermuth (J)
Helene Werner (H)
Paul Wiesel (P)
Reiner Wiest (R)
Tina Wylie (T)
Jonas Zeitz (J)
Dorothee Zimmermann (D)

Informations de copyright

© 2022. The Author(s).

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Auteurs

Sebastian Bruno Ulrich Jordi (SBU)

Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Department of Gastroenterology and Hepatology, University Hospital Zurich and Zurich University, Zurich, Switzerland.
Department for Biomedical Research, Visceral Surgery and Medicine, Systems Biomedicine of Cellular Development and Signaling in Health and Disease, University of Bern, Bern, Switzerland.

Brian Matthew Lang (BM)

Clinic for Transplantation Immunology and Nephrology (Swiss Transplant Cohort Study), University Hospital of Basel, Basel, Switzerland.

Jacqueline Wyss (J)

Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Department for Biomedical Research, Visceral Surgery and Medicine, Systems Biomedicine of Cellular Development and Signaling in Health and Disease, University of Bern, Bern, Switzerland.

Bianca Auschra (B)

Department of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of Zurich, Zurich, Switzerland.

Bahtiyar Yilmaz (B)

Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Department for Biomedical Research, Visceral Surgery and Medicine, Systems Biomedicine of Cellular Development and Signaling in Health and Disease, University of Bern, Bern, Switzerland.

Niklas Krupka (N)

Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Thomas Greuter (T)

Department of Gastroenterology and Hepatology, University Hospital Zurich and Zurich University, Zurich, Switzerland.
Division of Gastroenterology and Hepatology, University Hospital Lausanne-CHUV, Lausanne, Switzerland.

Philipp Schreiner (P)

Department of Gastroenterology and Hepatology, University Hospital Zurich and Zurich University, Zurich, Switzerland.

Luc Biedermann (L)

Department of Gastroenterology and Hepatology, University Hospital Zurich and Zurich University, Zurich, Switzerland.

Martin Preisig (M)

Department of Psychiatry, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.

Roland von Känel (R)

Department of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of Zurich, Zurich, Switzerland.

Gerhard Rogler (G)

Department of Gastroenterology and Hepatology, University Hospital Zurich and Zurich University, Zurich, Switzerland.

Stefan Begré (S)

Neurology, Department of Biomedical Research, Bern University Hospital, University of Bern, Bern, Switzerland.
ISFOM-Institute of Stress Diseases and Stressmanagement, Zurich, Switzerland.

Benjamin Misselwitz (B)

Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland. benjamin.misselwitz@insel.ch.

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