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Has the COVID-19 Pandemic Worsened Health-Related Quality of Life of Patients with Inflammatory Bowel Disease? A Longitudinal Disease Activity-Controlled Study

Author

Listed:
  • Ilenia Rosa

    (Department of Dynamic and Clinical Psychology, and Health Studies, “Sapienza” University of Rome, 00185 Rome, Italy)

  • Chiara Conti

    (Department of Psychological, Health, and Territorial Sciences, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy)

  • Luigia Zito

    (Department of Dynamic and Clinical Psychology, and Health Studies, “Sapienza” University of Rome, 00185 Rome, Italy)

  • Konstantinos Efthymakis

    (Department of Medicine and Aging Sciences, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy)

  • Matteo Neri

    (Department of Medicine and Aging Sciences, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy)

  • Piero Porcelli

    (Department of Psychological, Health, and Territorial Sciences, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy)

Abstract

The present longitudinal study aimed to investigate the burden of disease activity change on health-related quality of life (HRQoL) of patients with inflammatory bowel disease (IBD) during the two different pandemic waves in 2020 and 2021. A sample of 221 IBD patients (recruited during March–May 2020 for T0 and March–May 2021 for T1) was included. The psychological impact of the COVID-19 pandemic (Impact of Event Scale-Revised (IES-R)) and HRQoL (Inflammatory Bowel Disease Questionnaire (IBDQ)) were assessed. Post-traumatic COVID-19-related symptoms (IES-R) were not significantly different across the disease activity-related groups. Conversely, IBDQ was consistently higher in patients with persistent, quiescent disease activity compared to the other groups, as expected. Even after controlling for baseline IES-R, repeated-measures ANCOVA showed a non-significant main effect of time ( p = 0.60) but a significant time-per-group interaction effect with a moderate effect size (η 2 = 0.08). During the two different phases of pandemic restrictions, IBD-specific HRQoL was modified by disease-related factors such as disease activity, rather than by the post-traumatic symptoms of COVID-19. This lends further weight to the need for developing an evidence-based, integrated, biopsychosocial model of care for patients with IBD to identify subjective and objective factors that affect the burden of disease.

Suggested Citation

  • Ilenia Rosa & Chiara Conti & Luigia Zito & Konstantinos Efthymakis & Matteo Neri & Piero Porcelli, 2023. "Has the COVID-19 Pandemic Worsened Health-Related Quality of Life of Patients with Inflammatory Bowel Disease? A Longitudinal Disease Activity-Controlled Study," IJERPH, MDPI, vol. 20(2), pages 1-13, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:2:p:1103-:d:1028798
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    References listed on IDEAS

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    1. Giuseppe Forte & Francesca Favieri & Renata Tambelli & Maria Casagrande, 2020. "COVID-19 Pandemic in the Italian Population: Validation of a Post-Traumatic Stress Disorder Questionnaire and Prevalence of PTSD Symptomatology," IJERPH, MDPI, vol. 17(11), pages 1-14, June.
    2. Rodolfo Buselli & Martina Corsi & Sigrid Baldanzi & Martina Chiumiento & Elena Del Lupo & Valerio Dell'Oste & Carlo Antonio Bertelloni & Gabriele Massimetti & Liliana Dell’Osso & Alfonso Cristaudo & C, 2020. "Professional Quality of Life and Mental Health Outcomes among Health Care Workers Exposed to Sars-Cov-2 (Covid-19)," IJERPH, MDPI, vol. 17(17), pages 1-12, August.
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