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Body image disturbance and quality of life in C hinese patients with ankylosing spondylitis
Author(s) -
Shen Biyu,
Zhang Aixian,
Liu Jingwei,
Da Zhanyun,
Xu Xujuan,
Liu Hong,
Li Liren,
Gu Zhifeng
Publication year - 2014
Publication title -
psychology and psychotherapy: theory, research and practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.102
H-Index - 62
eISSN - 2044-8341
pISSN - 1476-0835
DOI - 10.1111/papt.12016
Subject(s) - anxiety , ankylosing spondylitis , depression (economics) , quality of life (healthcare) , medicine , vitality , physical therapy , psychiatry , philosophy , theology , economics , macroeconomics , nursing
Background Ankylosing spondylitis ( AS ) is a painful inflammatory disease of the axial skeleton that can cause body image disturbance ( BID ) and may lead to psychological changes in AS patients. Objective This study investigated the effect of AS patient physical and psychological status on BID and quality of life ( QOL ). Methods Overall, 112 AS patients (84 males, 28 females; mean age, 32.8 ± 10.8) and 127 healthy age‐matched individuals (control group; 78 males, 49 females; mean age, 36.9 ± 12.6) were screened for inclusion in the single‐centre study. Multiple instruments assessing physical function, psychological function, body image, and QOL were applied. Multivariate stepwise regression analyses were used to determine factors associated with BID , anxiety, and depression. Results Of 103 AS patients and 121 control subjects, AS patients exhibited greater BID ‐associated social function, social life, and role function impairments ( BID Questionnaire [ BIDQ ] 2.42 vs. 1.02; 2.20 vs. 1.19; 2.54 vs. 0.72, respectively), lower behavioural avoidance ( BIDQ 3.07 vs. 3.49), and similar decreases in vitality and mental health ( p < .01). Impaired social function predicted anxiety and depression in AS patients. Disease status (daily activity, general health, and pain) and psychological status ( BID , anxiety, and depression) predicted poor QOL ( p < .05). Conclusion BID may play a significant role in causing clinical psychological dysfunction in AS patients, including anxiety and depression. Further research is required to fully assess whether these observations are similar in patients with variant AS severity. BID may be useful in clinical prognostic assessment and AS management. Practitioner points AS patients investigated in this study exhibited BID. There were significant relationships between the BIDQ, disease and psychological variables, and QOL. Disease status, BID, and anxiety and depression indicated a poor QOL.