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Differentiating Childhood Traumas in Inflammatory Bowel Disease

BACKGROUND: Inflammatory bowel disease is characterized by chronic inflammation of the gastrointestinal tract. Research on inflammatory bowel disease has shown a connection to childhood traumatic events. However, few studies have focused on specific types of traumatic experiences and the impact of c...

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Autores principales: Gnat, Lauren, Mihajlovic, Valentina, Jones, Krista, Tripp, Dean A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10558189/
https://www.ncbi.nlm.nih.gov/pubmed/37811528
http://dx.doi.org/10.1093/jcag/gwad026
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author Gnat, Lauren
Mihajlovic, Valentina
Jones, Krista
Tripp, Dean A
author_facet Gnat, Lauren
Mihajlovic, Valentina
Jones, Krista
Tripp, Dean A
author_sort Gnat, Lauren
collection PubMed
description BACKGROUND: Inflammatory bowel disease is characterized by chronic inflammation of the gastrointestinal tract. Research on inflammatory bowel disease has shown a connection to childhood traumatic events. However, few studies have focused on specific types of traumatic experiences and the impact of confiding in others on disease-related outcomes. This comparative, cross-sectional study expected that: (1) patients would report higher prevalence rates of childhood traumas than healthy controls; (2) healthy controls would report fewer and less severe traumatic experiences than patients and less confiding in others compared to patients; (3) childhood trauma severity would be indirectly related to depressive symptoms through resilience and confiding in others would moderate this relationship. METHODS: Participants completed an online survey; an inflammatory bowel disease patient group (N = 195, M(age) = 40.48, 76.4% female) was compared to a similarly recruited sample of healthy controls (N = 190, M(age) = 31.16, 59.5% female). RESULTS: Patients reported a higher prevalence of experiencing sexual traumas (P = .031), major upheavals (i.e., disruptions) (P = .048), and violence (P = .050) than controls. Patients had significantly higher total trauma severity odds ratios (OR 0.89, 95% CI[0.81,0.97]) and significantly lower total confiding in other odds ratios than controls (OR 1.09, 95% CI[1.02,1.16]). Childhood trauma severity was indirectly related to depressive symptoms through resilience, b = .05, SE = 0.09, 95% CI[0.01,0.09]; however, confiding did not moderate this relationship. CONCLUSIONS: Patients reported more sexual, disruptive, and violent traumas. Although confiding did not act as a moderator, trauma was related to depressive symptoms through resilience.
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spelling pubmed-105581892023-10-07 Differentiating Childhood Traumas in Inflammatory Bowel Disease Gnat, Lauren Mihajlovic, Valentina Jones, Krista Tripp, Dean A J Can Assoc Gastroenterol Original Articles BACKGROUND: Inflammatory bowel disease is characterized by chronic inflammation of the gastrointestinal tract. Research on inflammatory bowel disease has shown a connection to childhood traumatic events. However, few studies have focused on specific types of traumatic experiences and the impact of confiding in others on disease-related outcomes. This comparative, cross-sectional study expected that: (1) patients would report higher prevalence rates of childhood traumas than healthy controls; (2) healthy controls would report fewer and less severe traumatic experiences than patients and less confiding in others compared to patients; (3) childhood trauma severity would be indirectly related to depressive symptoms through resilience and confiding in others would moderate this relationship. METHODS: Participants completed an online survey; an inflammatory bowel disease patient group (N = 195, M(age) = 40.48, 76.4% female) was compared to a similarly recruited sample of healthy controls (N = 190, M(age) = 31.16, 59.5% female). RESULTS: Patients reported a higher prevalence of experiencing sexual traumas (P = .031), major upheavals (i.e., disruptions) (P = .048), and violence (P = .050) than controls. Patients had significantly higher total trauma severity odds ratios (OR 0.89, 95% CI[0.81,0.97]) and significantly lower total confiding in other odds ratios than controls (OR 1.09, 95% CI[1.02,1.16]). Childhood trauma severity was indirectly related to depressive symptoms through resilience, b = .05, SE = 0.09, 95% CI[0.01,0.09]; however, confiding did not moderate this relationship. CONCLUSIONS: Patients reported more sexual, disruptive, and violent traumas. Although confiding did not act as a moderator, trauma was related to depressive symptoms through resilience. Oxford University Press 2023-08-28 /pmc/articles/PMC10558189/ /pubmed/37811528 http://dx.doi.org/10.1093/jcag/gwad026 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the Canadian Association of Gastroenterology. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Gnat, Lauren
Mihajlovic, Valentina
Jones, Krista
Tripp, Dean A
Differentiating Childhood Traumas in Inflammatory Bowel Disease
title Differentiating Childhood Traumas in Inflammatory Bowel Disease
title_full Differentiating Childhood Traumas in Inflammatory Bowel Disease
title_fullStr Differentiating Childhood Traumas in Inflammatory Bowel Disease
title_full_unstemmed Differentiating Childhood Traumas in Inflammatory Bowel Disease
title_short Differentiating Childhood Traumas in Inflammatory Bowel Disease
title_sort differentiating childhood traumas in inflammatory bowel disease
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10558189/
https://www.ncbi.nlm.nih.gov/pubmed/37811528
http://dx.doi.org/10.1093/jcag/gwad026
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