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Longitudinal assessment of the common sense model before and during the COVID-19 pandemic: A large coeliac disease cohort study.
Möller, Stephan P; Apputhurai, Pragalathan; Tye-Din, Jason A; Knowles, Simon R.
  • Möller SP; Department of Psychological Sciences, Faculty of Health, Arts and Design, Swinburne University of Technology, Melbourne, Australia. Electronic address: smoller@swin.edu.au.
  • Apputhurai P; Department of Health Sciences and Biostatistics, Swinburne University of Technology, Melbourne, Australia. Electronic address: papputhurai@swin.edu.au.
  • Tye-Din JA; Immunology Division, Walter and Eliza Hall Institute, Melbourne, Australia; Department of Gastroenterology, The Royal Melbourne Hospital, Melbourne, Australia. Electronic address: tyedin@wehi.edu.au.
  • Knowles SR; Department of Psychological Sciences, Faculty of Health, Arts and Design, Swinburne University of Technology, Melbourne, Australia; Department of Gastroenterology, Alfred Health, Melbourne, Australia. Electronic address: sknowles@swin.edu.au.
J Psychosom Res ; 153: 110711, 2022 02.
Article in English | MEDLINE | ID: covidwho-1587151
ABSTRACT

OBJECTIVE:

Psychosocial factors likely play a substantial role in the well-being of those living with coeliac disease, especially during the COVID-19 pandemic, however, little research has examined well-being in this cohort using an integrated socio-cognitive model. This study had two

aims:

(1) Examine changes in gastrointestinal symptoms, psychosocial factors, and well-being outcomes (i.e., psychological distress, quality of life [QoL]) associated with the pandemic, (2) Examine the interrelationship of these variables across timepoints using the Common Sense Model (CSM).

METHODS:

1697 adults with coeliac disease (Time 1, pre-pandemic; 83.1% female, mean age = 55.8, SD = 15.0 years) and 674 follow-up participants (Time 2, pandemic; 82.8% female, mean age = 57.0, SD = 14.4 years) completed an online questionnaire. Hypotheses were tested using repeated measures MANOVA and cross-lagged panel model analyses.

RESULTS:

Participants reported improved QoL, and reduced gastrointestinal symptoms, negative illness perceptions and maladaptive coping from pre-pandemic to during the pandemic. There was no significant change in pain catastrophising or psychological distress. Cross-lagged effects showed gastrointestinal symptoms to predict negative illness perceptions, which in turn were predictive of poorer outcomes across all variables except pain catastrophising. Consistent with the CSM, there was a reciprocal relationship between illness perceptions and QoL over time. Maladaptive coping and pain catastrophising demonstrated limited predictive utility.

CONCLUSION:

The COVID-19 pandemic appears to have had a small beneficial effect across several indices of well-being among adults with coeliac disease. Cross-lagged relationships highlight illness perceptions as a predictor of well-being outcomes and a potential target for psychosocial interventions.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Celiac Disease / COVID-19 Type of study: Cohort study / Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged Language: English Journal: J Psychosom Res Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Celiac Disease / COVID-19 Type of study: Cohort study / Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged Language: English Journal: J Psychosom Res Year: 2022 Document Type: Article