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. 2023 Dec;30(4):804-820.
doi: 10.1007/s10880-023-09937-5. Epub 2023 Jan 24.

Exploring the Impact of Covid-19-Related Perceptions on Psychological Distress and Quality of Life in an International Gastrointestinal Cohort Over Time Guided by the Common Sense Model

Simon R Knowles  1 , Stephan P Möller  2 , Andreas Stengel  3   4 , Antonina Mikocka-Walus  5 , Nuno Ferreira  6 , Inês A Trindade  7   8 , Anna Mokrowiecka  9 , Johan Burisch  10   11 , Manuel Barreiro-de Acosta  12 , Charles N Bernstein  13 , Bobby Lo  10   11 , David Skvarc  5
Affiliations

Exploring the Impact of Covid-19-Related Perceptions on Psychological Distress and Quality of Life in an International Gastrointestinal Cohort Over Time Guided by the Common Sense Model

Simon R Knowles et al. J Clin Psychol Med Settings. 2023 Dec.

Abstract

The aim of this longitudinal study was to examine changes in COVID-19 and illness-related perceptions, gastrointestinal symptoms, coping, catastrophising, psychological distress, and QoL during the COVID-19 pandemic. A total of 831 adults with a gastrointestinal condition completed an online questionnaire at baseline (May-October 2020). Of those, 270 (32.5%) participants (85.2% female, mean age = 47.3 years) provided follow-up data (March-May 2021). Repeated-measures multiple analysis of variance and a cross-lagged panel model were used to test the study hypotheses. Gastrointestinal symptoms and COVID-19 perceptions at follow-up were strongly predicted by their baseline values, while illness perceptions were predicted by baseline gastrointestinal symptoms. Cross-lagged relationships indicated a reciprocal relationship between gastrointestinal symptoms and psychological distress. Moreover, gastrointestinal symptoms had substantial predictive utility, strongly predicting future gastrointestinal symptoms, and to a lesser extent, more negative illness perceptions, greater psychological distress, and greater use of adaptive coping strategies across time.

Keywords: COVID-19, quality of life; Common sense model; Cross-lagged panel model; Gastrointestinal.

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Conflict of interest statement

SRK is an invited speaker at conferences co-organised by Coeliac Australia (a charity) and is a Member of the Medical Advisory Committee for Glutagen Pty Ltd. AS has served as a consultant for A & R Berlin, Boehringer-Ingelheim, Takeda, Medice, Microbiotica and Schwabe. AMW has served as an educational speaker for Janssen and Ferring. IAT has served as a consultant to Pfizer Inc. AM has received lecture fee from PROMED, Alfa-Sigma. JB reports personal fees from AbbVie, personal fees from Janssen-Cilag, personal fees from Celgene, grants and personal fees from MSD, personal fees from Pfizer, grants and personal fees from Takeda, grants and personal fees from Tillots Pharma, personal fees from Samsung Bioepis, grants from Bristol Myers Squibb, grants from Novo Nordisk, personal fees from Pharmacosmos, personal fees from Ferring, outside the submitted work. MBA has served as a speaker, consultant and advisory member for or has received research funding from MSD, AbbVie, Janssen, Kern Pharma, Celltrion, Takeda, Gillead, Celgene, Pfizer, Sandoz, Biogen, Fresenius, Ferring, Faes Farma, Dr. Falk Pharma, Chiesi, Gebro Pharma, Adacyte and Vifor Pharma. CNB has served on advisory boards for Abbvie Canada, Amgen Canada, Avir Pharmaceuticals, Bristol Myers Squibb Canada, Janssen Canada, Pfizer Canada, Roche Canada, Sandoz Canada, Takeda Canada and has consulted to Takeda and Mylan Pharmaceuticals. He has received speaker’s fees from Abbvie Canada, Janssen Canada, Takeda Canada and Pfizer Canada. He has received education grants from Abbvie Canada, Janssen Canada, Pfizer Canada and Takeda Canada and research grants from Abbvie Canada, Pfizer Canada and Takeda Canada. BL has received, outside submitted work, research grant from Tillotts Pharma, and lecture fee from Jassen Cilag. DS has NHMRC support from the Medical Research Future Fund (1200214). SM has no sources of funding and disclosure of interests to declare. NF has no sources of funding and disclosure of interests to declare.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Figures

Fig. 1
Fig. 1
Cross lagged panel mode. Stability (i.e., autoregressive) effects are shown with solid lines. Grey-dashed lines indicate cross-lagged (i.e., reciprocal) effects. For presentation clarity, intercorrelations among variable error terms at their respective time points indicated with double-arrow short-dash black lines
Fig. 2
Fig. 2
Final cross-lagged panel model after removing non-significant paths. Time 1: n = 831, Time 2: n = 270. Stability (i.e., autoregressive) effects are shown with solid lines and path coefficients aligned directly down the middle of the figure. Grey-dashed lines indicate cross-lagged (i.e., reciprocal) effects. For presentation clarity, intercorrelations among variable error terms at their respective timepoints are indicated with double-arrow short-dash black lines
See this image and copyright information in PMC

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