Potential of the Adolescents, Suffering from Inflammatory Bowel Disease, for Overcoming Difficulties and Achieving the Intended Goals

• Authors: Katarzyna Wardak , Danuta Celińska-Cedro
• Languages of publication: EN

Abstracts

EN

Introduction. Self-efficacy is one of the most important determinants of behavior of adults and adolescents. The degree of self confidence attributable to oneself in order to overcome the difficulties of life and to achieve one's goals, both in healthy subjects and patients, determines the size of the effort and perseverance in taking action. According to The World Health Organization till 2020, chronic diseases will be the major cause of disability, and can be one of the most costly health problems. Therapy of chronic illness on the threshold of adult life requires, in addition to a comprehensive medical approach, the patient's active participation in the implementation of the treatment process. Therefore, the potential of young people entering adult life with the burden of diagnosed disease may indicate the direction of education of the chronically ill adolescents.Aim. The aim of this study was to assess the potential of young people, both healthy and diagnosed with a chronic disease, to overcome difficulties of life.Material and methods. The study used a questionnaire and KompOs scale (Personal Competence Scale), a standardized test in the field of Health Psychology. The study included 80 subjects aged 15-18 years, 40 patients with inflammatory bowel disease treated in the IP-CZD in Warsaw and 40 healthy students from Rzeszow. The study used a questionnaire and KompOs scale (Personal Competence Scale), a standardized test in the field of Health Psychology. It allows the evaluation of such features in subjects such as strength and endurance needed to take action and then to continue it.Results. For young people despite of their health state the age of majority is mainly associated with a sense of autonomy, pursuing the job and the sense of responsibility for themselves and their families, without arousing fear in any of those groups. Parents of adolescents with IBD, however, still show too excessive protectiveness, and only 32.5% of children has a different view on that in comparison with 82.5% a group of healthy children. The sum of the results obtained on a scale KompOs, in both studied groups is at the same level of average values, (6 sten). The differences can be seen in correlation with sociodemographic characteristics such as: place of residence, financial situation or fertility families. Youth without chronic disease burden had the average level of self-efficacy (sten 6), whereas young patients diagnosed with IBD had a higher sense of efficacy (sten 7). Children with IBD, residing in large cities, have a higher average number of points in both the overall scale and subscales KompOs like (strength, endurance) than their healthy peers.Conclusions. Young people with non-specific inflammatory bowel disease have a greater sense of strength and perseverance than their peers. The statistical significance between the number of points was obtained in the KompOs scale in the city of <100 thousand. The financial situation of families is different in both groups, especially in the persistence subscale.

Keywords

EN

chronic disease; inflammatory bowel disease; self-efficacy

• Publisher: De Gruyter Open
• Journal: Polish Journal of Public Health
• Year: 2015
• Volume: 124
• Issue: 4
• Pages: 178-182

Dates

online

1 - 3 - 2015

Contributors

author

Katarzyna Wardak

• Institute of Nursing and Health Sciences, Medical Department, University of Rzeszow, Poland

author

Danuta Celińska-Cedro

• Institute of Nursing and Health Sciences, Medical Department, University of Rzeszow, Poland
• Children's Memorial Health Institute in Warsaw, Poland

References

• 1. Harwas-Napierała, B, Trempała J. Psychologia rozwoju człowieka. Charakterystyka okresów życia. Warszawa: Wydawnictwo Naukowe PWN; 2004.
• 2. Pilecka W. Zmagania siê dziecka z przewlekłą chorobą somatyczną - od radzenia sobie do transcendencji. In: B. Antoszewska (ed). Dziecko przewlekle chore - problem medyczne, psychologiczne i pedagogiczne. Toruń: Wydawnictwo Edukacyjne Akapit; 2011.
• 3. Skrzypek M. Perspektywa chorego w socjologii choroby przewlekłej. Lublin: Wydawnictwo KUL; 2011.
• 4. Laszlo P. Recent trends in the epidemiology of inflammatory bowel diseases: Up or down? World J Gastroenterol. 2006;12(38):6102-8.
• 5. Rejestr choroby Leśniowskiego-Crohna. [www.chorobacrohna.pl] (25.02.2013)
• 6. Bickston SJ, Bloomfeld RS. Nieswoiste zapalenia jelit. In: G. Rydzewska (ed.) Wrocław: ELSEVIER Urban & Partner; 2013.
• 7. Kuhl J. Who controls whom “when I control myself”? Psychol Inq. 1996;7(1):61-8.[Crossref]
• 8. Kuhl J, Kazen M, Koole SL. Putting self-regulation theory into practice. Int Rev. 2006;55:408-18.
• 9. Gromulska L, Piotrowicz M, Canciara D. Własna Skuteczność w modelach zachowań zdrowotnych oraz w edukacji zdrowotnej. Przegl Epidemiol. 2009;63:427-32.
• 10. Sansone C, Harackiewicz JM. “I don't feel like it”. The function of interest in self -regulation. In: L. L. Martin, A. Tesser (ed). Interactions among goals, affect, and self-regulation. New Jersey: Lawrence Erlbaum; 1996. p. 175-202.
• 11. Kadzikowska-Wrzosek R. Wytrwałość i skuteczność działania: wpływ kontekstu sytuacyjnego i siły woli. Rocz Psychol. 2011;XIV(2):159-86.
• 12. Juczyński Z. Poczucie własnej skuteczności jako wyznacznik zachowań zdrowotnych. Prom Zdr. Nauki Społ Med. 1998;14:54-63.
• 13. Juczyński Z. Narzêdzia pomiaru w promocji i psychologii zdrowia. Warszawa: Pracownia Testów Psychologicznych PTP; 2011.

Identifiers

DOI

10.1515/pjph-2015-0003