.png){kind=icon}
.png){kind=icon}
Return
The chain mediating roles of stigma and health-promoting lifestyle in the relationship between disability index and posttraumatic growth among patients with inflammatory bowel disease
.png){kind=icon}
OA
AI
Y
Y
X
L
B
X
DOI：10.3389/fpubh.2026.1816875.png)
.png){kind=icon}
Original request for help.png){kind=icon}
Share.png){kind=icon}
Save
Abstract
En 中文
ObjectiveTo explore the levels of disability; Health-Promoting Lifestyle Profile II (HPLP-II); illness-related stigma; and posttraumatic growth (PTG) in patients with inflammatory bowel disease (IBD); and to examine the chain mediating roles of HPLP-II and illness-related stigma in the association between disability and PTG.MethodsA cross-sectional survey was performed among 311 IBD patients recruited from three tertiary hospitals in Shanghai between August 2022 and April 2023. All participants completed standardized questionnaires; including general information scale; IBD Disability Index (IBD-DI); PTG Inventory (PTGI); HPLP-II and Stigma Scale for Chronic Illness (SSCI). SPSS 26.0 and Hayes’ PROCESS macro (Model 6; 5; 000 bootstrap resamples) were adopted for data analysis. Disease activity and disability severity were set as covariates in the mediation model.ResultsThe mean scores of PTGI; IBD-DI; HPLP-II and SSCI were 70.84 ± 25.65; 28.39 ± 12.98; 148.61 ± 36.84 and 69.24 ± 29.33; respectively. IBD-DI was negatively correlated with HPLP-II and PTGI; and positively correlated with SSCI; SSCI was negatively correlated with HPLP-II and PTGI; while HPLP-II was positively correlated with PTGI (all p < 0.001). Chain mediation analysis showed no significant direct effect between IBD-DI and PTG (β = 0.042; p = 0.539). HPLP-II and illness-related stigma exerted independent and chain mediating effects in this association. The total indirect effect was −1.019. The chain mediation pathway; independent pathway of HPLP-II and illness-related stigma accounted for 25.87%; 64.71%; and 9.42% of the total association; respectively.ConclusionDisability is not directly correlated with PTG in IBD patients. Its negative linkage with PTG is mediated by the chain pathway of impaired health-promoting lifestyle and elevated illness-related stigma. Targeted interventions to reduce stigma and optimize health-promoting lifestyle may help improve PTG and promote psychological rehabilitation among IBD patients.
Keywords:
inflammatory bowel disease
stigma
health-promoting lifestyle
posttraumatic growth
disability index
Journal
IF:
3.4
Papers:
2.5W
Citations:
5.7W
Organization
No organization information available
Cited Papers