Longitudinal assessment of the common sense model before and during the COVID-19 pandemic: A large coeliac disease cohort study
- Author(s)
- Möller, SP; Apputhurai, P; Tye-Din, JA; Knowles, SR;
- Journal Title
- Journal of Psychosomatic Research
- 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.
- Keywords
- Covid-19; Coeliac disease; Common sense model; Coping; Cross-lagged panel model; Illness perceptions; Longitudinal; Psychosocial; Quality of life
- Research Division(s)
- Immunology
- PubMed ID
- 34999379/
- Link To PubMed Central Version
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8702591
- Publisher's Version
- https://doi.org/10.1016/j.jpsychores.2021.110711
- Terms of Use/Rights Notice
- Refer to copyright notice on published article.
Creation Date: 2022-02-18 11:34:03
Last Modified: 2022-02-18 02:28:59