SELF-COMPASSION IN ADOLESCENTS AND YOUNG ADULTS WITH INFLAMMATORY BOWEL DISEASE: RELATIONSHIP OF SELF-COMPASSION TO PSYCHOLOGICAL AND PHYSICAL OUTCOMES

Abstract

Abstract Background Adolescents and young adults (AYA) with Inflammatory Bowel Disease (IBD) are at increased risk for poor psychological and physical well-being. Self-compassion (i.e., understanding and acceptance towards oneself) has been associated with better psychological and physical outcomes in AYA with chronic health conditions. There is limited research exploring self-compassion in AYA with IBD. Aims To examine: 1) the reliability of a Self-Compassion Scale (SCS-SF), and 2) how self-compassion relates to physical (i.e., pain interference, fatigue) and psychological (i.e., stress, anxiety, depression) outcomes in a sample of AYA with IBD. Methods This study was a collaboration with ImproveCareNow, and all procedures were approved by Stanford’s Institutional Review Board. Study participants included 85 AYA (mean=18 yrs) with IBD (52% Crohn’s; 55% female; 61% White). Participants completed a one-time online survey. The internal reliability of SCS-SF was a = 0.88, indicating high internal consistency. Hierarchical linear regression (HLR) analyses examined the unique contribution of self-compassion to pain interference, fatigue, physical stress, psychological stress, anxiety, and depression after controlling for significant demographic and medical variables (sex, IBD diagnosis, mental health diagnosis). Results The overall HLR models were significant for all dependent variables. For physical outcomes, the overall model examining pain interference was significant (F(3, 72) = 4.517; P = 0.003), with sex, IBD diagnosis, and mental health diagnosis accounting for 13% of the variance in pain interference. Self-compassion accounted for an additional 20% of the variance in pain interference over and above demographic/medical variables. For psychological outcomes, the overall model examining anxiety was significant (F(3, 73) = 15.54; P < 0.001), with sex, IBD diagnosis, and mental health diagnosis accounting for 33% of the variance in anxiety. Self-compassion accounted for an additional 46% of the variance in anxiety over and above demographic/medical variables. HLR also demonstrated that self-compassion was a significant independent predictor of pain interference (b = -0.30, P = 0.015), fatigue (b = -0.38, P = 0.001), psychological stress (b = -0.51, P = < 0.001), anxiety (b = -0.41, P = < 0.001), and depression (b = -0.59, P = < 0.001). Participants reporting higher levels of self-compassion had less pain interference, fatigue, stress, anxiety, and depression. Conclusion Preliminary results suggest self-compassion may be an important factor in explaining the variability of key physical and psychological outcomes among AYA with IBD. Research should investigate self-compassion in diverse IBD populations, and explore if feelings of kindness and acceptance towards oneself can be a protective factor for AYA by supporting positive coping and adjustment to IBD.