民族衛生
Online ISSN : 1882-868X
Print ISSN : 0368-9395
ISSN-L : 0368-9395
原著
Difficulties at work experienced by patients with inflammatory bowel disease (IBD) and factors relevant to work motivation and depression
Michiyo ITOTaisuke TOGARIMin JEONG PARKYoshihiko YAMAZAKI
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ジャーナル フリー

2008 年 74 巻 6 号 p. 290-310

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This research examined the experiences in the workplace, and factors relevant to work motivation and depression, of patients in Japan with Inflammatory Bowel Disease (IBD), with the goal of clarifying the best way to support their work and mental health. Initial interview results achieved with 19 IBD patients, guided the development of an anonymous questionnaire which was distributed to 3,794 patients by mail. Valid responses were obtained from 2,009 patients. We analyzed the results with a focus on patients currently in a job. IBD patients with a job experienced 5 categories of typical difficulties in their day-to-day work life, and which had high degree of burden. The severity of difficulties was greater in patients who had retired within the past year, than it was in patients currently in work. In particular, difficulties that influenced patients' performance at work and in their careers, and the association between work that affected the physical condition and health care behavior of patients and the lack of work-related sensitive considerations' were strongly correlated or had a tendency to be correlated with the patients' work motivation and depression ; this applied to patients with ulcerative colitis (UC) or Crohn's disease (CD). Difficulties were associated with greater depression, while number of social support network (SSN) and post-traumatic growth (PTG) were associated with greater work-motivation or lower depression in both types of IBD patients. These results indicated the importance of the improvement of mental health of IBD patients in Japan, along with the reduction or elimination of difficulties at work, with particular attention to SSN and PTG.

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© 2008 The Japanese Society of Health and Human Ecology
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