Self-efficacy beliefs, faecal incontinence and health-related quality of life in patients born with anorectal malformations

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
Caterina GranoCristiano Violani

Abstract

Anorectal malformations (ARMs) are rare congenital colorectal anomalies with long lasting consequences, among which faecal incontinence is one of the most relevant since it may strongly affect patients' health-related quality of life (HRQoL). Although a growing body of literature supports the importance of self-efficacy in chronic disease health outcomes, only few studies have focused on self-efficacy in ARMs and in faecal incontinence. The purpose of the present study is to examine the mediational role of self-efficacy in the path between faecal incontinence and HRQoL in patients born with ARMs. Ninety-eight adult patients from the Italian Association for Anorectal Malformations (AIMAR) responded to measures of faecal incontinence, self-efficacy for managing ARM consequences, and physical and mental HRQoL (SF-36). Data were analysed by means of structural equation models. The tested model provides support for the guiding hypothesis. Fit indices indicate that the model fits the data well (χ2  = 33.48, df = 23, P = 0.07; comparative fit index [CFI] = 0.97; root mean square error of approximation [RMSEA] = 0.07; standardized root mean square residual [SRMR] = 0.05). Faecal incontinence has negative effects on both physical and me...Continue Reading

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Citations

Jun 17, 2020·Journal of Pediatric Gastroenterology and Nutrition·Mariana FernandesCaterina Grano
Jan 9, 2019·Frontiers in Pediatrics·Anne Karoline EbertBarbara Ludwikowski
Jun 8, 2021·The Oncologist·Robin MendelsohnAndrea Cercek

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