Page 117 - EJMO-9-2

Eurasian Journal of Medicine

and Oncology

ORIGINAL RESEARCH ARTICLE
Understanding ulcerative colitis: Insights from

locus of control, expressed emotion, and quality
of life

Shaini Suraj * , Anand Prakash 3,4 , Pradeep Patil 5 , and Deepa Sangolkar 6
1,2
1 Department of Psychology, Amity Institute of Behavioural and Allied Sciences, Amity University
Rajasthan, Jaipur, Rajasthan, India
2 Adjuvant Faculty, School of Allied Health Sciences, Datta Meghe Institute of Higher Education and
Research (Deemed to be University), Nagpur, India
3 Department of Clinical Psychology, Amity Institute of Clinical Psychology, Amity University
Rajasthan, Jaipur, Rajasthan, India
4 Department of Clinical Psychology and Behavioural Sciences, Xavier University School of Medicine,
Faculty of Medicine, Aruba, Netherlands
5 Department of Psychiatry, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher
Education and Research (Deemed to be University), Wardha, Maharashtra, India
6 Department of Psychiatry, Datta Meghe Medical College, Datta Meghe Institute of Higher Education
and Research (Deemed to be University), Nagpur, Maharashtra, India

Abstract

Patients suffering from ulcerative colitis (UC) experience periods of remission and
relapse that could affect their mental health. The study aimed to use logistic regression
*Corresponding author: analysis in a novel way by incorporating locus of control (LOC), expressed emotion (EE),
Shaini Suraj and quality of life (QOL) as predictors of UC. This study involved 100 individuals with UC
(shaini.suraj@s.amity.edu) and 100 healthy controls, focusing on LOC groups (internal, chance, powerful others),
Citation: Suraj S, Prakash A, EE, and QOL. This model also helped to better understand how these psychological
Patil P, Sangolkar D. Understanding variables interact to predict the likelihood of a UC diagnosis. The results revealed all
ulcerative colitis: Insights from locus
of control, expressed emotion, significant predictors. EE corelates positively with UC probability (Estimate: 0.191, p
and quality of life. Eurasian J Med < 0.001), whereas QOL corelates inversely (Estimate: −0.150, p < 0.001). The model
Oncol. 2025;9(2):109-118. had a classification accuracy of 82.5%. While trends in LOC groups warrant further
doi: 10.36922/ejmo.8596
exploration, the model contributes to understanding psychological risk factors in
Received: January 19, 2025 UC. This research suggests the potential use of these factors as predictive markers. It
Revised: February 15, 2025 adds to the existing literature on how psychological factors influence health results,
offering practical implications for clinical care and guiding future investigations to
Accepted: February 24, 2025
improve the management and comprehension of UC.
Published online: March 24, 2025
Copyright: © 2025 Author(s). Keywords: Expressed emotions; Locus of control; Psychological variables; Quality of life;
This is an Open Access article
distributed under the terms of the Regression analysis; Ulcerative colitis
Creative Commons Attribution
License, permitting distribution,
and reproduction in any medium,
provided the original work is
properly cited. 1. Introduction
Publisher’s Note: AccScience Ulcerative colitis (UC) is a form of inflammatory bowel disease (IBD) with an
Publishing remains neutral with unclear etiology. It is a chronic, recurrent, remitting, and potentially progressive
regard to jurisdictional claims in
published maps and institutional disease characterized by inflammation that is limited to the mucosa of the colon and
1,2
affiliations. rectum. There is diffusion of the friability and superficial erosions on the colon

Volume 9 Issue 2 (2025) 109 doi: 10.36922/ejmo.8596