{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T11:21:50Z","timestamp":1789298510142,"version":"build-2803163510"},"reference-count":61,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2018,6,4]],"date-time":"2018-06-04T00:00:00Z","timestamp":1528070400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Anorectal malformations (<jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content>s) 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\u2019 health\u2010related quality of life (<jats:styled-content style=\"fixed-case\">HRQ<\/jats:styled-content>oL). Although a growing body of literature supports the importance of self\u2010efficacy in chronic disease health outcomes, only few studies have focused on self\u2010efficacy in <jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content>s and in faecal incontinence. The purpose of the present study is to examine the mediational role of self\u2010efficacy in the path between faecal incontinence and <jats:styled-content style=\"fixed-case\">HRQ<\/jats:styled-content>oL in patients born with <jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content>s.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Ninety\u2010eight adult patients from the Italian Association for Anorectal Malformations (<jats:styled-content style=\"fixed-case\">AIMAR<\/jats:styled-content>) responded to measures of faecal incontinence, self\u2010efficacy for managing <jats:styled-content style=\"fixed-case\">ARM<\/jats:styled-content> consequences, and physical and mental <jats:styled-content style=\"fixed-case\">HRQ<\/jats:styled-content>oL (<jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content>\u201036). Data were analysed by means of structural equation\u00a0models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The tested model provides support for the guiding hypothesis. Fit indices indicate that the model fits the data well (\u03c7<jats:sup>2<\/jats:sup>\u00a0=\u00a033.48, df\u00a0=\u00a023, <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.07; comparative fit index [CFI]\u00a0=\u00a00.97; root mean square error of approximation [RMSEA]\u00a0=\u00a00.07; standardized root mean square residual [SRMR]\u00a0=\u00a00.05). Faecal incontinence has negative effects on both physical and mental <jats:styled-content style=\"fixed-case\">HRQ<\/jats:styled-content>oL, as well on self\u2010efficacy. In turn, self\u2010efficacy has a positive and direct effect on mental <jats:styled-content style=\"fixed-case\">HRQ<\/jats:styled-content>oL.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Faecal incontinence is the most relevant and negative factor influencing <jats:styled-content style=\"fixed-case\">HRQ<\/jats:styled-content>oL; in addition, self\u2010efficacy contributes in reducing emotional distress and in improving mental health outcomes. Longitudinal and controlled studies may be helpful to evaluate the effectiveness of self\u2010efficacy interventions in improving mental <jats:styled-content style=\"fixed-case\">HRQ<\/jats:styled-content>oL in patients with faecal incontinence.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.14259","type":"journal-article","created":{"date-parts":[[2018,5,11]],"date-time":"2018-05-11T23:35:26Z","timestamp":1526081726000},"page":"711-718","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Self\u2010efficacy beliefs, faecal incontinence and health\u2010related quality of life in patients born with anorectal malformations"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1899-0773","authenticated-orcid":false,"given":"C.","family":"Grano","sequence":"first","affiliation":[{"name":"Department of Psychology Sapienza University of Rome Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7005-2805","authenticated-orcid":false,"given":"M.","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Department of Psychology Sapienza University of Rome Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Bucci","sequence":"additional","affiliation":[{"name":"Italian Parents and Patients Organization for Anorectal Malformation (AIMAR) Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Aminoff","sequence":"additional","affiliation":[{"name":"Italian Parents and Patients Organization for Anorectal Malformation (AIMAR) Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2203-9566","authenticated-orcid":false,"given":"F.","family":"Lucidi","sequence":"additional","affiliation":[{"name":"Department of Developmental and Social Psychology Sapienza University of Rome Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6755-2585","authenticated-orcid":false,"given":"C.","family":"Violani","sequence":"additional","affiliation":[{"name":"Department of Psychology Sapienza University of Rome Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,6,4]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"163","volume-title":"Anorectal Malformations Child","author":"Murphy F","year":"2006"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2009.02.047"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.sempedsurg.2009.11.020"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0b013e3181a15b5e"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-010-2626-1"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9111"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-009-2541-5"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2006.10.004"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02234386"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3468(94)90368-9"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199308000-00012"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2009.09031.x"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.71.3.194"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0399-8320(06)73076-7"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2005.11.006"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-6181-5"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2010.10.016"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2004.04149.x"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-015-3736-6"},{"key":"e_1_2_9_21_1","first-page":"e374","article-title":"Explaining change in quality of life of children and adolescents with anorectal malformations or Hirschsprung disease","volume":"119","author":"Hartman EE","year":"2007","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.2012"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-012-0149-z"},{"key":"e_1_2_9_24_1","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1097\/NCC.0000000000000244","article-title":"Symptom\u2010management self\u2010efficacy mediates the effects of symptom distress on the quality of life among Taiwanese oncology outpatients with breast cancer","volume":"39","author":"Liang S\u2010Y","year":"2016","journal-title":"Cancer Nurs"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1063"},{"key":"e_1_2_9_26_1","volume-title":"The Exercise of Control","author":"Bandura A","year":"1997"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/1524839904266792"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7489(01)00030-X"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2009.11.019"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2009.05243.x"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1191\/1352458504ms986oa"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2009.06.014"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/014572170102700309"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005082-200701000-00012"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399-0012.2002.00111.x"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2015.08.021"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.2466\/PR0.92.2.540-544"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0b013e3180514d57"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.2048-7940.2003.tb02060.x"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-008-2233-6"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(98)00094-8"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.305.6846.160"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199905001-00003"},{"key":"e_1_2_9_44_1","volume-title":"SF\u201036 Physical and Mental Health Summary Scales: A User's Manual","author":"Ware JE","year":"1994"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.ecolsys.28.1.341"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1207\/S15328007SEM0901_5"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2044-8317.2004.tb00142.x"},{"key":"e_1_2_9_48_1","first-page":"308","article-title":"Scaling corrections for chi\u2010square statistics in covariance structure analysis","volume":"1","author":"Satorra A","year":"1988","journal-title":"Proc Am Stat Assoc"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcps.2009.09.003"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.107.2.238"},{"key":"e_1_2_9_51_1","doi-asserted-by":"publisher","DOI":"10.1080\/10705519909540118"},{"key":"e_1_2_9_52_1","doi-asserted-by":"publisher","DOI":"10.1177\/1094428107300344"},{"key":"e_1_2_9_53_1","doi-asserted-by":"publisher","DOI":"10.3758\/BF03193007"},{"key":"e_1_2_9_54_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9280.2007.01882.x"},{"key":"e_1_2_9_55_1","volume-title":"Principles and Practice of Structural Equation Modeling","author":"Kline RB","year":"2005"},{"key":"e_1_2_9_56_1","doi-asserted-by":"publisher","DOI":"10.1207\/S15328007SEM0904_8"},{"key":"e_1_2_9_57_1","doi-asserted-by":"publisher","DOI":"10.1177\/0013164414525397"},{"key":"e_1_2_9_58_1","doi-asserted-by":"publisher","DOI":"10.1177\/0013164413495237"},{"key":"e_1_2_9_59_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.112.1.155"},{"key":"e_1_2_9_60_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1755-6686.2012.00305.x"},{"key":"e_1_2_9_61_1","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S66846"},{"key":"e_1_2_9_62_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2009.03040.x"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcodi.14259","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.14259","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,17]],"date-time":"2023-09-17T22:11:41Z","timestamp":1694988701000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.14259"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,4]]},"references-count":61,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2018,8]]}},"alternative-id":["10.1111\/codi.14259"],"URL":"https:\/\/doi.org\/10.1111\/codi.14259","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,6,4]]},"assertion":[{"value":"2017-07-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-12-30","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-06-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}