{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T15:00:17Z","timestamp":1790780417486,"version":"4.1.0"},"reference-count":37,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":272,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100018822","name":"Western Sydney University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100018822","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Research and Practice"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This research explored associations between self\u2010esteem, satisfaction with physical appearance, sexual satisfaction and physical and mental health among women living with inflammatory bowel disease in Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Inflammatory bowel disease which includes Crohn\u2019s disease and ulcerative colitis is a chronic autoimmune disease. Its relapsing, remitting nature has deleterious impacts on self\u2010esteem and sexual well\u2010being.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study employed a cross\u2010sectional design with secondary exploratory analyses and used an online survey to collect data from Australian women between March and November 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Responses from 64 women revealed a nuanced but complex interrelationship between self\u2010esteem and biopsychosocial factors which impact on sexual well\u2010being. Self\u2010esteem scores for all women sat at the low end of normal, and none of the women reported any level higher than average. Women with lower self\u2010esteem reported more dissatisfaction with their physical appearance, poorer mental health and lower sexual satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Having a high self\u2010esteem is a protective factor in adaptation to life events. The chronic nature of inflammatory bowel disease highlights that adaptation and self\u2010realignment are ongoing processes of which clinicians must be cognisant because chronic illness can have negative effects on self\u2010esteem.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Sexual well\u2010being is influenced by multiple intersecting biopsychosocial factors. Routinely incorporating discussions which relate to mental health, self\u2010esteem and body image into assessments for people living with inflammatory bowel disease is critical in holistic care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing<\/jats:title>\n                    <jats:p>The findings provide justification for integrated teams of psychologists, sexual health nurses and potentially body\u2010image specialists which could be coordinated by registered nurses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Health Policy<\/jats:title>\n                    <jats:p>Women\u2010specific care pathways which acknowledge reproductive life stages, relationship health, sexual well\u2010being, hormonal variation, menstrual impacts and sociocultural gender pressures are required. Introducing regular screening, which includes adding registries on digital platforms, may assist with ensuring equitable holistic healthcare.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/nrp\/4531024","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T14:36:47Z","timestamp":1790779007000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Inflammatory Bowel Disease, Self\u2010Esteem and Sexual Well\u2010Being"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8644-3803","authenticated-orcid":false,"given":"Kate","family":"O\u2019Reilly","sequence":"first","affiliation":[{"name":"Western Sydney University  Locked Bag 1797 Penrith 2751 Australia  westernsydney.edu.au"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2993-8823","authenticated-orcid":false,"given":"Eleanor","family":"Holroyd","sequence":"additional","affiliation":[{"name":"Auckland University of Technology  55 Wellesley Street East Auckland 1010 New Zealand  aut.ac.nz"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6229-1064","authenticated-orcid":false,"given":"Wenpeng","family":"You","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Western Sydney University  Locked Bag 1797 Penrith 2751 Australia  westernsydney.edu.au"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5299-2863","authenticated-orcid":false,"given":"Kath","family":"Peters","sequence":"additional","affiliation":[{"name":"Western Sydney University  Locked Bag 1797 Penrith 2751 Australia  westernsydney.edu.au"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"e_1_2_9_1_2","volume-title":"Inflammatory Bowel Disease Nursing Manual","author":"B\u00f6hmig M.","year":"2025"},{"key":"e_1_2_9_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/ecco-jcc\/jjx008"},{"key":"e_1_2_9_3_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2021.07.042"},{"key":"e_1_2_9_4_2","volume-title":"E, Johnson A Living with Chronic Illness and Disability Principles for Nursing Practice","author":"Woods M.","year":"2022"},{"key":"e_1_2_9_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12910-024-01076-2"},{"key":"e_1_2_9_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15879"},{"key":"e_1_2_9_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.17292"},{"key":"e_1_2_9_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-020-02467-O"},{"key":"e_1_2_9_9_2","doi-asserted-by":"publisher","DOI":"10.1080\/23293691.2026.2623107"},{"key":"e_1_2_9_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-1253(19)30333-4"},{"key":"e_1_2_9_11_2","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.103.2.276"},{"key":"e_1_2_9_12_2","unstructured":"Department of Health Inflammatory Bowel Disease Natinal Action Plan 2019 2019 https:\/\/www.health.gov.au\/sites\/default\/files\/documents\/2019\/09\/national-strategic-action-plan-for-inflammatory-bowel-disease-inflammatory-bowel-disease-national-action-plan-2019_0.pdf."},{"key":"e_1_2_9_13_2","unstructured":"Crohn\u2019s Colitis Australia & Insight Economics State of the Nation in Inflammatory Bowel Disease in Australia 2025 https:\/\/crohnsandcolitis.org.au\/wp-content\/uploads\/2025\/02\/State-of-the-Nation-in-IBD-Report.pdf."},{"key":"e_1_2_9_14_2","doi-asserted-by":"crossref","DOI":"10.1111\/spc3.12709","article-title":"Self-Esteem Development and Life Events: A Review and Integrative Process Framework","volume":"16","author":"Reitz A.","year":"2022","journal-title":"Social and Personality Psychology Compass"},{"key":"e_1_2_9_15_2","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1037\/amp0000922","article-title":"Is High Self-Esteem Beneficial? Revising a Classic Question","volume":"77","author":"Orth U.","year":"2022","journal-title":"American Psychologist"},{"key":"e_1_2_9_16_2","doi-asserted-by":"publisher","DOI":"10.1186\/s41155-024-00303-4"},{"key":"e_1_2_9_17_2","unstructured":"World Health Organization Sexual Health Human Rights and the Law 2015 https:\/\/www.who.int\/publications\/i\/item\/9789241564984."},{"key":"e_1_2_9_18_2","doi-asserted-by":"publisher","DOI":"10.1371\/jounal.pone"},{"key":"e_1_2_9_19_2","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.70269"},{"key":"e_1_2_9_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.did.2021.05.020"},{"key":"e_1_2_9_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/codi.15375"},{"key":"e_1_2_9_22_2","doi-asserted-by":"publisher","DOI":"10.1093\/ibd\/izy397"},{"key":"e_1_2_9_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199603000-00003"},{"key":"e_1_2_9_24_2","doi-asserted-by":"publisher","DOI":"10.1080\/08870449208404294"},{"key":"e_1_2_9_25_2","unstructured":"National Multiple Sclerosis Society Multiple Sclerosis Quality of Life Inventory: A User\u2019s Manual 1997."},{"key":"e_1_2_9_26_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2012.05130x"},{"key":"e_1_2_9_27_2","doi-asserted-by":"crossref","DOI":"10.1515\/9781400876136","volume-title":"Society and the Adolescent Self-Image","author":"Rosenberg M.","year":"1965"},{"key":"e_1_2_9_28_2","volume-title":"SPSS Survival Manual","author":"Pallant J.","year":"2011"},{"key":"e_1_2_9_29_2","doi-asserted-by":"publisher","DOI":"10.1207\/s15327906mbr0102_10"},{"key":"e_1_2_9_30_2","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14749"},{"key":"e_1_2_9_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2007.09.003"},{"key":"e_1_2_9_32_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11894-024-00956-2"},{"key":"e_1_2_9_33_2","doi-asserted-by":"publisher","DOI":"10.1177\/20503121324085"},{"key":"e_1_2_9_34_2","volume-title":"Post Feminism in Context: Women, Australian Popular Culture, and the Unsettling of Post Feminism","author":"Henderson M.","year":"2020"},{"key":"e_1_2_9_35_2","first-page":"381","volume-title":"Routledge International Handbook of Women\u2019s Sexual and Reproductive Health","author":"Piran N.","year":"2020"},{"key":"e_1_2_9_36_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-015-0575-3"},{"key":"e_1_2_9_37_2","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.12913"}],"container-title":["Nursing Research and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/nrp\/4531024","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/nrp\/4531024","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/nrp\/4531024","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T14:36:50Z","timestamp":1790779010000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/nrp\/4531024"}},"subtitle":[],"editor":[{"given":"Shweta","family":"Negi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":37,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/nrp\/4531024"],"URL":"https:\/\/doi.org\/10.1155\/nrp\/4531024","archive":["Portico"],"relation":{},"ISSN":["2090-1429","2090-1437"],"issn-type":[{"value":"2090-1429","type":"print"},{"value":"2090-1437","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2026-05-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"4531024"}}