Evaluation of a psychological treatment for inflammatory bowel disease

Schwarz, Shirley P.; Blanchard, Edward B.

doi:10.1016/0005-7967(91)90045-5

Cited by 122 publications

(80 citation statements)

References 21 publications

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“…Outpatient behavioral therapy with IBD had similar somatic symptoms and psychological variables to the waiting list control group 75 . Most patients in the 12 hour therapy group (including information about IBD, progressive muscle relaxation, thermal biofeedback, and cognitive coping strategies), however, found the therapy helpful in giving them better ability to cope with the disease.…”

Section: Trials Without Psychotherapeutic Effectmentioning

confidence: 83%

Psychological Aspects and Psychotherapy of Inflammatory Bowel Diseases and Irritable Bowel Syndrome in Children

Praško¹,

Jelenová²,

Mihál³

2010

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Section: Trials Without Psychotherapeutic Effectmentioning

confidence: 83%

Psychological Aspects and Psychotherapy of Inflammatory Bowel Diseases and Irritable Bowel Syndrome in Children

Praško¹,

Jelenová²,

Mihál³

2010

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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“…Four studies did not report results in detail and could not be included in any of the pooled analyses. These 4 studies included a controlled trial on hypnosis in ulcerative colitis [93] , a trial on the effects of a multicomponent behavioral therapy package in 22 patients with IBD [94] , and a trial examining the effects of support meetings [95] . Given its chronic nature and frequently reported poor quality of life for many patients, IBD is often associated with anxiety and depression.…”

Section: Psychotherapeutic Approachmentioning

confidence: 99%

Psychiatric comorbidity in the treatment of patients with inflammatory bowel disease

Filipović¹,

Filipović²

2014

WJG

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Ulcerative colitis and Crohn's disease, commonly known as inflammatory bowel disease (IBD), draw attention from specialists of various disorders, including gastroenterology, psychiatry, and radiology. The involvement of a cortical influence in the brain-gut axis as well as the interaction of the hypothalamic-pituitary-adrenal axis and the peripheral nervous system provide an initial explanation of the psychological symptoms associated with IBD. The involvement of structures the limbic system, such as the anterior cingulate cortex, the prefrontal cortex, and the amygdala, paves the way for the discovery of the mechanisms underlying depression depression, anxiety, alexithymia, personality traits, and other psychological impairments following the onset of IBD. Psychiatric therapy in IBD patients is almost as important as the gastroenterological approach and consists of pharmacological treatment and psychotherapy. Neither of the available psychiatric treatment methods is considered the golden standard because both methods have side effects, and psychotropic medication can provoke the worsening of IBD symptoms. Thus, both approaches must be applied with awareness of the possibility of side effects. We suggest that psychiatrists and gastroenterologists work together to reach a consensus on IBD therapy to ensure success and to reduce side effects and relapse to the lowest possible rates.© 2014 Baishideng Publishing Group Co., Limited. All rights reserved.Key words: Inflammatory bowel disease; Psychiatry; Treatment; Personality traits; Depression; Anxiety Core tip: The involvement of a dysfunction of brain-gut interactions in the pathogenesis of inflammatory bowel disease (IBD) is represented by a dysfunction of the autonomic nervous system, an abnormal hypothalamicpituitary-adrenal axis and cholinergic anti-inflammatory pathway, a deleterious effect of stress and depression, an abnormal coupling of the prefrontal cortex-amygdaloid complex, and an abnormal relation between the microbiota and the brain as pro-inflammatory factors. New investigations have provided a critical link between forebrain changes and abdominal pain independent of active disease and drug treatment, providing a potential basis for an explanation of the psychological symptoms and brain influence in the pathogenesis of IBD.

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“…Patients in both self-management groups showed reductions in some gastrointestinal symptoms and tiredness, while the conventional medical group did not. Schwarz and Blanchard [76] compared a multi-component CBT intervention (consisting of IBD education, relaxation, biofeedback, and cognitive coping) to a symptom monitoring control group. The number of subjects in each group was small (10 and 11 respectively), and findings were mixed, not clearly showing a superior effect for the CBT group.…”

Section: Cognitive-behavioral Interventions For Inflammatory Bowel DImentioning

confidence: 99%

Social learning contributions to the etiology and treatment of functional abdominal pain and inflammatory bowel disease in children and adults

Levy

Langer

Whitehead³

2007

WJG

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This paper reviews empirical work on cognitive and social learning contributions to the etiology and treatment of illness behavior associated with functional abdominal pain and inflammatory bowel disease. A particular emphasis is placed on randomized controlled trials, the majority of which are multi-modal in orientation, incorporating elements of cognitive behavioral therapy, social learning, and relaxation. Based on this review, we offer methodological and clinical suggestions: (1) Research investigations should include adequate sample sizes, long-term follow-up assessments, and a credible, active control group. (2) Standard gastrointestinal practice should include, when appropriate, learning opportunities for patients and family members, for example, instruction regarding the encouragement of wellness behavior.

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Evaluation of a psychological treatment for inflammatory bowel disease

Cited by 122 publications

References 21 publications

Psychological Aspects and Psychotherapy of Inflammatory Bowel Diseases and Irritable Bowel Syndrome in Children

Psychological Aspects and Psychotherapy of Inflammatory Bowel Diseases and Irritable Bowel Syndrome in Children

Psychiatric comorbidity in the treatment of patients with inflammatory bowel disease

Social learning contributions to the etiology and treatment of functional abdominal pain and inflammatory bowel disease in children and adults

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