Group-based intervention program in inflammatory bowel disease patients

Oxelmark, Lena; Magnusson, Anne; Löfberg, Robert; Hillerås, Pernilla

doi:10.1002/ibd.20061

Cited by 57 publications

(72 citation statements)

References 27 publications

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“…27,28,81,139 The studies incorporated a broad range of treatments (e.g., psychodynamic therapy, supportive therapy, and cognitive behavioral therapies), some of which are not as well supported empirically, and often involved unselected IBD patients or those in remission with little elevated distress, 134,140 resulting in the potential for floor effects. As such, the conclusion to date is not surprising, and…”

Section: Psychological Treatmentmentioning

confidence: 99%

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Depression and anxiety in inflammatory bowel disease: A review of comorbidity and management

Graff

Walker

Bernstein

2009

Inflammatory Bowel Diseases

510

358

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Section: Psychological Treatmentmentioning

confidence: 99%

“…142 Other indicators of receptivity included positive evaluations of treatment 140 and low drop out rates, despite the expectation of active participation. 134,137 In conclusion, effective psychological treatments are available for anxiety and depression.…”

Section: 139mentioning

confidence: 99%

Depression and anxiety in inflammatory bowel disease: A review of comorbidity and management

Graff

Walker

Bernstein

2009

Inflammatory Bowel Diseases

510

358

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“…These studies incorporated a broad range of treatments (e.g., psychodynamic therapy, supportive therapy, and cognitive behavioral therapies), some of which are not as well supported empirically. Further, the studies often involved unselected IBD patients or patients in remission with little elevated distress [112,113] , resulting in the potential for floor effects. Thus, unsurprisingly, psychological treatment is not indicated for all patients with IBD [114] .…”

Section: Psychotherapeutic Approachmentioning

confidence: 99%

“…A structured measure of desire for psychological care comparing patients with IBD and rheumatoid arthritis found that 2 to 3 times the number of IBD patients (31%) expressed an interest in receiving assistance compared to individuals with rheumatoid arthritis (13%) [116] . Other indicators of receptivity included positive evaluations of treatment [113] and low dropout rates despite the expectation of active participation [104,106] .…”

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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“…Another treatment consisting of 10 weekly two hour group sessions covering psycho education, relaxation, problem solving techniques, social skill training, and cognitive restructuring, significantly improved emotional functioning, including anxiety and depression, in IBD patients compared to waitlist controls for up to 12 months post treatment [31]. However, nine weekly sessions of alternating group therapy with lectures on psycho education, did not significantly improve HRQoL or coping ability at 6 or 12 months post treatment in 24 IBD patients compared to 20 controls [62]. Interestingly, patients with 3 years or less of disease duration did show improvement on both coping and HRQoL.…”

Section: Group Therapymentioning

confidence: 99%

"Role of Psychosocial Factors on the Course of Inflammatory Bowel Disease and Associated Psychotherapeutic Approaches. A Fresh Perspective and Review"

Banan¹

2015

GHOA

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In this review article we seek to provide a fresh prospective on the role of psychosocial factors such as stress, anxiety, and depression, in the course of Inflammatory Bowel Diseases (IBD). IBD patients suffer from depression and anxiety at higher rates than the general population. Psychological stressors adversely affect the course of IBD through activation and possible dysfunction of the Brain-Gut-Axis. The mechanisms by which psychological factors increase mucosal inflammation, disrupt the intestinal barrier, and thereby worsen IBD symptoms are not well understood. This is a new and upcoming area of research that needs more attention because of its importance in managing and treating patients with IBD while also reducing costs associated with these disorders. Therefore, in this article we also seek to explore treatment options that target these psychological factors. Interventions include both pharmacological and nonpharmacological psychotherapeutic approaches. Whereas some of these therapies improve IBD symptoms, many also improve depression, anxiety, stress symptoms, fatigue, relapse rate, and Quality of Life (QOL) in both adults and children with IBD. These psychological factors are important determinants of health related quality of life (HRQOL) and therefore are important symptoms to treat alongside the IBD symptoms.

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Group-based intervention program in inflammatory bowel disease patients

Abstract: The group-based intervention program was feasible and highly appreciated. There were no statistically significant differences in average IBDQ or SOC over time or in comparison with controls, although a significant increase was seen in patients with short disease duration.

Cited by 57 publications

References 27 publications

Depression and anxiety in inflammatory bowel disease: A review of comorbidity and management

Depression and anxiety in inflammatory bowel disease: A review of comorbidity and management

Psychiatric comorbidity in the treatment of patients with inflammatory bowel disease

"Role of Psychosocial Factors on the Course of Inflammatory Bowel Disease and Associated Psychotherapeutic Approaches. A Fresh Perspective and Review"

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