High-utilizing Crohn's disease patients under psychosomatic therapy*

Abstract

The course of Crohn's disease is influenced by psychological as well as somatic factors; especially depression seems important here. A significant drop of health care utilization demonstrates the benefit of psychological treatment in the subgroup of high-utilizing CD patients. Further studies are needed to replicate the findings of the clinical outcome in this CD subgroup.

Does Stress Influence Inflammatory Bowel Disease? The Clinical Data

“…Of 11 longitudinal studies of the effects of stress [4][5][6][7][8][9][10][11][12][13] , life events and/or depression on the course of IBD, 8 showed that stress, adverse life events and related psychological disorders worsened IBD while 3 showed no effect of these factors on the course of IBD ( table 1 ).…”

Effects of Transpersonal Brief Psychotherapy on general state of health and quality of life in patients with Crohn's disease

“…This factor might be a reflection of the chronic aspects of CD, as described by other authors. [6][7][8][9][20][21][22] Deter et al 26 have also demonstrated that CD course is influenced by psychotherapy; this study has observed a reduction of −38.1% in illness activity, what could be associated to improvement in general state of health and quality of life of the patients.…”

“…[10][11][12][13]24,25 However, few studies have been conducted to evaluate the results of psychotherapy in these patients. 25,26 In the present study, the patients went through TBP process, under the referential from TIA. It has been considered that the systemic and transdisciplinary approach, viewing humans as bio-psycho-socio-spiritual beings, favors the comprehension of psychosomatic manifestations.…”

Does psychological counseling alter the natural history of inflammatory bowel disease?

“…[1][2][3] Of 11 longitudinal studies of the effects of stress, life events, and/or depression on the course of IBD, [10][11][12][13][14][15][16][17][18][19][20] 8 showed that stress, adverse life events, and related psychological disorders worsened IBD, 11,[13][14][15][16][17]19,20 while 3 showed no effect of these factors on its course. 10,12,18 Furthermore, the burgeoning research topic of psychoneuroimmunology has made apparent some of the humoral and neuronal routes by which mood, acting through the hypothalamus-pituitary-adrenal axis and the autonomic and enteric nervous systems, can alter the inflammatory and immune response in the gut.…”