Use of complementary and alternative medicine and low quality of life associate with the need for psychological and psychotherapeutic interventions in inflammatory bowel disease

Abstract

Introduction Patients with inflammatory bowel disease suffer from various symptoms, impairing their quality of life and often affecting psychosocial issues. This may lead to the need for additional psychological care. This study investigated patients’ subjective need for integrated psychosomatic support and psychotherapy and indicators for it. Materials and methods This is a cross-sectional multicentre study in Austrian inflammatory bowel disease patients who were in routine care at 18 inflammatory bowel disease outpatient clinics. Patients filled in an anonymous, validated questionnaire (Assessment of the Demand for Additional Psychological Treatment Questionnaire, ADAPT) assessing the need for psychological care. The Assessment of the Demand for Additional Psychological Treatment Questionnaire gives two separate scores: the need for integrated psychosomatic support and for psychotherapy. In addition, health-related quality of life and the use of complementary and alternative medicine as well as clinical and sociodemographic variables were queried. Multivariable regression analysis was performed to estimate the effect of the previously mentioned variables on the need for additional psychological care. Results Of 1286 patients, 29.7% expressed a need for additional psychological care, 19.6% expressed a need for integrated psychosomatic support and 20.2% expressed a need for psychotherapy. In the multivariable analysis, the two strongest indicators for the need for both types of psychological care were the use of complementary and alternative medicine (for integrated psychosomatic support: odds ratio = 1.64, 95% confidence interval 1.13–2.39, p = 0.010; for psychotherapy: odds ratio = 1.74, 95% confidence interval 1.20–2.53, p = 0.004), and a low health-related quality of life score (for integrated psychosomatic support: odds ratio = 0.95, 95% confidence interval 0.94–0.96, p < 0.001; for psychotherapy: odds ratio = 0.96, 95% confidence interval 0.94–0.97, p < 0.001). Discussion About 30% of the Austrian inflammatory bowel disease patients expressed a need for integrated psychosomatic support and/or psychotherapy. The most important indicators for this need were the use of complementary and alternative medicine and low quality of life.

Identification of the informational and supportive needs of patients diagnosed with inflammatory bowel disease: a scoping review

“…. (Bray et al, 2016;Britt, 2017;Wilburn et al, 2017;Cho et al, 2018;Kamp and Brittain, 2018;Long et al, 2021;Rubin et al, 2021;Vutcovici et al, et al, 2000;Burkhalter et al, 2015;Berding et al, 2016;Khan et al, 2016;Schoultz, 2016;Schoultz et al, 2016;Larsson et al, 2017;Cho et al, 2018;Jordan et al, 2018;Knowles et al, 2018;Casellas et al, 2020;Karadag et al, 2020;Zare et al, 2020;Al Khoury et al, 2021;Fawson et al, 2021;Graffigna et al, 2021;Kutschera et al, 2021;Long et al, 2021;Popov et al, 2021;Rubin et al, 2021;Volpato et al, 2021;Vutcovici et al, 2021) Coping with disease (n = 8, 10.67%) ability to cope with the disease, all the side effects, negative emotions, Disease acceptance, (Viazis et al, 2013;Berding et al, 2016;Schoultz, 2016;Schoultz et al, 2016;Larsson et al, 2017;Zare et al, 2020;Fawson et al, 2021;Vutcovici et al, 2021) Psychological self-care (n = 4, 5.33%) ability to Stress control, Self-esteem, Self-efficacy, (Berding et al, 2016;Wilburn et al, 2017;…”

Clinical nursing visual health education pathway for patients with perianal abscess†

“…According to relevant studies, health education and psychological care for patients can enhance the effect of treatment on patients. [7][8][9] When patients with perianal abscess undergo surgical treatment, good nursing measures are of significant importance in improving the prognosis. 10 Since conventional nursing methods may need improvement, exploring more effective methods is an urgent concern.…”