Management of the Psychological Impact of Inflammatory Bowel Disease: Perspective of Doctors and Patients-The ENMENTE Project (original) (raw)
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Psychological factors associated with inflammatory bowel disease
British Medical Bulletin, 2021
BackgroundBoth depression and anxiety are identified as significant experiences in inflammatory bowel disease (IBD); whether these are a consequence of the disease or an active contributor to the disease remains controversial. This review aimed to identify and critique recent evidence regarding mental health in IBD.Sources of dataPubmedⓇ, OvidⓇ, EmbaseⓇ, EBSCO PsychInfo and Google-Scholar were searched within the last 5 years (2016–2020).Areas of agreementOverall, both depression and anxiety affect disease activity, relapse and healthcare utilization.Areas of controversyThere is some controversy on whether depression and anxiety affect IBD outcomes differently depending on IBD subtype.Growing pointsThe data support the need for depression and anxiety assessment to be incorporated in the routine management of IBD patients; prompt psychiatric and psychological management may ultimately reduce disease activity, relapses and healthcare costs.Areas timely for developing researchMore long...
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2017
Patients with chronic medically complex disorders like inflammatory bowel diseases (BD) often have mental health and psychosocial comorbid conditions. There is growing recognition that factors other than disease pathophysiology impact patients' health and wellbeing. Provision of care that encompasses medical care plus psychosocial, environmental and behavioral interventions to improve health has been termed "whole person care" and may result in achieving highest health value. There now are multiple methods to survey patients and stratify their psychosocial, mental health and environmental risk. Such survey methods are applicable to all types of IBD programs including those at academic medical centers, independent health systems and those based within independent community practice. Once a practice determines that a patient has psychosocial needs, a variety of resources are available for referral or co-management as outlined in this paper. Included in this white paper a...
Inflammatory Bowel Diseases
Background and aims The role of new psychological factors such as psychopathological patterns and defense mechanisms in the care of inflammatory bowel disease (IBD) has been poorly investigated. We aimed to assess the psychological characteristics and defense mechanisms of IBD patients. Methods This was a single-center, observational, cross-sectional study. Consecutive adult IBD patients were enrolled and stratified according to disease activity. Sociodemographic and clinical data were collected, and validated questionnaires (Symptom Checklist-90-R [SCL-90-R]) for psychological distress, Defense Mechanism Inventory (DMI) for psychological defense mechanisms, and Inflammatory Bowel Disease Questionnaire (IBDQ) for quality of life (QoL) were administered. Results Two hundred one patients were enrolled: 101 in remission and 100 with active disease. The mean score for IBDQ was below the cutoff level (156.8 ± 37.8), with a significantly greater impairment of QoL in subjects with flares (...
Serena Barello, Daniela Leone, Silvio Danese, Elena Vegni, 2013
Inflammatory bowel disease (IBD) has received increasing attention in recent yearswithin the literature, due to its incidence and prevalence. The pathogenesis of IBD is still unclear, but the research community is increasingly suggesting that psychological issues may play a role in its aetiology and in exacerbation of symptoms. However, the literature regarding the psychological factors associated with IBD remains controversial and fragmented. The aim of the present study is twofold: (1) to identify, through a bibliometric analysis, the current state of the ongoing scientific debate regarding the relationship between IBD and psychological/psychiatric factors; (2) to analyse, through a qualitative software-based thematic analysis, the main themes characterizing the literature on this topic from 1988 to 2012. This study highlighted increasing number of academic publications in recent years regarding the multiplicity of factors related to the disease process in IBD, thus confirming the growing interest in this issue. IBD is becoming increasingly recognized by the medical literature as being exacerbated by a multi-componential process that needs to be studied through a biopsychosocial theoretical perspective which ables to orient multidisciplinary healthcare organizations and clinical interventions aimed at addressing IBD patient needs at different levels. This study also sheds light on two possible theoretical perspectives through which the academic community has considered IBD: A biomedical point of view that addresses the need for an etiological explanation of IBD and a behavioural point of view that aims at describing the observable symptoms and measurable health outcomes of clinical interventions such as patient 30 adherence and engagement in the care and treatment process. Keywords: inflammatory bowel diseases; psychology; biopsychosocial model
Influences and Impact of Anxiety and Depression in the Setting of Inflammatory Bowel Disease
Inflammatory bowel diseases, 2018
Individuals with inflammatory bowel disease (IBD) are at increased risk of developing anxiety or depression (A&D). Crohn's disease (CD) and ulcerative colitis (UC) with comorbid A&D are both more challenging to manage. IBD providers need to better understand the causes and impact of A&D in order to improve care for IBD patients. We sought to identify clinical factors that influence development of A&D and healthcare utilization in IBD. This is a retrospective analysis using an IBD natural history registry from a single tertiary care referral center. Presence of A&D was determined based upon responses to the Hospital Anxiety and Depression Scale. Demographic and clinical factors were abstracted to evaluate for significant associations. Four hundred thirty-two IBD patients (132 UC, 256 CD, and 44 indeterminate colitis) were included in this study. One hundred ninety-two (44.4%) had anxiety or depression or both, and most were female (59.4%, P < 0.05). History of surgery (P < ...
Which patients with IBD need psychological interventions? A controlled study
Inflammatory Bowel Diseases, 2008
Background: Psychological distress is frequent in inflammatory bowel disease (IBD). Whether there is a need for psychological interventions is unknown. This study investigated the quantity and quality of the need for psychological interventions in IBD as compared to rheumatoid arthritis (RA).
Current Drug Targets, 2014
The present aficle aims to teview the lilerature on the relationship between psychology and inflammatory bowel disease (IBD). In particular, the first section is dedicated to expkrre the mle ofpsychological factors in the etiopathology ofthe disease, its development and the eflicacy offeatments, while the secon.d analyzes existing literature on the role oipsychotogical interventions ín the care oflBD pàtients. Although the role ofpsychological factors in IBD appears controversial, literature seems to distinguish between.antecedents ofthe disease (stress and lifestyle behaviot)' potential mediators of disease cowse (family filnctioning, aúachment sryle, coping strategies, and illness perception)' outcomes of IBD and concurrent factors (anxiety, depression and quality oflife). Four types ofpqychological ini,erventions are described: Stress management, fsy"ttoOynàm1", Cognitive behavioral and llypnosis based. Data on tlle role and ellicacy of psychological i.rt..rvÀtioos in IBD patients show littte ev'idence both on reduction of the disease activity and benefi8 on psychological vzriables. psychologícal interventions seem to be beneficial in the short term especially for adolescents' ìfr" itnpo.tun"" of considering thJ connections between psychology and IBD from a broader perspective reflecling the oornplexity ofthe pbenomenon at multiple levels is discussed'