Cognitive-behavioral therapy for adults with inflammatory bowel disease: A meta-analysis of randomized controlled trials with implications for clinical social work

Gregory, Virgil L.

doi:10.1080/26408066.2019.1610682

Cited by 5 publications

(4 citation statements)

References 64 publications

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“…In this context, different initiatives have been proposed including a focus on diet, physical activity, sleep [ 79 – 83 ], and restoration of a good social relationship [ 81 , 82 , 84 – 93 ]. Effective clinical and social management of IBD requires the active involvement of health care stakeholders and health care organizations implicated in this condition [ 94 , 95 ].…”

Section: Resultsmentioning

confidence: 99%

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Promoting psycho-social wellbeing for engaging inflammatory bowel disease patients in their care: an Italian consensus statement

et al. 2021

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Background Inflammatory bowel diseases (IBD) are remitting and relapsing diseases that mainly interest the gastrointestinal tract. IBD is associated with a condition of psycho-social discomfort that deeply compromises the quality of life and the competence of patient to be fully engaged in their self-management. As a consequence, effective care of IBD patients should include not only medical but also psychological support in order to improve patients' wellbeing. Although this, to date there is no standardized approach to promote psychological wellbeing of IBD patients in order to improve the perception of the quality of the care. To fill this gap, a consensus conference has been organized in order to define the psychosocial needs of IBD patients and to promote their engagement in daily clinical practice. This paper describes the process implemented and illustrates the recommendations deriving from it, which focus on the importance of a multidisciplinary approach in IBD management. Results The consensus conference has been organized in three phases: (1) literature review about life experiences, engagement, and psychosocial needs of IBD patients; (2) workshops with IBD experts and patients’ representatives; (3) drafting of statements and voting. Seventy-three participants were involved in the consensus conference, and sixteen statements have been voted and approved during the consensus process. Conclusions The main conclusion is the necessity of the early detection of – and, in case of need, intervention on- psycho-social needs of patients in order to achieve patient involvement in IBD care.

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Section: Resultsmentioning

confidence: 99%

“…An appropriate transmission of information is a prerequisite for the development of patient engagement [ 99 ]. Interestingly, engagement programs should involve not only the patient but also the family, caregivers, and the care team [ 94 , 95 ].…”

Section: Resultsmentioning

confidence: 99%

Promoting psycho-social wellbeing for engaging inflammatory bowel disease patients in their care: an Italian consensus statement

et al. 2021

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“…Psychoeducation may be used to provide information on the surgical procedure, treatments, expected side effects, recovery process, and functional modifications [ 141 , 153 ]. Cognitive behavioural therapy [ 168 , 169 ] may help patients to focus on the early identification and restructuring of own disruptive beliefs about surgery, which lead to psychological distress [ 159 , 168 , 169 ], promoting adaptive behaviours [ 141 , 153 , 167 ]. Intervention aimed at promoting psychological well-being, i.e., Well-Being Therapy [ 170 ], may be considered [ 171 ].…”

Section: Psychological Distress Optimizationmentioning

confidence: 99%

Multimodal Prehabilitation for Patients with Crohn’s Disease Scheduled for Major Surgery: A Narrative Review

Fiorindi,

Giudici,

Testa

et al. 2024

Nutrients

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Approximately 15–50% of patients with Crohn’s disease (CD) will require surgery within ten years following the diagnosis. The management of modifiable risk factors before surgery is essential to reduce postoperative complications and to promote a better postoperative recovery. Preoperative malnutrition reduced functional capacity, sarcopenia, immunosuppressive medications, anemia, and psychological distress are frequently present in CD patients. Multimodal prehabilitation consists of nutritional, functional, medical, and psychological interventions implemented before surgery, aiming at optimizing preoperative status and improve postoperative recovery. Currently, studies evaluating the effect of multimodal prehabilitation on postoperative outcomes specifically in CD are lacking. Some studies have investigated the effect of a single prehabilitation intervention, of which nutritional optimization is the most investigated. The aim of this narrative review is to present the physiologic rationale supporting multimodal surgical prehabilitation in CD patients waiting for surgery, and to describe its main components to facilitate their adoption in the preoperative standard of care.

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“…Cognitive-behavioral therapy (CBT), a psychotherapy which aims to identify, challenge, and restructure problematic automatic thoughts to reduce symptoms of psychological distress, has been a major focus of psychological interventions for IBD (Bennebroek Evertsz et al, 2017 ; Gregory, 2019 ). CBT is demonstrated to be somewhat effective in improving HRQoL and depressive symptoms for those with IBD; however, there remain mixed reviews on its long-term efficacy and its effectiveness, if any, in treating anxiety symptoms (Ballou & Keefer, 2017 ; Bennebroek Evertsz et al, 2017 ; Gracie et al, 2017 ; Hanlon et al, 2018 ; Mikocka-Walus et al, 2017 ; Stapersma et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Moving Towards Acceptance and Values: A Qualitative Study of ACTforIBD Compared to IBD Psychoeducation

Wilkin,

Evans,

Van Niekerk

et al. 2024

J Clin Psychol Med Settings

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The current study explored perspectives of those with inflammatory bowel disease (IBD) and comorbid anxiety and/or depression on a hybrid acceptance and committment therapy (ACT) intervention, compared to an active control. This qualitative study was nested within a randomized controlled trial (RCT) where an experimental group received an 8-week blended delivery ACTforIBD intervention (four sessions telehealth, four sessions pre-recorded self-directed), while an active control group received a psychoeducation program of similar intensity. Semi-structured interviews were conducted post-intervention and at a 3-month follow-up. Themes were interpreted using reflexive thematic analysis. Twenty individuals participated; ten in each condition. Seven themes were constructed, including three shared themes between groups: I Am Worth Advocating For, Present Moment Is My Biggest Ally, and Ambivalence About Self-Directed Modules. Two themes were identified for the ACTforIBD group: Symptoms Are Going to Happen and Moving Toward Values while two themes identified from the ActiveControl group were: Reset and Refresh and It’s Ok to Say No. Acceptance and values modules from ACTforIBD were perceived as useful in reducing psychological distress for those with IBD, while the ActiveControl group felt their program affirmed existing effective coping strategies. Access to external resources for self-directed modules and networking may increase engagement with content long term.

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Cognitive-behavioral therapy for adults with inflammatory bowel disease: A meta-analysis of randomized controlled trials with implications for clinical social work

Cited by 5 publications

References 64 publications

Promoting psycho-social wellbeing for engaging inflammatory bowel disease patients in their care: an Italian consensus statement

Promoting psycho-social wellbeing for engaging inflammatory bowel disease patients in their care: an Italian consensus statement

Multimodal Prehabilitation for Patients with Crohn’s Disease Scheduled for Major Surgery: A Narrative Review

Moving Towards Acceptance and Values: A Qualitative Study of ACTforIBD Compared to IBD Psychoeducation

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