Effect of psychological therapy on disease activity, psychological comorbidity, and quality of life in inflammatory bowel disease: a systematic review and meta-analysis

Gracie, David J.; Irvine, Andrew J; Sood, Ruchit; Mikocka‐Walus, Antonina; Hamlin, P. J.; Ford, Alexander C

doi:10.1016/s2468-1253(16)30206-0

Cited by 217 publications

(139 citation statements)

References 53 publications

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“…Also, there was little or no evidence of the cost‐effectiveness of online CBT intervention. These results are contradictory with a recent systematic review which showed that depression scores and quality of life in IBD patients might be improved in the short‐term after psychological therapy intervention, particularly CBT, and identified the efficacy gap between online and F2F psychotherapy modalities . This suggests that human contact might be necessary for psychotherapy to improve the outcomes.…”

Section: Discussionmentioning

confidence: 67%

Systematic review with meta‐analysis: online psychological interventions for mental and physical health outcomes in gastrointestinal disorders including irritable bowel syndrome and inflammatory bowel disease

Hanlon

Hewitt

Bell

et al. 2018

Aliment Pharmacol Ther

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Section: Discussionmentioning

confidence: 67%

Systematic review with meta‐analysis: online psychological interventions for mental and physical health outcomes in gastrointestinal disorders including irritable bowel syndrome and inflammatory bowel disease

Hanlon

Hewitt

Bell

et al. 2018

Aliment Pharmacol Ther

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“…These findings suggest that it is this subgroup of patients with significant levels of distress who benefit most from psychological intervention. The results of the majority of previous RCTs suggest that CBT has limited effect on self‐reported disease course for people with IBD without disturbance to mood (Gracie et al, ). Based on our findings, future RCT may show improved disease‐related outcomes if participants with clinically significant symptoms of anxiety and low mood are recruited.…”

Section: Discussionmentioning

confidence: 99%

“…Several reviews have been published that have examined the impact of psychotherapy on biopsychosocial outcomes for people with IBD (Gracie et al, ; Knowles et al, ; McCombie, Mulder, & Gearry, ; Timmer et al, ). A Cochrane meta‐analysis of randomized controlled trials (RCTs) concluded that there was no evidence that psychological interventions enhanced emotional states, quality of life (QOL), or reduced disease activity in the short‐term or at 12 months in unselected adults with IBD.…”

Section: Introductionmentioning

confidence: 99%

Cognitive behaviour therapy for distress in people with inflammatory bowel disease: A benchmarking study

Jordan

Hayee

Chalder

2018

Clin Psychology and Psychoth

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“…Patients diagnosed with IBD face the prospect of a lifelong medical condition with a heterogeneous, unpredictable and potentially debilitating disease course [10]. IBD is associated with psychological stress, depression and anxiety as well as increased risk of psychological comorbidities [11, 12]. The disease often imposes a considerable symptom burden and significantly impacts the patient’s daily life and HRQoL [13].…”

Section: Introductionmentioning

confidence: 99%

Psychometric limitations of the 13-item Sense of Coherence Scale assessed by Rasch analysis

Lerdal¹,

Opheim²,

Gay³

et al. 2017

BMC Psychol

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BackgroundA person’s sense of coherence (SOC) reflects their perception that the world is meaningful and predictable, and impacts their ability to deal with stressors in a health-promoting manner. A valid, reliable, and sensitive measure of SOC is needed to advance health promotion research based on this concept. The 13-item Sense of Coherence Scale (SOC-13) is widely used, but we reported in a previous evaluation its psychometric limitations when used with adults with morbid obesity. To determine whether the identified limitations were specific to that population or also generalize to other populations, we have replicated our prior study design and analysis in a new sample of adults with inflammatory bowel disease (IBD).MethodsA sample of 428 adults with IBD completed the SOC-13 at a routine clinic visit in Norway between October 1, 2009 and May 31, 2011. Using a Rasch analysis approach, the SOC-13 and its three subscales were evaluated in terms of rating scale functioning, internal scale validity, person-response validity, person-separation reliability and differential item functioning.ResultsCollapsing categories at the low end of the 7-category rating scale improved its overall functioning. Two items demonstrated poor fit to the Rasch model, and once they were deleted from the scale, the remaining 11-item scale (SOC-11) demonstrated acceptable item fit. However, neither the SOC-13 nor the SOC-11 met the criteria for unidimensionality or person-response validity. While both the SOC-13 and SOC-11 were able to distinguish three groups of SOC, none of the subscales could distinguish any such groups. Minimal differential item functioning related to demographic characteristics was also observed.ConclusionsAn 11-item version of the sense of coherence scale has better psychometric properties than the original 13-item scale among adults with IBD. These findings are similar to those of our previous evaluation among adults with morbid obesity and suggest that the identified limitations may exist across populations. Further refinement of the SOC scale is therefore warranted.

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Effect of psychological therapy on disease activity, psychological comorbidity, and quality of life in inflammatory bowel disease: a systematic review and meta-analysis

Abstract: Article:Gracie, DJ orcid.org/0000-0001-9616-981X, Irvine, AJ, Sood, R et al. (3 more authors) (2017) Effect of psychological therapy on disease activity, psychological comorbidity, and quality of life in inflammatory bowel disease: a systematic review and meta-analysis.

Cited by 217 publications

References 53 publications

Systematic review with meta‐analysis: online psychological interventions for mental and physical health outcomes in gastrointestinal disorders including irritable bowel syndrome and inflammatory bowel disease

Systematic review with meta‐analysis: online psychological interventions for mental and physical health outcomes in gastrointestinal disorders including irritable bowel syndrome and inflammatory bowel disease

Cognitive behaviour therapy for distress in people with inflammatory bowel disease: A benchmarking study

Psychometric limitations of the 13-item Sense of Coherence Scale assessed by Rasch analysis

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