Mind–Body Interventions for Pediatric Inflammatory Bowel Disease

Yeh, Ann Ming; Wren, Anava A.; Golianu, Brenda

doi:10.3390/children4040022

Cited by 22 publications

(13 citation statements)

References 97 publications

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“…symptoms experienced significant improvements in quality of life. The review reported that the findings about the efficacy of mindfulness interventions in IBD were inconclusive, that these interventions might be useful in subgroup of IBD patients with IBS symptoms and that further research of higher methodological quality was needed.Two narrative reviews reported similar findings [18,19].…”

Section: Accepted Manuscriptmentioning

confidence: 70%

A systematic review and meta-analysis of mindfulness based interventions and yoga in inflammatory bowel disease

Ewais

Begun

Kenny

et al. 2019

Journal of Psychosomatic Research

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Background Mindfulness interventions are increasingly used as a part of integrated treatment in inflammatory bowel disease (IBD) but there are limited data and a lack of consensus regarding effectiveness. Objectives We explored the efficacy of mindfulness interventions compared to treatment as usual (TAU), or other psychotherapeutic interventions, in treating physical and psychosocial symptoms associated with IBD. Methods We conducted a systematic review and meta-analysis of relevant randomised controlled trials (RCTs). We included a broad range of mindfulness interventions including mindfulness-based interventions and yoga, with no restrictions on date of publication, participants' age, language or publication type. We searched the following electronic databases: MEDLINE, EMBASE, PsycINFO, CINAHL and WHO ICTRP database. We adhered to the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines in conducting the review. Results We included eight studies in the meta-analysis. Mindfulness interventions showed a statistically significant effect on stress in both the short(SMD=-0.

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Section: Accepted Manuscriptmentioning

confidence: 70%

A systematic review and meta-analysis of mindfulness based interventions and yoga in inflammatory bowel disease

Ewais

Begun

Kenny

et al. 2019

Journal of Psychosomatic Research

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“…There has been a growing body of evidence proving the role of psychosocial factors in the aetiology, maintenance, and exacerbation of FGIDs [3] as well as the use of psychological services as an adjunct to standard medical treatment in producing more favourable outcomes in FGIDs and IBD [5,6]. However, despite clear evidence of the imperative role of clinical psychologists in this field, there remains a gap between the need and provision of clinical psychology services in paediatric gastroenterology centres.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, chronic GI conditions like inflammatory bowel diseases (IBD) have also been shown to be exacerbated by psychological stress [4]. Hence, the role of both psychological assessment and intervention in paediatric gastroenterology has been increasing and integration of clinical psychology into standard care has proven to further reduce symptoms and disability associated with both FGID and IBD [5,6]. Yet, its importance seems to be insufficiently recognized and there is still a major lack of availability.…”

Section: Introductionmentioning

confidence: 99%

The growing gap between demand and availability of clinical psychology in Paediatric Gastroenterology: a retrospective analysis of clinical routine care

et al. 2020

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Clinical psychology intervention in paediatric gastroenterology is vital given the biopsychosocial aetiology of paediatric functional gastrointestinal disorders, and the psychological impact of chronic conditions. The aim was to assess the availability and benefit of clinical psychology in paediatric gastroenterology across the UK and Germany. A retrospective assessment of referrals (n = 936 referrals) to clinical psychology was performed at our tertiary paediatric gastroenterology centre between 2010 and 2018. The availability of clinical psychologists and outcome of psychology intervention for children with functional abdominal pain were also assessed. Access to clinical psychology across the UK and Germany was assessed using an online questionnaire. We observed a substantial rise in the number of clinical psychology referrals between 2010 and 2018. Increasing demand was not matched by sufficient increase in availability of clinical psychology, leading to longer waiting times. A major benefit of clinical psychology intervention was highlighted with 95% of patients (n = 20) reporting a significant reduction in symptoms. Of the 12 centres who responded, 11 centres have direct access to clinical psychology with a mean of 13% of patients requiring psychology referrals annually. Conclusion: Despite evidence of its benefit and increasing demand, there is insufficient access to clinical psychological services, highlighting the urgent need to address this important issue. What is known:• The biopsychosocial pathophysiology of functional gastrointestinal disorders involves a disordered brain-gut interaction, which emphasizes the close link between psychological factors and altered gut function.• Psychological intervention, as an adjunct to medical treatment, improves outcomes in paediatric patients with gastrointestinal (GI) disease such as functional gastrointestinal disorders and inflammatory bowel diseasesWhat is new:• There is a rising number of referrals from paediatric gastroenterology to clinical psychology in our centre which is not met by a sufficient increase in the availability of clinical psychologists. Similarly, access to clinical psychological services is lacking in several paediatric gastroenterology centres in the UK and Germany.• Strategic action is required to address this important gap in the care of children suffering from GI diseases.

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“…As you become more familiar with the exercise, you may find you are able to complete it in 20 minutes or less (Zeichner, 2018). 22 and Excel application (2010).Independent t-test was used to compare between case and control groups in the mean differences clinical activity for the evaluation of patients with chronic colitis. Moreover, paired sample t test was also used to compare within each group.…”

Section: Progressive Muscle Relaxation Technique: It Involves the Folmentioning

confidence: 99%

The Benefits of Relaxation Exercise for Chronic Colitis.

Tawab¹

2019

IJAR

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Background: Inflammatory bowel diseases are a group of inflammatory conditions in which the body"s own immune system attacks parts of the digestive system. Crohn"s disease and chronic colitis cause chronic inflammation of the gastrointestinal tract. Objective: This study investigated evidence for the use of relaxation therapies as interventions to decrease inflammatory bowel diseases symptoms and severity as well as reduce anxiety and improve quality of life in chronic colitis patients. Methods: A search of electronic bibliographic databases was conducted to identify randomized controlled trials that included relaxation exercise programs for patients with chronic colitis. Progressive muscle relaxation technique was used to case group. Meanwhile dietary regulation group was used for control one and all studies were used in the static-analysis. Results: The results showed that the mean age of participant was 23± 3 years, mean weight was 58 ± 7 kg and mean height was 158 ± 3 meter. The results of our study revealed that there was not significant differences between group (p > 0.05) pretreatment in the mean value total score of clinical activity for the evaluation of patients with chronic colitis. The mean of the total score post treatment was 3.60 ± 0.69 in case group and was 4.80 ± 1.13 in control group. The different between groups was significant (p < 0.05). Conclusion: The current study demonstrated that there was a highly positive effect of relaxation exercise and dietary regulation in reducing colon pain. Further studies are needed to ascertain the long-term effects of relaxation therapy and the underlying psychosocial mechanisms, larger sample size, male group, different areas, different categories of age leading to anxiety reduction and improved quality of life.

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Mind–Body Interventions for Pediatric Inflammatory Bowel Disease

Cited by 22 publications

References 97 publications

A systematic review and meta-analysis of mindfulness based interventions and yoga in inflammatory bowel disease

A systematic review and meta-analysis of mindfulness based interventions and yoga in inflammatory bowel disease

The growing gap between demand and availability of clinical psychology in Paediatric Gastroenterology: a retrospective analysis of clinical routine care

The Benefits of Relaxation Exercise for Chronic Colitis.

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