Psychological interventions for treatment of inflammatory bowel disease

Timmer, Antje; Jantschek, Günter; Moser, Gabriele; Motschall, Edith; Preiß, J; Rücker, Gerta

doi:10.1002/14651858.cd006913

Cited by 46 publications

(72 citation statements)

References 17 publications

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“…adolescent somatic symptoms, parent irrational cognitions, and protective responses to pain/IBD symptoms). These findings are consistent with face-toface/group-based interventions targeting GI symptoms and mental health (see reviews: Zijdenbos et al [32], Timmer et al [33], and Knowles et al [15]), in that it can be argued that individuals who experience mental distress along with their physical health condition are likely to benefit from a focused psychological intervention. It is, however, too early to identify if targeted eHealth psychological interventions may be more beneficial for different illness cohorts (i.e.…”

Section: Discussionsupporting

confidence: 73%

See 1 more Smart Citation

Utilization and efficacy of internet-based eHealth technology in gastroenterology: a systematic review

Knowles

Mikocka‐Walus

2014

Scandinavian Journal of Gastroenterology

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Section: Discussionsupporting

confidence: 73%

“…In contrast, eHealth interventions are predominantly fixed in the content being provided. Finally, researchers should also identify and evaluate possible differences across interventions which are transposed from clinic-originated studies versus those developed specifically online [15,33,35].…”

Section: Recommendationsmentioning

confidence: 99%

Utilization and efficacy of internet-based eHealth technology in gastroenterology: a systematic review

Knowles

Mikocka‐Walus

2014

Scandinavian Journal of Gastroenterology

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“…Prior research suggests that triggers for IBD flare-ups are diverse and that stress may trigger flare-up in only a subset of patients [5]. Indeed, the use of mind/body interventions to alter disease course for a subset of UC patients is consistent with data from the Cochrane review of psychological interventions for IBD patients, where the authors concluded that further evidence is necessary to assess the efficacy of specific psychological interventions for subsets of patients needing psychological interventions [28]. Therefore, it is reasonable that if mind/body interventions prevent flare-up by minimizing the impact of stress on inflammatory cascades, only individuals with heightened physiological responses to stress would benefit.…”

Section: Discussionmentioning

confidence: 84%

A Randomized Controlled Trial of Mindfulness-Based Stress Reduction to Prevent Flare-Up in Patients with Inactive Ulcerative Colitis

et al. 2014

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Background/Aims: The primary therapeutic goals in ulcerative colitis (UC) are to maintain excellent quality of life (QOL) by treating flare-ups when they occur, and preventing flare-ups. Since stress can trigger UC flare-ups, we investigated the efficacy of mindfulness-based stress reduction (MBSR) to reduce flare-ups and improve QOL. Methods: Patients with moderately severe UC, in remission, were randomized to MBSR or time/attention control. Primary outcome was disease status. Secondary outcomes were changes in markers of inflammation and disease activity, markers of stress and psychological assessments. Results: 55 subjects were randomized. Absence of flares, time to flare and severity of flare over 1 year were similar between the two groups. However, post hoc analysis showed that MBSR decreased the proportion of participants with at least one flare-up among those with top tertile urinary cortisol and baseline perceived stress (30 vs. 70%; p < 0.001). MBSR patients who flared demonstrated significantly lower stress at the last visit compared to flared patients in the control group (p = 0.04). Furthermore, MBSR prevented a drop in the Inflammatory Bowel Disease Quality of Life Questionnaire during flare (p < 0.01). Conclusion: MBSR did not affect the rate or severity of flare-ups in UC patients in remission. However, MBSR might be effective for those with high stress reactivity (high perceived stress and urinary cortisol) during remission. MBSR appears to improve QOL in UC patients by minimizing the negative impact of flare-ups on QOL. Further studies are needed to identify a subset of patients for whom MBSR could alter disease course.

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“…Patients with special needs as emotional or mental mood problems may benefit from psychological therapy 3,28. Health and nutrition educators should monitor the psychological well-being of young adults with IBD and incorporate opportunities for them to develop skills and strategies for creative problem solving with their condition.…”

Section: Discussionmentioning

confidence: 99%

Tolerance Limits, Self-understanding, and Stress Resilience in Integrative Recovery of Inflammatory Bowel Disease

Skrautvol

Nåden²

2017

Holistic Nursing Practice

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People living with chronic inflammatory bowel disease (IBD) experienced that knowledge about their embodied tolerance limits, diet, mental problem solving, and change in lifestyle together with integrative health care could promote recovery from their diagnosed disease in calmer periods of suffering. A hermeneutic approach was used to analyze interviews with patients living with IBD outside hospitals. Thirteen young adults between 18 and 45 years of age in calmer phases of IBD participated in the study. Three main themes emerged from the analysis of the interviews: (1) Understanding limits in embodied tolerance, (2) Restoring balance is creating a new equilibrium, and (3) Creating resilience through integrative care. Anxiety, depression, stress, insomnia, and fatigue are known consequences of IBD and create a lower degree of well-being for the patients. The digestive system is very important in establishing the interface between the body and the external world. Properly functioning digestion, psychosocial stress reduction, and sleep quality are important to rebuild a balanced immune system. Stress resilience during a patient's recovery from IBD requires self-understanding, self-recognition, and psychosocial support from health care professionals at hospital outpatient clinics.

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Psychological interventions for treatment of inflammatory bowel disease

Cited by 46 publications

References 17 publications

Utilization and efficacy of internet-based eHealth technology in gastroenterology: a systematic review

Utilization and efficacy of internet-based eHealth technology in gastroenterology: a systematic review

A Randomized Controlled Trial of Mindfulness-Based Stress Reduction to Prevent Flare-Up in Patients with Inactive Ulcerative Colitis

Tolerance Limits, Self-understanding, and Stress Resilience in Integrative Recovery of Inflammatory Bowel Disease

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