Psychological Considerations and Interventions in Inflammatory Bowel Disease Patient Care

Overview

Journal Gastroenterol Clin North Am

Specialty Gastroenterology

Date 2017 Nov 28

PMID 29173526

Citations 19

Authors

Tiffany H Taft

Sarah Ballou

Alyse Bedell

Devin Lincenberg

Affiliations

Soon will be listed here.

Abstract

The presence of psychological comorbidities, specifically anxiety and depression, is well documented in inflammatory bowel disease (IBD). The drivers of these conditions typically reflect 4 areas of concern: disease impact, treatment concerns, intimacy, and stigma. Various demographic and disease characteristics increase risk for psychological distress. However, the risk for anxiety and depression is consistent throughout IBD course and is independent of disease activity. Early intervention before psychological distress becomes uncontrolled is ideal, but mental health often is unaddressed during patient visits. Understanding available psychological treatments and establishing referral resources is an important part of the evolution of IBD patient care.

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References

Muller K, Prosser R, Bampton P, Mountifield R, Andrews J . Female gender and surgery impair relationships, body image, and sexuality in inflammatory bowel disease: patient perceptions. Inflamm Bowel Dis. 2009; 16(4):657-63. DOI: 10.1002/ibd.21090. View

Knowles S, Monshat K, Castle D . The efficacy and methodological challenges of psychotherapy for adults with inflammatory bowel disease: a review. Inflamm Bowel Dis. 2013; 19(12):2704-15. DOI: 10.1097/MIB.0b013e318296ae5a. View

Alonzo A . Acute myocardial infarction and posttraumatic stress disorder: the consequences of cumulative adversity. J Cardiovasc Nurs. 1999; 13(3):33-45. DOI: 10.1097/00005082-199904000-00004. View

Taft T, Keefer L . A systematic review of disease-related stigmatization in patients living with inflammatory bowel disease. Clin Exp Gastroenterol. 2016; 9:49-58. PMC: 4789833. DOI: 10.2147/CEG.S83533. View

Rubin D, Dubinsky M, Martino S, Hewett K, Panes J . Communication Between Physicians and Patients with Ulcerative Colitis: Reflections and Insights from a Qualitative Study of In-Office Patient-Physician Visits. Inflamm Bowel Dis. 2017; 23(4):494-501. PMC: 5495553. DOI: 10.1097/MIB.0000000000001048. View

Steel K, Cox D, Garry H . Therapeutic videoconferencing interventions for the treatment of long-term conditions. J Telemed Telecare. 2011; 17(3):109-17. DOI: 10.1258/jtt.2010.100318. View

Gracie D, Ford A . Letter: causes of fatigue in inflammatory bowel disease remain uncertain. Aliment Pharmacol Ther. 2017; 45(5):762-763. DOI: 10.1111/apt.13922. View

Mountifield R, Bampton P, Prosser R, Muller K, Andrews J . Fear and fertility in inflammatory bowel disease: a mismatch of perception and reality affects family planning decisions. Inflamm Bowel Dis. 2008; 15(5):720-5. DOI: 10.1002/ibd.20839. View

Neuendorf R, Harding A, Stello N, Hanes D, Wahbeh H . Depression and anxiety in patients with Inflammatory Bowel Disease: A systematic review. J Psychosom Res. 2016; 87:70-80. DOI: 10.1016/j.jpsychores.2016.06.001. View

10.

Casati J, Toner B, de Rooy E, Drossman D, Maunder R . Concerns of patients with inflammatory bowel disease: a review of emerging themes. Dig Dis Sci. 2000; 45(1):26-31. DOI: 10.1023/a:1005492806777. View

11.

Steed H, Walsh S, Reynolds N . A brief report of the epidemiology of obesity in the inflammatory bowel disease population of Tayside, Scotland. Obes Facts. 2010; 2(6):370-2. PMC: 6515793. DOI: 10.1159/000262276. View

12.

Rutten J, Vlieger A, Frankenhuis C, George E, Groeneweg M, Norbruis O . Home-Based Hypnotherapy Self-exercises vs Individual Hypnotherapy With a Therapist for Treatment of Pediatric Irritable Bowel Syndrome, Functional Abdominal Pain, or Functional Abdominal Pain Syndrome: A Randomized Clinical Trial. JAMA Pediatr. 2017; 171(5):470-477. DOI: 10.1001/jamapediatrics.2017.0091. View

13.

Taft T, Bedell A, Naftaly J, Keefer L . Stigmatization toward irritable bowel syndrome and inflammatory bowel disease in an online cohort. Neurogastroenterol Motil. 2016; 29(2). PMC: 5276799. DOI: 10.1111/nmo.12921. View

14.

Satherley R, Howard R, Higgs S . Disordered eating practices in gastrointestinal disorders. Appetite. 2014; 84:240-50. DOI: 10.1016/j.appet.2014.10.006. View

15.

Cordova M, Andrykowski M, Kenady D, McGrath P, Sloan D, Redd W . Frequency and correlates of posttraumatic-stress-disorder-like symptoms after treatment for breast cancer. J Consult Clin Psychol. 1995; 63(6):981-6. DOI: 10.1037//0022-006x.63.6.981. View

16.

Timmer A, Bauer A, Kemptner D, Furst A, Rogler G . Determinants of male sexual function in inflammatory bowel disease: a survey-based cross-sectional analysis in 280 men. Inflamm Bowel Dis. 2007; 13(10):1236-43. DOI: 10.1002/ibd.20182. View

17.

Backhaus A, Agha Z, Maglione M, Repp A, Ross B, Zuest D . Videoconferencing psychotherapy: a systematic review. Psychol Serv. 2012; 9(2):111-131. DOI: 10.1037/a0027924. View

18.

Epping-Jordan J, Compas B, Osowiecki D, Oppedisano G, Gerhardt C, Primo K . Psychological adjustment in breast cancer: processes of emotional distress. Health Psychol. 1999; 18(4):315-26. DOI: 10.1037//0278-6133.18.4.315. View

19.

Mawdsley J, Jenkins D, Macey M, Langmead L, Rampton D . The effect of hypnosis on systemic and rectal mucosal measures of inflammation in ulcerative colitis. Am J Gastroenterol. 2008; 103(6):1460-9. DOI: 10.1111/j.1572-0241.2008.01845.x. View

20.

Ljotsson B, Hedman E, Andersson E, Hesser H, Lindfors P, Hursti T . Internet-delivered exposure-based treatment vs. stress management for irritable bowel syndrome: a randomized trial. Am J Gastroenterol. 2011; 106(8):1481-91. DOI: 10.1038/ajg.2011.139. View