Psychotherapy for inflammatory bowel disease: a review and update
Abstract
BACKGROUND: Psychotherapy may be a useful intervention for inflammatory bowel disease (IBD) patients. We systematically reviewed all randomized controlled trials that have been performed in psychotherapy for inflammatory bowel disease patients. METHODS: Systematic searches were undertaken on 1 and 8 March, 2012 of studies of psychotherapy for IBD. RESULTS: Eighteen studies (19 papers) were included in this review. Psychotherapy was found to have minimal effect on measures of anxiety, depression, QOL and disease progression although shows promise in reducing pain, fatigue, relapse rate and hospitalisation, and improving medication adherence. It may also be cost effective. CONCLUSIONS: The effects of psychotherapy on IBD is mixed: future studies should determine whether patient screening or measuring different dependent variables improves outcomes and whether particular psychotherapies are superior over others.
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Psychotherapy with a strong psychoeducation focus has little to no effect on symptoms of depression and anxiety in people diagnosed with IBD.
“psychotherapy with a strong psychoeducation focus has been shown to have little to no effect on symptoms of depression and anxiety in people diagnosed with IBD,16”
From Feasibility, Acceptability, and Preliminary Efficacy of Acceptance Commitment Therapy for Adults Living With Inflammatory Bowel Disease and Distress. (2024) · cites this paper as [16]
Sections 3.3.1 and 3.3.2 report no effect on anxiety in three of five studies and no effect on depression in two of four, but the other studies found benefits. The Discussion describes the evidence as mixed; it does not establish that psychotherapy with a strong psychoeducation focus specifically has little to no effect on both outcomes. (LLM, conf=0.85)
Experimental — accuracy not yet measuredNew approaches to healthcare delivery such as stepped care or integrated care may facilitate better detection and management of anxiety and depression coexistent with IBD.
“Nonetheless, new approaches to healthcare delivery such as stepped care or integrated care may facilitate better detection and management of anxiety and depression coexistent with IBD (87-89).”
From Controversies Revisited: A Systematic Review of the Comorbidity of Depression and Anxiety with Inflammatory Bowel Diseases (2016) · cites this paper as [87]
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- Authors
- McCombie, A. M., Mulder, R. T., & Gearry, R. B.
- Affiliations
- University of Otago (NZ)
- Corresponding author
- McCombie, Andrew M.
- Mulder, Roger T.
- Gearry, Richard B.
- Venue
- Journal of Crohn s and Colitis
- Publisher
- Oxford University Press (OUP)
- Published
- 2013-12
- Volume
- 7
- Issue
- 12
- Pages
- 935-949
- ISSN
- 1873-9946 (ISSN-L)
- OpenAlex
- W2120277733
- Cited by
- 105
- References
- 121
- Citations by year
- 2025: 5 · 2024: 3 · 2023: 5 · 2022: 4 · 2021: 17 · 2020: 11 · 2019: 11 · 2018: 5 · 2017: 12 · 2016: 7 · 2015: 14 · 2014: 8 · 2013: 3
- FWCI
- 1.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Crohn s and Colitis (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Otago Doctoral Scholarship
- Todd Foundation Award for Excellence
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- psychotherapy, inflammatory bowel disease
- MeSH terms
- Anxiety, Depression, Fatigue, Hospitalization, Humans, Psychotherapy, Quality of Life, Recurrence, Inflammatory Bowel Diseases, Randomized Controlled Trials as Topic, Medication Adherence, Pain Management
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