Cited by 142Inflammatory Bowel DiseasePsychosomatic Disorders and Their TreatmentsGastrointestinal motility and disorders

Etiology and Treatment of Pain and Psychosocial Issues in Patients With Inflammatory Bowel Diseases

Regueiro, Miguel, Greer, Julia B., Szigethy, Eva·2017·Gastroenterology

Abstract

There is increasing evidence that brain-gut interactions are altered during development of inflammatory bowel diseases (IBDs). Understanding the relationship between the neurobiology, psychological symptoms, and social ramifications of IBD can guide comprehensive care for the whole patient. The most common psychological conditions in patients with IBD are chronic abdominal pain, anxiety, and depression. We review the evidence-based data and rates of these conditions and their respective relationship to IBD and the diagnostic approaches to identify patients with these conditions. Different treatment options for pain and psychosocial conditions are discussed, and new models of team-based IBD care are introduced. Providing the health care provider with tools to diagnose and manage psychological conditions in patients with Crohn's disease or ulcerative colitis is necessary for their total care and should be part of quality-improvement initiatives.

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Crossref · 10.1053/j.gastro.2016.10.036

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167 of 167 references verified0 citation errors · 0 not checkable

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Authors
Regueiro, M., Greer, J. B., & Szigethy, E.
Affiliations
University of Pittsburgh (US)
Corresponding author
Szigethy, Eva
Venue
Gastroenterology
Publisher
Elsevier BV
Published
2017-01
Volume
152
Issue
2
Pages
430-439.e4
ISSN
0016-5085 (ISSN-L)
OpenAlex
W2547348541
Cited by
142
References
168
Citations by year
2026: 7 · 2025: 10 · 2024: 11 · 2023: 20 · 2022: 18 · 2021: 19 · 2020: 17 · 2019: 13 · 2018: 15 · 2017: 10 · 2016: 2
FWCI
1.80
Type
journal article
Language
en
Open access
closed
Locations
  • Gastroenterology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
Keywords
inflammatory bowel disease, Crohn's disease, ulcerative colitis, chronic abdominal pain, anxiety, depression, psychosocial problems, gut-brain axis, pain etiology, pain management, team-based care, quality improvement
MeSH terms
Anxiety, Behavior Therapy, Depression, Humans, Sleep Initiation and Maintenance Disorders, Inflammatory Bowel Diseases, Abdominal Pain, Cognitive Behavioral Therapy, Chronic Pain

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