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

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

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

DOI 10.1053/j.gastro.2016.10.036

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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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Authors: Regueiro, M., Greer, J. B., & Szigethy, E.
Affiliations: University of Pittsburgh (US)
Corresponding author: Szigethy, Eva
ORCID: Regueiro, Miguel
Szigethy, Eva
Venue: Gastroenterology
Publisher: Elsevier BV
Published: 2017-01
Volume: 152
Issue: 2
Pages: 430-439.e4
ISSN: 0016-5085 (ISSN-L)
DOI: 10.1053/j.gastro.2016.10.036
OpenAlex: W2547348541
Semantic Scholar: 1a08355df42fa5ac26ff74601c03df38638c19d3
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
FWCI: 1.80
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Gastroenterology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Gastroenterology › 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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Etiology and Treatment of Pain and Psychosocial Issues in Patients With Inflammatory Bowel Diseases

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