Psychosocial issues in evidence-based guidelines on inflammatory bowel diseases: A review
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AIM: To study statements and recommendations on psychosocial issues as presented in international evidence-based guidelines on the management of inflammatory bowel diseases (IBD). METHODS: MEDLINE, guidelines International Network, National Guideline Clearing House and National Institute for Health and Care Excellence were searched from January 2006 to June 30, 2013 for evidence-based guidelines on the management of IBD. RESULTS: The search yielded 364 hits. Thirteen guidelines were included in the review, of which three were prepared in Asia, eight in Europe and two in the United States. Eleven guidelines made statements and recommendations on psychosocial issues. The guidelines were concordant in that mental health disorders and stress do not contribute to the aetiology of IBD, but that they can influence its course. It was recommended that IBD-patients should be screened for psychological distress. If indicated, psychotherapy and/or psychopharmacological therapy should be recommended. IBD-centres should collaborate with mental health care specialists. Tobacco smoking patients with Crohn's disease should be advised to quit. CONCLUSION: Patients and mental health specialists should be able to participate in future guideline groups to contribute to establishing recommendations on psychosocial issues in IBD. Future guidelines should acknowledge the presence of psychosocial problems in IBD-patients and encourage screening for psychological distress.
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International IBD guidelines and the Australian IBD Standards recommend regular screening for mental illness in people with IBD and incorporation of mental healthcare in IBD management.
“international IBD guidelines41 and the Australian IBD Standards42 recommend not only regular screening for mental illness in people with IBD, but also incorporation of mental healthcare in IBD management.”
From Acceptance commitment therapy (ACT) for psychological distress associated with inflammatory bowel disease (IBD): protocol for a feasibility trial of the ACTforIBD programme (2022) · cites this paper as [41]
The Discussion reports that international guidelines recommend screening IBD patients for psychological distress, offering psychological care when indicated, and collaborating with mental health specialists. A guideline quoted in the Results recommends considering psychosocial consequences at regular visits, but our copy does not establish a recommendation for regular mental-illness screening. The Australian IBD Standards are separately cited in the citing sentence and are not assessed here; page numbers were unavailable in our copy. (LLM, conf=0.86)
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- Authors
- Häuser, W.
- Affiliations
- Klinikum Saarbrücken (DE)
- Corresponding author
- Häuser, Winfried
- ORCID
- Häuser, Winfried
- Venue
- World Journal of Gastroenterology
- Publisher
- Baishideng Publishing Group Inc.
- Published
- 2014
- Volume
- 20
- Issue
- 13
- Pages
- 3663
- ISSN
- 1007-9327 (ISSN-L)
- PMC
- PMC3974536
- OpenAlex
- W2090064285
- Cited by
- 70
- References
- 30
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 5 · 2023: 2 · 2022: 3 · 2021: 5 · 2020: 3 · 2019: 7 · 2018: 7 · 2017: 12 · 2016: 8 · 2015: 5 · 2014: 4
- FWCI
- 1.28
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- World Journal of Gastroenterology (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion, cc-by-nc)
- mediaTUM – the media and publications repository of the Technical University Munich (Technical University Munich) (submittedVersion)
- World Journal of Gastroenterology
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- inflammatory bowel disease, psychosocial problems, Crohn's disease, ulcerative colitis, psychological distress screening, psychotherapy, psychopharmacological treatment, mental health, smoking, evidence-based recommendations
- MeSH terms
- Humans, Psychopharmacology, Psychotherapy, Quality of Life, Inflammatory Bowel Diseases, Comorbidity, Treatment Outcome, Practice Guidelines as Topic, Evidence-Based Medicine
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