Psychological Interventions for Irritable Bowel Syndrome and Inflammatory Bowel Diseases
- PMID: 28102860
- PMCID: PMC5288603
- DOI: 10.1038/ctg.2016.69
Psychological Interventions for Irritable Bowel Syndrome and Inflammatory Bowel Diseases
Abstract
Psychological interventions have been designed and implemented effectively in a wide range of medical conditions, including Irritable Bowel Syndrome (IBS) and Inflammatory Bowel Diseases (IBD). The psychological treatments for IBS and IBD with the strongest evidence base include: cognitive behavioral therapy, hypnosis, and mindfulness-based therapies. The evidence for each of these therapies is reviewed here for both IBS and IBD. In general, there is a stronger and larger evidence base to support the use of psychological interventions in IBS compared with IBD. This is likely due to the high level of psychiatric comorbidity associated with IBS and the involvement of the stress-response in symptom presentation of IBS. Further research in psychosocial interventions for IBD is necessary. Finally, the importance of conceptualizing both IBS and IBD in a biopsychosocial model is discussed and several resources for accessing Clinical Health Psychology materials and referrals are provided.
Figures
References
-
- Zijdenbos IL, de Wit NJ, van der Heijden GJ et al. Psychological treatments for the management of irritable bowel syndrome. Cochrane Database Syst Rev 2009: (1): CD006442. - PubMed
-
- von Wietersheim J, Kessler H. Psychotherapy with chronic inflammatory bowel disease patients: a review. Inflamm Bowel Dis 2006; 12: 1175–1184. - PubMed
-
- Keohane J, O'Mahony C, O'Mahony L et al. Irritable bowel syndrome-type symptoms in patients with inflammatory bowel disease: a real association or reflection of occult inflammation? Am J Gastroenterol 2010; 105: 1788, 1789–1794 quiz 1795. - PubMed
-
- Fukuba N, Ishihara S, Tada Y et al. Prevalence of irritable bowel syndrome-like symptoms in ulcerative colitis patients with clinical and endoscopic evidence of remission: prospective multicenter study. Scand J Gastroenterol 2014; 49: 674–680. - PubMed
-
- Jonefjäll B, Strid H, Ohman L et al. Characterization of IBS-like symptoms in patients with ulcerative colitis in clinical remission. Neurogastroenterol Motil 2013; 25: 756–e578. - PubMed
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources
