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Review
. 2017 Dec;46(4):847-858.
doi: 10.1016/j.gtc.2017.08.007. Epub 2017 Oct 3.

Psychological Considerations and Interventions in Inflammatory Bowel Disease Patient Care

Tiffany H Taft  1 , Sarah Ballou  2 , Alyse Bedell  3 , Devin Lincenberg  4
Affiliations
Review

Psychological Considerations and Interventions in Inflammatory Bowel Disease Patient Care

Tiffany H Taft et al. Gastroenterol Clin North Am. 2017 Dec.

Abstract

The presence of psychological comorbidities, specifically anxiety and depression, is well documented in inflammatory bowel disease (IBD). The drivers of these conditions typically reflect 4 areas of concern: disease impact, treatment concerns, intimacy, and stigma. Various demographic and disease characteristics increase risk for psychological distress. However, the risk for anxiety and depression is consistent throughout IBD course and is independent of disease activity. Early intervention before psychological distress becomes uncontrolled is ideal, but mental health often is unaddressed during patient visits. Understanding available psychological treatments and establishing referral resources is an important part of the evolution of IBD patient care.

Keywords: Behavioral interventions; Inflammatory bowel disease; Mental health; Psychology; Psychotherapy.

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Figures

Figure 1
Figure 1
Evidence Based Behavioral Interventions for IBD Mental Health Concerns
Figure 2
Figure 2
Integrating Mental Health Services into IBD Patient Care
See this image and copyright information in PMC

References

    1. Sainsbury A, Heatley RV. Review article: psychosocial factors in the quality of life of patients with inflammatory bowel disease. Aliment Pharmacol Ther. 2005;21:499–508. - PubMed
    1. Neuendorf R, Harding A, Stello N, et al. Depression and anxiety in patients with Inflammatory Bowel Disease: A systematic review. J Psychosom Res. 2016;87:70–80. - PubMed
    1. Fiest KM, Bernstein CN, Walker JR, et al. Systematic review of interventions for depression and anxiety in persons with inflammatory bowel disease. BMC Res Notes. 2016;9:404. - PMC - PubMed
    1. Peters SL, Muir JG, Gibson PR. Review article: gut-directed hypnotherapy in the management of irritable bowel syndrome and inflammatory bowel disease. Aliment Pharmacol Ther. 2015;41:1104–15. - PubMed
    1. Drossman DA, Leserman J, Li ZM, et al. The rating form of IBD patient concerns: a new measure of health status. Psychosom Med. 1991;53:701–12. - PubMed