Journal
JOURNAL OF CROHNS & COLITIS
Volume 7, Issue 12, Pages 935-949Publisher
OXFORD UNIV PRESS
DOI: 10.1016/j.crohns.2013.02.004
Keywords
Crohn's disease; Ulcerative colitis; Cognitive behaviour therapy; Psychotherapy
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Funding
- University of Otago Doctoral Scholarship
- Todd Foundation Award for Excellence
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Background: Psychotherapy may be a useful intervention for inflammatory bowel disease (IBD) patients. We systematically reviewed all randomized controlled trials that have been performed in psychotherapy for inflammatory bowel disease patients. Methods: Systematic searches were undertaken on 1 and 8 March, 2012 of studies of psychotherapy for IBD. Results: Eighteen studies (19 papers) were included in this review. Psychotherapy was found to have minimal effect on measures of anxiety, depression, QOL and disease progression although shows promise in reducing pain, fatigue, relapse rate and hospitalisation, and improving medication adherence. It may also be cost effective. Conclusions: The effects of psychotherapy on IBD is mixed: future studies should determine whether patient screening or measuring different dependent variables improves outcomes and whether particular psychotherapies are superior over others. (C) 2013 European Crohn's and Colitis Organisation. Published by Elsevier B.V. All rights reserved.
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