Reducing psychological distress in patients with inflammatory bowel disease by cognitive-behavioural treatment

• Verfasst von: Mussell, Monika [VerfasserIn]
• Verfasst von: Böcker, Ulrich [VerfasserIn]
• Verfasst von: Nagel, Nils [VerfasserIn]
• Verfasst von: Olbrich, R. [VerfasserIn]
• Verfasst von: Singer, Manfred V. [VerfasserIn]
• Titel: Reducing psychological distress in patients with inflammatory bowel disease by cognitive-behavioural treatment
• Titelzusatz: exploratory study of effectiveness
• Verf.angabe: Mussell M., Böcker U., Nagel N., Olbrich R. & Singer M.V.
• Jahr: 2003
• Umfang: 8 S.
• Fussnoten: Published online: 08 Jul 2009 ; Gesehen am 26.04.2022
• Titel Quelle: Enthalten in: Scandinavian journal of gastroenterology
• Ort Quelle: Abingdon : Taylor & Francis Group, 1966
• Jahr Quelle: 2003
• Band/Heft Quelle: 38(2003), 7, Seite 755-762
• ISSN Quelle: 1502-7708
• DOI: doi:10.1080/00365520310003110
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Cognitive-behavioural Therapy
• Sach-SW: Inflammatory Bowel Disease
• Sach-SW: Psychological Distress
• K10plus-PPN: 1800244517

Abstract

Background: This prospective study aimed to determine whether cognitive-behavioural group treatment accompanying medical standard care is effective in reducing psychological distress in patients with inflammatory bowel disease. Methods: Twenty-eight outpatients with Crohn disease or ulcerative colitis completed the treatment programme. Psychological treatment consisting of 12 weekly sessions was conducted in a group setting. Medical and psychometric assessments were taken at the beginning of the 3-month pretreatment waiting period, at pretreatment, at post-treatment and at the 3, 6 and 9-month follow-ups. Results: During baseline, no change was observed in psychological distress. Disease-related worries and concerns decreased significantly from pretreatment to the follow-ups. The disease groups differed in the decline of concerns between pre- and post-treatment, with a significant reduction of concerns in patients with ulcerative colitis but not Crohn disease. This difference did not occur at the follow-ups, indicating long-term improvement for both disease groups. Depressive coping decreased significantly in women and remained stable at the follow-ups, whereas depressive coping did not change in men. The same gender difference was found for depressive symptoms. Conclusions: The exploratory findings suggest that psychological group treatment for outpatients is a feasible and effective approach for the short- and long-term reduction of psychological distress for patients with inflammatory bowel disease. However, the revealed gender differences on coping and depression might indicate the necessity to consider gender-specific aspects of inflammatory bowel disease when designing and evaluating psychological interventions.