The impact of group cognitive behavioral psychotherapy on disease severity and psychosocial functioning in patients with inflammatory bowel disease: a randomized controlled study.

Maria Kalogeropoulou, Katerina Karaivazoglou, Georgia Konstantopoulou, Eleni Vinni, Christos Sotiropoulos, Evanthia Tourkochristou, Ioanna Aggeletopoulou, Theoni Lourida, Efthymia Labropoulou, Georgia Diamantopoulou, Athanasia Mouzaki, Konstantinos Assimakopoulos, Philippos Gourzis, Konstantinos Thomopoulos, Georgios Theocharis, Christos Triantos
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Abstract

Background and aims: Patients with inflammatory bowel disease (IBD) often report symptoms of anxiety and depression as well as impaired quality of life (QoL). To date, there are few studies on the effect of psychotherapy on psychological functioning and clinical outcome in patients with IBD. The aim of this prospective, randomized, controlled study was to investigate the effect of a brief psychotherapeutic intervention on psychological distress, QoL, sexual functioning, and inflammation and disease activity indices in patients with IBD.

Methods: Participants were randomized to receive either group cognitive behavioral therapy or treatment as usual (controls) and were assessed at baseline and after six months using psychometric instruments to assess psychological distress, QoL, and sexual functioning. In addition, laboratory measurements, including levels of C-reactive protein (CRP), cytokines and calprotectin, and calculations of disease activity indices were performed during the two study periods.

Results: 80 participants took part in the study. Patients who received psychotherapy reported a significant decrease in anxiety and depression symptoms, a significant improvement in physical functioning, general health, vitality, social functioning and mental health, a decrease in physical pain and a decrease in role limitations caused by emotional problems. CRP levels and the Crohn's disease activity index (CDAI) also decreased significantly at follow-up compared to controls.

Conclusions: Group cognitive behavioral therapy is proving to be an important component of holistic care for IBD patients, as it can significantly improve not only patients' psychosocial functioning but also their clinical course by inhibiting inflammation and reducing disease activity.

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集体认知行为心理疗法对炎症性肠病患者疾病严重程度和社会心理功能的影响:一项随机对照研究。
背景和目的:炎症性肠病(IBD)患者经常会出现焦虑和抑郁症状,生活质量(QoL)也会受到影响。迄今为止,有关心理治疗对 IBD 患者心理功能和临床疗效影响的研究很少。这项前瞻性随机对照研究旨在探讨简短心理治疗干预对 IBD 患者心理困扰、生活质量、性功能、炎症和疾病活动指数的影响:参与者被随机分配接受认知行为疗法或常规治疗(对照组),并在基线和六个月后使用心理测量工具评估心理困扰、生活质量和性功能。此外,在两个研究期间还进行了实验室测量,包括 C 反应蛋白 (CRP)、细胞因子和 calprotectin 的水平,以及疾病活动指数的计算:结果:80 人参加了研究。接受心理治疗的患者焦虑和抑郁症状明显减轻,身体机能、一般健康、活力、社会功能和心理健康明显改善,身体疼痛减轻,因情绪问题而受到的角色限制减少。与对照组相比,随访期间 CRP 水平和克罗恩病活动指数(CDAI)也明显下降:事实证明,团体认知行为疗法是 IBD 患者整体护理的重要组成部分,因为它不仅能显著改善患者的社会心理功能,还能通过抑制炎症和减少疾病活动来改善患者的临床病程。
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