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Reducing psychological distress in patients with inflammatory bowel disease by cognitive-behavioural treatment: exploratory study of effectiveness

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 colit...

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Main Authors: Mussell, Monika (Author) , Böcker, Ulrich (Author) , Nagel, Nils (Author) , Olbrich, R. (Author) , Singer, Manfred V. (Author)
Format: Article (Journal)
Language:English
Published: 2003
In: Scandinavian journal of gastroenterology
Year: 2003, Volume: 38, Issue: 7, Pages: 755-762
ISSN:1502-7708
DOI:10.1080/00365520310003110
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1080/00365520310003110
Verlag, lizenzpflichtig, Volltext: https://www.tandfonline.com/doi/abs/10.1080/00365520310003110
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Author Notes:Mussell M., Böcker U., Nagel N., Olbrich R. & Singer M.V.

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520 |a 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. 
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