کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5045814 1475894 2017 28 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Prevalence and effectiveness of psychiatric treatments for patients with IBD: A systematic literature review
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی روانپزشکی بیولوژیکی
پیش نمایش صفحه اول مقاله
Prevalence and effectiveness of psychiatric treatments for patients with IBD: A systematic literature review
چکیده انگلیسی


- The prevalence of psychiatric disorders in IBD clinical cohorts is higher than in general population.
- A systematic literature review on prevalence and efficacy of psychopharmacological treatment and psychotherapy for IBD
- Although a high rate of psychoactive drug use, a low proportion of IBD patients have access to psychiatric referral.
- Psychotherapy effective on QoL, coping, stress, anxiety and depression as well as disease activity in 1/3 of the studies
- Antidepressants proved effective in reducing disease activity, gastrointestinal symptoms, anxiety and depression.

ObjectivesHigher prevalence of psychiatric disorders, such as anxiety and depression, has been found in people with Crohn's disease and Ulcerative Colitis compared to the general population. Nowadays, international guidelines advocate psychotherapy and psycho-pharmacological treatments as playing an important role in IBD care.The main goal of this systematic literature review was summarize the evidence on the utilization and effectiveness of treatments for depression and anxiety in persons with IBD.MethodsA systematic literature review was conducted using three different electronic databases: MEDLINE, PsychINFO, and EMBASE to identify studies reporting the prevalence and efficacy of psycho-pharmacological and psychotherapeutic treatments for IBD. A quality appraisal was conducted using several scales as appropriate for each study design. A narrative synthesis was also performed.ResultsForty-three studies were included. Although a high rate of psychoactive drug use was found in people with IBD, a low proportion of IBD patients have access to psychiatric referral. 1/3 of the studies found that psychotherapy was effective for improving the quality of life, perception of stress, anxiety and depression as well as disease. Antidepressants proved effective in reducing disease activity, gastrointestinal symptoms, anxiety and depression.ConclusionOur results suggest that psychiatric treatment should be implemented in IBD care. However, further studies are needed to confirm the findings of our systematic review.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Psychosomatic Research - Volume 101, October 2017, Pages 68-95
نویسندگان
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