flgastro-2019-101323.full.pdf (752 kB)
Inflammatory bowel disease psychological support pilot reduces inflammatory bowel disease symptoms and improves psychological wellbeing
journal contribution
posted on 2023-06-12, 09:22 authored by Jessica EcclesJessica Eccles, Anna Ascott, Rona McGeer, Emma Hills, Anja St. Clair Jones, Lisa A Page, Melissa A Smith, Alana Loewenberger, Jemima GregoryThis prospective service evaluation aimed to determine if integrated psychological support for Inflammatory Bowel Disease (IBD) patients enhanced outcomes. 75 patients were assessed and treated by a specialist liaison psychiatric service between 2015 -2017; 43 received psychiatric intervention alone, 32 were referred for psychological intervention by clinical health psychologist; 26 completed this. Pre-post data (n=15 available) included: Global impression, quality of life, psychiatric and IBD symptom scores. Referrer/patient satisfaction and cost effectiveness were retrospectively calculated. Psychological intervention led to reductions in IBD symptoms (?SIBD; p=0.003), alongside improvements in depression scores (?PHQ-9, p=0.006) and global impression (?CGI; p=0.046). Patient/referrer satisfaction was very high. Indicative data comparing service utilisation one year before and after engagement found reductions in outpatient appointments and in imaging. This small study suggests consideration of increased access to integrated psychological support services to improve outcomes and gather further evidence of efficacy.
History
Publication status
- Published
File Version
- Published version
Journal
Frontline GastroenterologyISSN
2041-4137Publisher
BMJ Publishing GroupExternal DOI
Page range
1-4Department affiliated with
- Clinical and Experimental Medicine Publications
Full text available
- No
Peer reviewed?
- Yes