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Inflammatory bowel disease psychological support pilot reduces inflammatory bowel disease symptoms and improves psychological wellbeing

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Version 2 2023-06-12, 09:22
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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 Gregory
This 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 Gastroenterology

ISSN

2041-4137

Publisher

BMJ Publishing Group

Page range

1-4

Department affiliated with

  • Clinical and Experimental Medicine Publications

Full text available

  • No

Peer reviewed?

  • Yes

Legacy Posted Date

2020-02-13

First Open Access (FOA) Date

2020-04-07

First Compliant Deposit (FCD) Date

2020-02-12

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