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- Title
Testing the efficiency of individual cognitive-behavior psychotherapy among patients with chronic inflammatory bowel disease.
- Authors
Ličanin, Ifeta; Ćato-Mehmedbašić, Samra
- Abstract
Introduction: inflammatory bowel disease is characterized by chronic inflammation of the gastrointestinal system, or some of its parts, which etiology has remained unexplained. Two entities, specifically Crohn's disease and ulcerative colitis are defined clinically and post-mortem. Changes in Crohn's disease may affect all parts of the gastrointestinal system, from the mouth to the anus. The disease is characterized by frequent exacerbations, with various clinical manifestations and chronic unpredictable course of the disease. Ulcerative colitis is an inflammatory bowel disease characterized by recurrent episodes of inflammation limited to the mucosa of the colon. It almost always includes the final part of the colon, rectum, and can be extended to other parts of the colon. Psychotherapy is still not applied in routine treatment protocols despite numerous researches and clinician's impression of personality disorders of patients with chronic inflammatory bowel disease. Cognitive behavioral psychotherapy (CBT) and psychoeducation has proved to be a useful complement to the primary therapy in the treatment of chronic inflammatory bowel disease. Goal: the research goals were to examine the effectiveness of individual CBT therapy in patients with chronic inflammatory bowel disease, to reduce anxiety, depression and use strategies to cope with stress. Materials and methods: the study included 30 patients with clinical diagnosis of chronic inflammatory bowel disease, of both sexes, age between 19 and 40 years, who met the inclusion criteria and signed consent for inclusion. The study included the following measuring instruments: Questionnaire for registration of respondent's socio-demographic characteristics, Beck questionnaire on depression and anxiety and Stress coping scale, during two measurements before and after the CBT. All patients had eight sessions during eight weeks of CBT individual psychotherapy once a week for an hour. The study was conducted at the Psychiatric Clinic of the Clinical Center University of Sarajevo (CCUS). The study is a prospective, longitudinal, comparative, analytical and descriptive. Results and conclusion: the results of our research showed statistically significant efficacy of individual cognitive-behavioral psychotherapy on reducing depression and anxiety in patients with chronic inflammatory bowel disease. According to the results of this study patients with chronic inflammatory bowel disease, after completion of individual cognitive-behavioral therapy are significantly less likely to use non-adaptable strategies for coping with stress, and use more adaptable strategies, which improves the quality of life and the acceptance of the treatment of the underlying disease. Disadvantages of the study relate to small sample of 30 patients and exclusion of other variables significant for the treatment outcome.
- Subjects
INFLAMMATORY bowel diseases; COGNITIVE therapy; PSYCHOTHERAPY; CLINICAL trials; GASTROINTESTINAL system
- Publication
Medical Journal / Medicinski Žurnal, 2017, Vol 23, Issue 2/3, p51
- ISSN
1512-5866
- Publication type
Article