Psychological aspects and possibilities of psychological intervention in patients with infl ammatory bowel disease
Authors:
Bednaříková H. 1,2; Kaščáková N. 1,3; Zelinková Z. 1,2; Hašto J. 1,3,4; Tavel P. 1
Authors place of work:
Institut sociálního zdraví (OUSHI), UP v Olomouci, Olomouc, Česká republika
1; Gastroenterologické oddelenie a oddelenie digestívnej endoskopie, UN – Nemocnica sv. Michala, a. s., Bratislava, Slovenská republika
2; Psychiatricko-psychoterapeutická ambulancia, Pro mente sana, s. r. o., Bratislava, Slovenská republika
3; Vysoká škola zdravotníctva a sociálnej práce sv. Alžbety, Bratislava, Slovenská republika
4
Published in the journal:
Gastroent Hepatol 2021; 75(1): 40-45
Category:
IDB: Original Article
doi:
https://doi.org/10.48095/ccgh202140
Summary
Psychological aspects of inflammatory bowel diseases (IBD) were given less attention in the social space of former Czechoslovak countries. The possibilities of psychological care for patients with IBD have to be re-evaluated due to the new worldwide trends in the management of IBD. In the complex management of IBD treatment arises a demand after psychologist as a helping member of the gastroenterological team in order to be available for patients, as well as to consult the cases with the specialists. In the following article we described psychological interventions (psychotherapeutic techniques), whose effectivity as a supplemental treatment in patients with IBD was examined. Recently, several studies on the effectivity of psychological interventions in patients with IBD have already been available. This trend is in accordance with a biopsychosocial model of patients‘ care. Promising results were observed in psychotherapeutic techniques which use the work with body feelings, relieving the tension and relaxation training. The presence of psychologist and psychological guidance in difficult periods during chronic diseases such as IBD appears to be helpful. Patients with a psychiatric comorbidity tend to have worse course of disease. It is important to identify the patients who are in need of psychological care, mostly the ones with trauma anamnesis. Overcoming traumatic experience may provide positive impact on the disease course.
Keywords:
IBD – Crohn’s disease – Ulcerative colitis – psychological interventions – psychotherapy – biopsychosocial model of patients’ care
Zdroje
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Štítky
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