Abstract

Objective

Inflammatory Bowel Disease (IBD) is associated with higher rates of clinically significant anxiety and depression than in healthy populations. Psychosocial interventions targeting anxiety and depression in IBD have variable efficacy and disparate treatment approaches, making treatment recommendations difficult. The current study aimed to identify effective treatment components across psychosocial treatment approaches for anxiety and depression in IBD.

Design

A systematic review of psychosocial treatments for anxiety and depression in IBD was conducted. Based on the Distillation and Matching Model, treatments were coded and data aggregated by intervention components, or practice elements (PE), to elucidate replicable clinical techniques.

Main Outcome

The percentage of studies utilizing a given PE was the primary outcome.

Measures

Among all included studies, as well as among those finding favorable, significant effects on anxiety or depression, the percentage utilizing each PE and number of PEs utilized was determined.

Results

The most utilized PEs among included interventions were relaxation, IBD psychoeducation, cognitive restructuring, distraction, and social skills. Examining only interventions with favorable differences on specified outcomes (HRQoL, Anxiety, Depression, and/or Coping) indicated that relaxation, education, cognitive restructuring, and mindfulness were most utilized.

Conclusion

Implications for clinical practice are discussed, including the development and dissemination of treatment recommendations.

中文翻译：

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治疗炎症性肠病的焦虑和抑郁：系统评价

摘要

客观的

与健康人群相比，炎症性肠病 (IBD) 与临床显着焦虑和抑郁的发生率较高有关。针对 IBD 患者的焦虑和抑郁的社会心理干预具有不同的疗效和不同的治疗方法，使得治疗建议变得困难。目前的研究旨在确定 IBD 焦虑和抑郁心理社会治疗方法中的有效治疗成分。

设计

对 IBD 中焦虑和抑郁的心理社会治疗进行了系统评价。基于蒸馏和匹配模型，通过干预组件或实践要素 (PE) 对治疗进行编码和汇总数据，以阐明可复制的临床技术。

主要成果

使用给定 PE 的研究百分比是主要结果。

措施

在所有纳入的研究中，以及在那些发现对焦虑或抑郁产生有利、显着影响的研究中，确定了使用每种 PE 的百分比和使用的 PE 数量。

结果

在所包含的干预措施中，使用最多的 PE 是放松、IBD 心理教育、认知重构、分心和社交技能。仅检查对特定结果（HRQoL、焦虑、抑郁和/或应对）具有有利差异的干预措施表明，放松、教育、认知重组和正念得到了最充分的利用。

结论

讨论了对临床实践的影响，包括治疗建议的制定和传播。