Abstract

DIAZ SIBAJA, M. A.; COMECHE MORENO, M. I.  and  MAS HESSE, B.. Protocolized cognitive-behavioural group therapy for inflammatory bowel disease. Rev. esp. enferm. dig. [online]. 2007, vol.99, n.10, pp.593-598. ISSN 1130-0108.

Introduction: patients affected by inflammatory bowel disease have a high rate of psychiatric disorders such as depression and anxiety. Objective: the main goal of this study was to design, to put into practice, and to validate a protocolized psychological treatment program based on the coping model, and a psycho-educational methodology in which the following intervention modules were included- illness information, coping model, problem solving techniques, relaxation, social skill training, distraction, and cognitive restructuring techniques. All these techniques were adapted to the characteristic features of inflammatory bowel disease. Method: the sample included 57 patients with inflammatory bowel disease from the Spanish Crohn's Disease and Ulcerative Colitis Association. The sample was randomly assigned to one of the two experimental groups -33 were assigned to the treatment group, and 24 were assigned to the waiting list control group. Results: the results reflected a significant clinical and statistical improvement in anxiety (p < 0.001) and depression (p < 0.001) variables when compared to the waiting list control group. Likewise, improvement was sustained at 3, 6, and 12 months during follow-up. Conclusion: the protocolized psychological treatment program, administered in group sessions, is effective in reducing emotional symptoms arising as a result of inflammatory bowel disease.

Keywords : Inflammatory bowel disease; Cognitive-behavioural therapy; Protocolized treatment; Multi-component psychological treatment program; Crohn's disease and ulcerative colitis.

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