Psychosocial issues in evidence-based guidelines on inflammatory bowel diseases: a review
Häuser, Winfried, Moser, Gabriele, Klose, Petra and Mikocka-Walus, Antonina 2014, Psychosocial issues in evidence-based guidelines on inflammatory bowel diseases: a review, World journal of gastroenterology, vol. 20, no. 13, pp. 3663-3671, doi: 10.3748/wjg.v20.i13.3663.
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Title
Psychosocial issues in evidence-based guidelines on inflammatory bowel diseases: a review
AIM: To study statements and recommendations on psychosocial issues as presented in international evidence-based guidelines on the management of inflammatory bowel diseases (IBD).
METHODS: MEDLINE, guidelines International Network, National Guideline Clearing House and National Institute for Health and Care Excellence were searched from January 2006 to June 30, 2013 for evidence-based guidelines on the management of IBD.
RESULTS: The search yielded 364 hits. Thirteen guidelines were included in the review, of which three were prepared in Asia, eight in Europe and two in the United States. Eleven guidelines made statements and recommendations on psychosocial issues. The guidelines were concordant in that mental health disorders and stress do not contribute to the aetiology of IBD, but that they can influence its course. It was recommended that IBD-patients should be screened for psychological distress. If indicated, psychotherapy and/or psychopharmacological therapy should be recommended. IBD-centres should collaborate with mental health care specialists. Tobacco smoking patients with Crohn's disease should be advised to quit.
CONCLUSION: Patients and mental health specialists should be able to participate in future guideline groups to contribute to establishing recommendations on psychosocial issues in IBD. Future guidelines should acknowledge the presence of psychosocial problems in IBD-patients and encourage screening for psychological distress.
Language
eng
DOI
10.3748/wjg.v20.i13.3663
Field of Research
110399 Clinical Sciences not elsewhere classified 170199 Psychology not elsewhere classified
Socio Economic Objective
920499 Public Health (excl. Specific Population Health) not elsewhere classified
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