TY - JOUR
T1 - Use of complementary and alternative medicine and low quality of life associate with the need for psychological and psychotherapeutic interventions in inflammatory bowel disease
AU - Austrian IBD Study Group
AU - Kutschera, Maximilian
AU - Waldhör, Thomas
AU - Gröchenig, Hans Peter
AU - Haas, Thomas
AU - Wenzl, Heimo
AU - Steiner, Pius
AU - Koch, Robert
AU - Feichtenschlager, Thomas
AU - Eckhardt, Gerald
AU - Mayer, Andreas
AU - Kirchgatterer, Andreas
AU - Ludwiczek, Othmar
AU - Platzer, Reingard
AU - Papay, Pavol
AU - Gartner, Johanna
AU - Fuchssteiner, Harry
AU - Peters, Paul-Gerhard
AU - Reicht, Gerhard
AU - Moser, Gabriele
AU - Dejaco, Clemens
AU - Vogelsang, Harald
AU - Primas, Christian
AU - Novacek, Gottfried
AU - Miehsler, Wolfgang
N1 - Funding Information:
Special thanks to Dr Corina Gu¨thlin from the Johann Wolfgang Goethe University/Frankfurt am Main for providing us with the German version of the ICAM questionnaire. The manuscript was linguistically reviewed by David Westacott. Use of the Short Inflammatory Bowel Disease Questionnaire, written by Dr Jan Irvine et. al., was made under licence from McMaster University, Hamilton, Canada. The authors received no financial support for the research, authorship, and/or publication of this article.
Publisher Copyright:
© 2020 The Authors. United European Gastroenterology Journal published by Wiley Periodicals LLC. on behalf of United European Gastroenterology.
PY - 2021/2
Y1 - 2021/2
N2 - INTRODUCTION: Patients with inflammatory bowel disease (IBD) suffer from various symptoms, impairing their quality of life and often affecting psychosocial issues. This may lead to the need for additional psychological care. This study investigated patients' subjective need for integrated psychosomatic support and psychotherapy and indicators for it.MATERIALS AND METHODS: This is a cross-sectional multicentre study in Austrian IBD patients who were in routine care at 18 IBD outpatient clinics. Patients filled in an anonymous, validated questionnaire (Assessment of the Demand for Additional Psychological Treatment Questionnaire [ADAPT]) assessing the need for psychological care. The ADAPT gives two separate scores: the need for integrated psychosomatic support and for psychotherapy. In addition, health-related quality of life and the use of complementary and alternative medicine as well as clinical and socio-demographic variables were queried. Multivariable regression analysis was performed to estimate the effect of the previously mentioned variables on the need for additional psychological care.RESULTS: Of 1286 patients, 29.7% expressed a need for additional psychological care, 19.6% expressed a need for integrated psychosomatic support and 20.2% expressed a need for psychotherapy. In the multivariable analysis, the two strongest indicators for the need for both types of psychological care were the use of complementary and alternative medicine (for integrated psychosomatic support: odds ratio = 1.64, 95% confidence interval 1.13-2.39, p = 0.010; for psychotherapy: odds ratio = 1.74, 95% confidence interval 1.20-2.53, p = 0.004), and a low health-related quality of life score (for integrated psychosomatic support: odds ratio = 0.95, 95% confidence interval 0.94-0.96, p < 0.001; for psychotherapy: odds ratio = 0.96, 95% confidence interval 0.94-0.97, p < 0.001).DISCUSSION: About 30% of the Austrian IBD patients expressed a need for integrated psychosomatic support and/or psychotherapy. The most important indicators for this need were the use of complementary and alternative medicine and low quality of life.
AB - INTRODUCTION: Patients with inflammatory bowel disease (IBD) suffer from various symptoms, impairing their quality of life and often affecting psychosocial issues. This may lead to the need for additional psychological care. This study investigated patients' subjective need for integrated psychosomatic support and psychotherapy and indicators for it.MATERIALS AND METHODS: This is a cross-sectional multicentre study in Austrian IBD patients who were in routine care at 18 IBD outpatient clinics. Patients filled in an anonymous, validated questionnaire (Assessment of the Demand for Additional Psychological Treatment Questionnaire [ADAPT]) assessing the need for psychological care. The ADAPT gives two separate scores: the need for integrated psychosomatic support and for psychotherapy. In addition, health-related quality of life and the use of complementary and alternative medicine as well as clinical and socio-demographic variables were queried. Multivariable regression analysis was performed to estimate the effect of the previously mentioned variables on the need for additional psychological care.RESULTS: Of 1286 patients, 29.7% expressed a need for additional psychological care, 19.6% expressed a need for integrated psychosomatic support and 20.2% expressed a need for psychotherapy. In the multivariable analysis, the two strongest indicators for the need for both types of psychological care were the use of complementary and alternative medicine (for integrated psychosomatic support: odds ratio = 1.64, 95% confidence interval 1.13-2.39, p = 0.010; for psychotherapy: odds ratio = 1.74, 95% confidence interval 1.20-2.53, p = 0.004), and a low health-related quality of life score (for integrated psychosomatic support: odds ratio = 0.95, 95% confidence interval 0.94-0.96, p < 0.001; for psychotherapy: odds ratio = 0.96, 95% confidence interval 0.94-0.97, p < 0.001).DISCUSSION: About 30% of the Austrian IBD patients expressed a need for integrated psychosomatic support and/or psychotherapy. The most important indicators for this need were the use of complementary and alternative medicine and low quality of life.
KW - Adolescent
KW - Adult
KW - Anxiety/therapy
KW - Austria
KW - Complementary Therapies
KW - Cross-Sectional Studies
KW - Depression/therapy
KW - Female
KW - Humans
KW - Inflammatory Bowel Diseases/psychology
KW - Male
KW - Middle Aged
KW - Psychosocial Support Systems
KW - Psychotherapy
KW - Quality of Life
KW - Regression Analysis
KW - Young Adult
KW - IBD
KW - gastroenterology
KW - inflammatory bowel disease
KW - ulcerative colitis
KW - crohn's disease
UR - http://www.scopus.com/inward/record.url?scp=85088813193&partnerID=8YFLogxK
U2 - 10.1177/2050640620946874
DO - 10.1177/2050640620946874
M3 - Journal article
C2 - 32723070
SN - 2050-6406
VL - 9
SP - 72
EP - 81
JO - United European Gastroenterology Journal
JF - United European Gastroenterology Journal
IS - 1
ER -