Article information
Resumen
La enfermedad inflamatoria intestinal (EII) interfiere en la vida diaria de los pacientes afectando a su calidad de vida. Los factores psicológicos relacionados con la EII desempeñan un papel muy importante, ya que influyen negativamente en el curso de la enfermedad y en el bienestar general de los pacientes. Así, se observa que las manifestaciones de estrés, ansiedad y del estado de ánimo deprimido son muy frecuentes en pacientes con EII y, además, se relacionan con el aumento de las recaídas y la gravedad de los síntomas. En este sentido, se ha comprobado que los tratamientos psicológicos mejoran el curso de la enfermedad disminuyendo el malestar emocional. Por otra parte, una buena relación entre el médico y el paciente favorece la comunicación, la confianza y la toma de decisiones conjuntas. La EII requiere de un enfoque multidimensional donde el tratamiento psicológico forma parte de un abordaje eficaz de la enfermedad.
Palabras clave:
Enfermedad inflamatoria intestinal
Factores psicosociales
Tratamiento psicológico
Calidad de vida
Abstract
Inflammatory bowel disease (IBD) interferes with the daily activities of affected individuals and impairs their quality of life. The psychological factors related to IBD play an important role since they negatively affect the course of the disease and the patients’ general wellbeing. Thus, stress, anxiety and depressed mood are highly frequent in patients with IBD and are associated with an increase in recurrences and symptom severity. Psychological treatments have been shown to improve the course of the disease by decreasing emotional distress. In addition, a good physician-patient relationship favors communication, trust and joint decision making. IBD requires a multidimensional approach in which psychological treatment forms part of the effective management of the disease.
Keywords:
Inflammatory bowel disease
Psychosocial factors
Psychological treatment
Quality of life
Full text is only aviable in PDF
Bibliografía
[1.]
H. Keles, A. Eriki, E. Bulcun, M. Eriki, V. Altinkaya.
Effects on crohnic disease and associated psychological distress on health-related quality of life.
Int Med J, 37 (2007), pp. 6-11
[2.]
G. Moser, T. Maeir-Dobersberger, H. Vogelsang, H. Lochs.
Inflammatory bowel disease: patients's beliefs about the etiology of their disease– a controlled study.
Psychosom Med, 55 (1993), pp. 131
[3.]
J. Hall, G.P. Rubin, A. Dougall, A.P.S. Hungin, J. Neely.
The fight for ‘health-related normality’: a qualitative study of the experiences of individuals living with established inflammatory bowel disease.
J Health Psycho, 10 (2005), pp. 443-455
[4.]
B.B. Toner, J. Casati.
Diseases of the digestive system.
[5.]
G. Moser.
Should we incorporate psychological care into the management of IDB?.
Gastroenterol Hepatol, 3 (2006), pp. 416-417
[6.]
G.K. Turnbull, T.M. Vallis.
Quality of life in inflammatory bowel disease: the interaction of disease activity with psychosocial function.
Am J Gastroenterol, 90 (1995), pp. 1450-1454
[7.]
D.A. Drossman.
Gastrointestinal illness and the biopsychosocial model.
Psychosom Med, 60 (1998), pp. 258-267
[8.]
A. Sainsbury, R.V. Heatley.
Review article: psychosocial factors in the quality of life of patients with inflammatory bowel disease.
Aliment Pharmacol Ther, 21 (2005), pp. 499-508
[9.]
R.G. Maunder, E.C. De Rooy, B.B. Toner, G.R. Greenberg, H.A. Steinhart, R.S. McLeod, et al.
Health-related concerns of people who receive psychological support for inflammatory bowel disease.
Can J Gastroenterol, 11 (1997), pp. 681-685
[10.]
J. Casati, B.B. Toner, D.A. Drossman, R.G. Maunder.
Concerns of patients with inflammatory bowel disease. A review of emerging themes.
Dig Dis Sci, 45 (2000), pp. 26-31
[11.]
M. Mussell, U. Bocker, N. Nagel, M. Singer.
Predictors of diseaserelated concerns and others aspects of health-related quality of life in outpatients with inflammatory bowel disease.
Eur J Gastroenterol Hepatol, 16 (2004), pp. 1273-1280
[12.]
R.A. Rudick, D. Miller, J.D. Clough, L.A. Graaa, R.G. Farmer.
Quality of life in multiple sclerosis. Comparisons with inflammatory bowel disease and rheumatoid arthritis.
Arch Neurol, 49 (1992), pp. 1237-1242
[13.]
M.A. Pastor, S. López, J.M. Rodríguez, M.C. Perol, N. Pons.
Percepción de control, impacto de la enfermedad y ajuste emocional en enfermos crónicos.
Ansiedad Estres, 5 (1999), pp. 299-311
[14.]
M. Masachs, F. Casellas, J.R. Malagelada.
Traducción, adaptación y validación al español del cuestionario de calidad de vida de 32 ítems (IBDQ-32) de la enfermedad inflamatoria intestinal.
Rev Esp Enferm Dig, 9 (2007), pp. 511-519
[15.]
A.A. Mikocka-Walus, D.A. Turnbull, N.T. Moulding, I.G. Wilson, J.M. Andrews, G.J. Holtmann.
Controversies surrounding the comorbidity of depression and anxiety in inflammatory bowel disease patients: a literature review.
Inflamm Bowel Dis, 13 (2007), pp. 225-234
[16.]
C. Mittermaier, C. Dejaco, T. Waldhoer, A. Oefferlbauer-Ernst, W. Miehsler, M. Beier, et al.
Impact of depressive mood on relapse in patients with inflammatory bowel disease: a prospective 18-month follow-up study.
Psychosom Med, 66 (2004), pp. 79-84
[17.]
H.E. Mardini, K.E. Kip, J.W. Wilson.
Crohn's disease: a two-year prospective study of the association between psychological distress and disease activity.
Dig Dis Sci, 49 (2004), pp. 492-497
[18.]
L.M. Kurina, M.J. Goldacre, D. Yeates, L.E. Gill.
Depression and anxiety in people with inflammatory bowel disease.
J Epidemiological Health, 55 (2001), pp. 716-720
[19.]
E. Walker, M. Gelfand, A. Gelfan, F. Creed, W. Katon.
The relation of current psychiatric disorder to functional disability and distress in patients with inflammatory bowel disease.
Gen Hosp Psychiatry, 18 (1996), pp. 220-229
[20.]
J.R. Walker, J.P. Ediger, L.A. Graff, M.A. Greenfeld, I. Clara, L. Lix, et al.
The Manitoba IBD cohort study: a population-based study of the prevalence of lifetime and 12-month anxiety and mood disorders.
Am J Gastroenterol, 103 (2008), pp. 1989-1997
[21.]
R.A. Schwartz, J.K. Schwartz.
Psychiatric disorders associated with Crohn's disease.
Int J Psychiatry Med, 12 (1982), pp. 67-73
[22.]
R. Maunder, M.J. Esplen.
Facilitating adjustement to inflammatory bowel disease. A model of psychosocial intervention in nonpsychiatric patients.
Psychother Psychosom, 68 (1999), pp. 230-240
[23.]
V. Nogués Moyano, R. González Barrón, S. Sifre García.
Ansiedad y enfermedad inflamatoria intestinal.
Ansiedad Estres, 6 (2000), pp. 281-294
[24.]
P. Persoons, S. Vermeire, K. Demyttenaere, B. Fischler, J. Vanderberghe, L. Van Oudenhover, et al.
The impact of major depressive disorder on the short and long-term outcome of Crohn's disease treatment with infliximab.
Aliment Pharmacol Ther, 22 (2005), pp. 101-110
[25.]
R. Caprilli, M.A. Gassull, J.C. Escher, G. Moser, P. Munkholm, A. Forbes, et al.
European evidence based consensus on the diagnosis and management of Crohn's disease: special siuations.
Gut, 55 (2006), pp. 36-58
[26.]
M.E. Suárez-Almanzor.
Patient-physician communication.
Curr Opin Rheumatol, 16 (2004), pp. 91-95
[27.]
P. Berrios-Rivera, R.L. Street, M.G.G. Popa-Lisseanu, M.A. Kallen, M.N. Richardson, M. Janssen, et al.
Trust in physicians and elements of the medical interaction in patients with rheumatoid arthritis and systemic lupus erythematosus.
Arthritis Rheum, 55 (2006), pp. 385-393
[28.]
M.G.G. Popa-Lisseanu, A. Greisinger, M. Richardson, K.J. O’Malley, N.M. Janssen, D.M. Marcus, et al.
Determinants of treatment adherence in ethnically diverse, economically disadvantaged patients with rheumatic disease.
J Rheumatol, 32 (2005), pp. 913-919
[29.]
M. Marín, J.M. León.
Entrenamiento en habilidades sociales: un método de enseñanza-aprendizaje para desarrollar las habilidades de comunicación interpersonal en el área de enfermería.
Psicothema, 3 (2001), pp. 247-251
[30.]
J. Wietersheim, H. Kessler.
Psychotherapy with chronic inflammatory bowel disease patients: a review.
Inflamm Bowel Dis, 12 (2006), pp. 1175-1184
[31.]
F. Farrokhyar, E.T. Swarbrick, E.J. Irving.
A critical review of epidemiological studies in inflammatory bowel disease.
Scand J Gastroenterol, 36 (2001), pp. 2-15
[32.]
L.M. Mackner, D.P. S.isson, V. Wallace, M.D. Crandall.
Review: psychosocial issues in pediatric inflammatory bowel disease.
J Pediatr Psychol, 29 (2004), pp. 243-257
[33.]
D.B. Nicholas, A. Otkey, C. Smith, J. Avolio, M. Munk, A.M. Griffiths.
Challenges and strategies of children and adolescents with inflammatory bowel disease: a qualitative examination.
Health Qual Life Outcomes, 5 (2007), pp. 28
[34.]
M.A. Díaz-Sibaja, M.I. Comeche Moreno, B. Mas Hesse, M.I. Díaz García, M.A. Vallejo Pareja.
Enfermedad inflamatoria intestinal: depresión y estrategias de afrontamiento.
Apuntes Psicol, 26 (2008), pp. 91-102
[35.]
W. Keller, M. Pritsch, J. Von Wietersheim, O. Scheib, W. Osborn, F. Balck, et al.
Effects of psychotherapy and relaxation on the psychosocial and somatic course of Chron's disease: main results of the German prospective multicenter psychotherapy treatment study on Chron's disease.
J Psychosom Res, 56 (2004), pp. 687-696
[36.]
H.C. Deter, W. Kéller, J. Von Wietersheim, G. Jantschek, R. Duxhman, M. Zeitz.
Psychological treatment may reduce the need for healthcare in patients with Chron's disease.
Inflamm Bowel Dis, 13 (2007), pp. 745-752
[37.]
M. Mussell, U. Bocker, N. Nagel.
Reducing psychosocial distress in patients with inflammatory bowel disease by cognitive-behavioural tratment: exploratory study of effectiveness.
Scand J Gastroenterol, 38 (2003), pp. 755-762
[38.]
S.C. Jones, B. Gallacher, Lobo, A. Axon.
A patient knowledge questionnaire in inflammatory bowel disease.
J Clin Gastroenterol, 17 (1993), pp. 1-24
[39.]
L. Oxelmark, A. Magnunsson, R. Löfberg, P. Hilleras.
Group-based intervention program in inflammatory bowel disease patients: effects on quality of life.
Inflamm Bowel Dis, 13 (2007), pp. 182-190
[40.]
B. Milne, G. Joachim, J. Niedhardt.
A stress management programe for inflammatory bowel disease.
J Advanced Nursing, 11 (1986), pp. 561-567
[41.]
R.A. Schwartz, E.B. Blanchard.
Evaluation of psychological treatment for inflammatory bowel disease.
Behav Res Ther, 29 (1990), pp. 167-177
[42.]
E. García-Vega.
Intervención psicológica en la enfermedad de Crohn.
Anal Modif Conducta, 21 (1995), pp. 99-121
[43.]
R. Verissimo, R. Mota-Cardoso, G. Taylor.
Relationships between alexithymia, emocional control, and quality of life in patients with inflammatory bowel disease.
Psychother Psychosom, 67 (1998), pp. 75-80
[44.]
B.R. Greene, E.B. Blanchard, C.K. Wan.
Long-term monitoring of psycho-social stress and symptomatology in inflammatory bowel disease.
Behav Res Ther, 32 (1994), pp. 217-226
[45.]
E. García Vega, C. Fernández.
Algunos factores predictores en la enfermedad de Crohn.
Psicothema, 10 (1998), pp. 143-151
[46.]
T. Hisamatsu, N. Inoue, M. Yajima, H. Ichikawa, T. Hibi.
Psychological aspects of inflammatory bowel disease.
J Gastroenterol, 42 (2007), pp. 34-40
[47.]
L.C. Duffy, M.A. Zielezny, J.R. Marshall, T.E. Byers, M.M. Weiser, J.F. Phillips, et al.
Relevance of mayor stress events as an indicator of disease activity prevalence in inflammatory bowel disease.
Behav Med, 17 (1991), pp. 101-110
[48.]
R. Maunder.
Mediators of stress effects in inflammatory bowel disease: not the usual suspects.
J Psychosom Res, 48 (2000), pp. 569-577
[49.]
D. Goldberg.
A psychiatric study of patients with diseases of the small intestine.
Gut, 11 (1970), pp. 459-465
[50.]
E.M. Cohn, I.I. Lederman, E. Shore.
Regional enteritis and its relation to emotional disorders.
Am J Gatroenterol, 54 (1970), pp. 378-387
[51.]
M. Rigatelli.
A global psychosomatic study of 16 consecutive patients with ulcerative colitis.
Psychother Psychosom, 35 (1981), pp. 22-23
[52.]
A.D. Kanner, J.C. Coyne, C. Shaefer, R.S. Lazarus.
Comparison of two models of stress measurement: Daily hassless and uplifts versus major life events.
J Behavioural Medicine, 4 (1981), pp. 1-39
[53.]
N. Burks, B. Martin.
Everyday problems and life changes events: ongoing versus acute sources of estres.
J Human Stress, 11 (1985), pp. 27-35
[54.]
V.D. Garret, P.J. Brantley, G.T. McKnight.
The relation between daily stress and Crohn's disease.
J Behav Med, 14 (1991), pp. 87-96
[55.]
B. Cohn, L. Ginzburg, G.D. Oppenheimer.
Regional ileitis. A patological and clinical entity.
JAMA, 99 (1932), pp. 1323-1329
Copyright © 2009. Elsevier España S.L.. Todos los derechos reservados
