Resultados de un programa de tratamiento psicológico grupal para la enfermedad inflamatoria intestinal

• Mateu, César ^[1] ; Mascarós, Lara ^[3] ; Rivero, Raquel ^[1] ; Villanueva, Verónica ^[1] ; Roncero, María ^[2] ; Carrió, Carmen ^[1] ; Gil, Rafael ^[1] ; Escudero, Amparo ^[1]
  1. [1] Hospital Arnau de Vilanova

     Hospital Arnau de Vilanova

     Valencia, España

     
  2. [2] Universidad de Zaragoza

     Universidad de Zaragoza

     Zaragoza, España

     
  3. [3] Práctica privada

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• Localización: Revista de psicopatología y psicología clínica, ISSN 1136-5420, Vol. 22, Nº. 1, 2017, págs. 1-7
• Idioma: español
• DOI: 10.5944/rppc.vol.22.num.1.2017.17184
• Títulos paralelos:
  • Results of a group psychological treatment protocol for infl ammatory bowel disease
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• Resumen
  • español

    Durante los últimos años parece evidente que el estrés psicológico y los trastornos afectivos ejercen influencia sobre el curso de la enfermedad inflamatoria intestinal. En una muestra de 35 sujetos se analizó la eficacia de un tratamiento psicológico cognitivo-conductual en formato grupal. Para ello, se analizaron los cambios en las estrategias de afrontamiento del estrés y manejo de la enfermedad, en la sintomatología depresiva y en la calidad de vida tras el tratamiento. Se observaron, diferencias significativas en la calidad de vida, en todas las escalas de afrontamiento del estrés, excepto en autofocalización negativa, mejorando la sintomatología depresiva. La terapia cognitivo-conductual es la intervención psicológica más prometedora según los datos empíricos obtenidos hasta la fecha y podría empezar a ser considerada como parte del tratamiento integral para estos pacientes.

  • English

    During the last years, it has become clear that stress and affective disorders have influence on the course of inflammatory bowel disease. In a sample of 35 subjects, the effectiveness of a cognitive-behavioral treatment was analyzed in a group format. For this, changes in coping strategies and stress and disease management, in depressive symptoms and quality of life after treatment were analyzed. Significant differences were observed in quality of life and in all stress coping scales except negative self-targeting, improving depressive symptoms. Cognitive-behavioral therapy is the most promising psychological intervention according to the empirical data obtained so far and could begin to be considered part of a comprehensive treatment for these patients.

• Referencias bibliográficas
  • Abraham, C., & Cho, J. H. (2009). Inflammatory bowel disease. New England Journal of Medicine, 361, 2066–2078.
  • Baumgart, D. C., & Carding, S. R. (2007). Inflammatory bowel disease: cause and immunobiology. Lancet, 369, 1627–1640.
  • Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck Depression Inventory, 2nd ed. San Antonio, TX: The Psychological...
  • Bennebroek, F., Bockting, C. L., Stokkers, P. C., Hinnen, C.,Sanderman, R., & Sprangers, M. A. (2012). The effectiveness of cognitive...
  • Bernstein, C. N., Singh, S., Graff, L. A., Walker, J. R., Miller, N., & Cheang, M. (2010). A prospective population-based study of triggers...
  • Creed, F., Ratcliffe, J., Fernandes, L., Palmer, S., Rigby, C., Tomenson, B.,… & Thompson DG. (2005). Outcome in severe irritable bowel...
  • Diamond, L. M., & Aspinwall, L. G. (2003). Emotion regulation across the life span: an integrative perspective emphasizing self-regulation,...
  • Díaz, M. A., Comeche, M.I., & Más, B. (2007). Protocolized cognitivebehavioural group therapy for inflammatory bowel disease. Revista...
  • Dutta, A.K., & Chacko, A. (2016). Influence of environmental factors on the onset and course of inflammatory bowel disease. World Journal...
  • Farrokhyar, F., Marshall, J. K., Easterbrook, B., & Irvine, E. J. (2006). Functional gastrointestinal disorders and mood disorders in...
  • Faust, A. H., Halpern, L. F., Danoff-Burg, S., & Cross, R. K. (2012). Psychosocial factors contributing to inflammatory bowel disease...
  • Fuller-Thomson, E., Lateef, R., & Sulman, J. (2015). Robust Association Between Inflammatory Bowel Disease and Generalized Anxiety Disorder:...
  • García-Vega, E., & Fernández-Rodríguez, C. (2004). A stress management programme for Crohn’s disease. Behaviour Research and Therapy,...
  • Goodhand, J. R., Wahed, M., Rampton, D.S. (2009). Management of stress in inflammatory bowel disease: a therapeutic option?. Expert Review...
  • Graff, L. A., Walker, J. R., & Bernstein, C. N. (2009). Depression and anxiety in inflammatory bowel disease: a review of comorbidity...
  • Grootenhuis, M. A., Maurice-Stam, H., Derkx, B. H, & Last, B. F. (2009). Evaluation of a psychoeducational intervention for adolescents...
  • Journal of Gastroenterology and Hepatology, 21, 430-435. Gross, JJ. (1998). The emerging fi eld of emotion regulation: an integrative review....
  • Guyatt, G., Mitchell, A., Irvine, E.J., Singer, J., Williams, N., Goodacre, R., & Tompkins, C. (1989) A new measure of health status for...
  • Häuser, W., Janke, K. H., Klump, B., & Hinz, A. (2011). Anxiety and depression in patients with inflammatory bowel disease: comparisons...
  • Iglesias-Rey M, Barreiro-de Acosta M, Caamaño-Isorna F, Rodríguez I. V., Ferreiro R, Lindkvist B.,… & DomínguezMunoz J. E. (2014). Psychological...
  • Knowles, S. R., Monshat, K., & Castle, D. J. (2013). The efficacy and methodological challenges of psychotherapy for adults with inflammatory...
  • Kovacs, Z., & Kovacs, F. (2007). Depressive and anxiety symptoms, dysfunctional attitudes and social aspects in irritable bowel syndrome...
  • Kurina, L. M., Goldacre, M. J., Yeates, D., & Seagroatt, V. (2001). Depression and anxiety in people with inflammatory bowel disease....
  • Langhorst, J., Mueller, T., Luedtke, R., Franken, U., Paul, A., Michalsen, A.,… & Elsenbruch S. (2007). Effects of a comprehensive lifestyle...
  • Levenstein, S., Prantera, C., Varvo, V., Scribano, M. L., Andreoli, A., Luzi C.,… & Marcheggiano, A. (2000). Stress and exacerbation in...
  • Lledó, A., Fernández-Díez, E., Pastor, M. A., López-Roig, S., Ibáñez Ballesteros, J., Sorinas Nerín, J. (2016). Disfunción del sistema autonómico...
  • Loftus, E. V., Guerin, A., Yu, A. P., Wu, E. Q., Yang, M., Chao, J., & Mulani, P. M. (2011). Increased risks of developing anxiety and...
  • Magalhães, J., Castro, F. D., Carvalho, P. B., Moreira, M. J., & Cotter, J. (2014). Quality of life in patients with inflammatory bowel...
  • Mancini, J.L. (2000). Declaración de Helsinki: principios éticospara la investigación médica sobre sujetos humanos. Acta Bioethica, 6, 321-334.
  • McCombie, A. M., Mulder, R. T., & Gearry, R. B. (2013).Psychotherapy for inflammatory bowel disease: a review and update. Journal of Crohn’s...
  • Mikocka-Walus A. A., Bond M, Holloway R. H., Persson J, Pilichiewcz A. N., Hughes P. A.,… & Andrews J. M. (2010). Does cognitive behavioural...
  • Mikocka-Walus, A. A., Andrews, J. M., Bernstein, C. N., Graff, L. A., Walker, J. R., Spinelli, A.,… & Moser G. (2012). Integrated model...
  • Mikocka-Walus, A., Bampton, P., Hetzel, D., Hughes, P., Esterman, A., & Andrews, J. M. (2015). Cognitive-behavioural therapy has no effect...
  • Moreno-Jiménez, B., López-Blanco, B., Rodríguez-Muñoz, A., & Garrosa-Hernández, E. (2007). The influence of personality factors on health-related...
  • Nolen-Hoeksema, S., Wisco, B.E., & Lyubomirsky, S. (2008). Rethinking rumination. Perspectives on Psychological Science, 3, 400-424.
  • North, C.S., Clouse, R. E., Spitznagel, E. L., & Alpers, D.H. (1990). The relation of ulcerative. colitis to psychiatric factors: a review...
  • Oliveira, S., Zaltman, C., Elia, C., Vargens, R., Leal, A., Barros, R., & Fogaça, H. (2007). Quality-of-life measurement in patients with...
  • Oxelmark, L., Magnusson, A., Lofberg, R., & Hilleras, P. (2007). Group-based intervention program in inflammatory bowel disease patients:...
  • Persoons P, Vermeire S, Demyttenaere K, Fischler B, Vandenberghe J, Van Oudenhove L.,… & Rutgeerts, P. (2005). The impact of major depressive...
  • Peyrin-Biroulet, L., Loftus, E. V., Colombel, J. F., & Sandborn, W. J. (2010). The natural his tory of adult Crohn’s disease in population-based...
  • Ponder, A., & Long, M. D. A. (2013). Clinical review of recent findings in the epidemiology of inflammatory bowel disease. Clinical Epidemiology,...
  • Sandín, B. (2008). El estrés psicosocial: conceptos y consecuencias clínicas (2ª ed.). Madrid: Klinik.
  • Sandín, B., y Chorot, P. (2003). Cuestionario del afrontamiento del estrés (CAE): Desarrollo y validación preliminar. Revista de Psicopatología...
  • Sanz, J., Perdigón, A. L., y Vázquez, C. (2003). Adaptación Española del Inventario para la Depresión de Beck II (BDIII): 2. Propiedades psicométricas...
  • Szigethy, E., Kenney, E., Carpenter, J., Hardy, D. M., Fairclough, D., Bousvaros, A.,… & DeMaso D. R. (2007). Cognitive– behavioral therapy...
  • Triantafillidis, J. K., Merikas, E., & Gikas, A. (2013). Psychological factors and stress in inflammatory bowel disease. Expert Review...
  • Tribbick, D., Salzberg, M., Ftanou, M., Connell W. R.,Macrae, F., Kamm., M. A.,… & Knowles, S. R. (2015). Clinical and Experimental Gastroenterology,...
  • Trindade, I. A., Ferreira, C., Pinto-Gouveia, J. (2016). Inflammatory bowel disease: The harmful mechanism of experiential avoidance for patients’...
  • Vidal, A., Gómez-Gil, E., Sans, M., Portella. M. J., Salamero, M., Piqué, J. M., & Panes, J. (2008). Health-related quality of life in...