a Faculty of Nursing and Midwifery , King's College London , London , UK.
b Department of Gastroenterology , King's College Hospital , London , UK.
Psychol Health. 2018 May;33(5):634-651. doi: 10.1080/08870446.2017.1381958. Epub 2017 Sep 26.
People with inflammatory bowel disease (IBD) are at increased risk of developing anxiety and low mood. We sought to explore the experience of people with IBD and moderate-severe symptoms of anxiety/low mood to identify psychological processes which could be targeted in psychological interventions, as well as the kind of psychological support preferred.
Twenty-five participants with IBD and moderate-severe symptoms of anxiety/low mood were recruited for interview. Template analysis was utilised to analyse interview data. We explored the situations, cognitions and behaviour linked to symptoms of anxiety and low mood by people with IBD, as well as the kind of psychological help preferred.
Two themes were identified within participants accounts of symptoms of anxiety; 'under performance' and 'preventing an accident'. Two further themes were identified for symptoms of low mood; 'lack of understanding' and 'stigma'. Expertise and understanding was the main theme identified for the type of psychological help desired.
The analysis highlights situations, cognitions and behaviour linked to anxiety and low mood by people with IBD and the type of psychological support desired. Our findings link to the knowledge and competencies set for psychological therapist working with long-term conditions.
患有炎症性肠病（IBD）的人患焦虑和情绪低落的风险增加。我们试图探讨患有 IBD 且有中度至重度焦虑/情绪低落症状的人群的体验，以确定可在心理干预中针对的心理过程，以及他们更喜欢的心理支持类型。
招募了 25 名患有 IBD 且有中度至重度焦虑/情绪低落症状的参与者进行访谈。利用模板分析来分析访谈数据。我们探讨了患有 IBD 的人焦虑和情绪低落症状相关的情况、认知和行为，以及他们更喜欢的心理帮助类型。
在参与者对焦虑症状的描述中确定了两个主题；“表现不佳”和“预防事故”。对于情绪低落的症状，确定了另外两个主题；“缺乏理解”和“耻辱感”。对于所需的心理帮助类型，主要主题是专业知识和理解。
分析突出了患有 IBD 的人焦虑和情绪低落相关的情况、认知和行为，以及他们所期望的心理支持类型。我们的研究结果与从事长期疾病治疗的心理治疗师的知识和能力相关。
