Department of Medical Psychology, Amsterdam University Medical Centers, Location AMC, University of Amsterdam, Meibergdreef 15, 1105 AZ, Amsterdam, The Netherlands.
Department of Psychiatry, Amsterdam University Medical Centers, Location AMC, University of Amsterdam, Amsterdam, The Netherlands.
J Clin Psychol Med Settings. 2024 Jun;31(2):258-278. doi: 10.1007/s10880-023-09996-8. Epub 2024 Jan 28.
This paper describes the implementation of inflammatory bowel disease (IBD)-specific cognitive behavioural therapy (CBT) for IBD patients with poor quality of life (QoL), anxiety and depression, in four hospitals in the Netherlands. Treatment outcomes were compared with those of a previously published randomized control trial (RCT) of 'IBD-specific CBT', following a benchmark strategy. Primary outcome was IBD-specific QoL (IBDQ) completed before and after CBT, secondary outcomes were anxiety and depressive symptoms (HADS, CES-D). Semi-structured interviews were conducted among a pilot of gastroenterologists, nurse specialists and psychologists to evaluate 'IBD-specific CBT'. 94 patients started treatment (280 screened). At follow-up, 63 participants (67% compared to 81% in the RCT benchmark) completed the IBDQ. Treatment effect sizes of the implementation study were comparable and slightly larger than those of RCT benchmark. Gastroenterologists, IBD nurses and psychologists found CBT necessary for IBD patients with poor QoL, depression and/or anxiety disorders. 'IBD-specific CBT' can be successfully implemented. Regular supervision of psychologists performing 'IBD-specific CBT' treatment is needed.
本文描述了在荷兰的四家医院中，对生活质量（QoL）差、焦虑和抑郁的炎症性肠病（IBD）患者实施 IBD 特异性认知行为疗法（CBT）的情况。采用基准策略，将治疗结果与先前发表的“IBD 特异性 CBT”的随机对照试验（RCT）进行了比较。主要结局是在 CBT 前后完成的 IBD 特异性 QoL（IBDQ），次要结局是焦虑和抑郁症状（HADS、CES-D）。对胃肠病学家、护士专家和心理学家进行了试点调查，以评估“IBD 特异性 CBT”。94 名患者开始治疗（280 名筛选）。在随访时，63 名参与者（与 RCT 基准的 81%相比为 67%）完成了 IBDQ。实施研究的治疗效果与 RCT 基准相当，略大一些。胃肠病学家、IBD 护士和心理学家认为 CBT 对于生活质量差、抑郁和/或焦虑障碍的 IBD 患者是必要的。“IBD 特异性 CBT”可以成功实施。需要对进行“IBD 特异性 CBT”治疗的心理学家进行定期监督。
