Targeting the gut-brain axis for therapeutic adherence in patients with inflammatory bowel disease: a review on the role of psychotherapy
Purpose Inflammatory Bowel Diseases (IBD) are disorders intensively studied in the literature as a model of gut-brain interactions within the so-called gut-brain axis. A non-negligible proportion of patients with IBD have psychological and psychiatric comorbidities and show non-low levels of depress...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Brain-Apparatus Communication |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/27706710.2023.2181101 |
| _version_ | 1797685685648359424 |
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| author | Antonietta Gerarda Gravina Raffaele Pellegrino Giovanna Palladino Chiara Mazzarella Pierluigi Federico Giusi Arboretto Rossella D’Onofrio Simone Olivieri Giuseppe Zagaria Tommaso Durante Alessandro Federico |
| author_facet | Antonietta Gerarda Gravina Raffaele Pellegrino Giovanna Palladino Chiara Mazzarella Pierluigi Federico Giusi Arboretto Rossella D’Onofrio Simone Olivieri Giuseppe Zagaria Tommaso Durante Alessandro Federico |
| author_sort | Antonietta Gerarda Gravina |
| collection | DOAJ |
| description | Purpose Inflammatory Bowel Diseases (IBD) are disorders intensively studied in the literature as a model of gut-brain interactions within the so-called gut-brain axis. A non-negligible proportion of patients with IBD have psychological and psychiatric comorbidities and show non-low levels of depressive and anxiety symptoms. The remitting-recurrent course of IBD poses the need for therapeutic intervention that not only serves to induce clinical remission of the disease but also has an impact on maintenance. Therefore, therapeutic adherence is undoubtedly a cornerstone of managing these patients. Material and methods A literature search was conducted to identify studies with psychotherapy as an intervention and therapeutic adherence to IBD-specific therapy as one of the outcomes. Results Not many studies in the literature have specifically explored the role of psychotherapy in improving therapeutic adherence in patients with IBD. Most of the available trials have focused on cognitive-behavioral psychotherapeutic interventions and are directed toward basically oral therapies. Other studies focused on interventions delivered under telemedicine or mindfulness or hypnotherapy techniques. Conclusions This narrative review leans toward a probable beneficial effect of psychotherapy in therapeutic adherence although new and more organic studies need to be conducted to generate stronger evidence. |
| first_indexed | 2024-03-12T00:54:55Z |
| format | Article |
| id | doaj.art-1712061d7329497299cac1dacd5ce34c |
| institution | Directory Open Access Journal |
| issn | 2770-6710 |
| language | English |
| last_indexed | 2024-03-12T00:54:55Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Brain-Apparatus Communication |
| spelling | doaj.art-1712061d7329497299cac1dacd5ce34c2023-09-14T13:24:41ZengTaylor & Francis GroupBrain-Apparatus Communication2770-67102023-12-012110.1080/27706710.2023.21811012181101Targeting the gut-brain axis for therapeutic adherence in patients with inflammatory bowel disease: a review on the role of psychotherapyAntonietta Gerarda Gravina0Raffaele Pellegrino1Giovanna Palladino2Chiara Mazzarella3Pierluigi Federico4Giusi Arboretto5Rossella D’Onofrio6Simone Olivieri7Giuseppe Zagaria8Tommaso Durante9Alessandro Federico10Hepatogastroenterology Unit, Department of Precision Medicine, University of Campania “Luigi Vanvitelli”Hepatogastroenterology Unit, Department of Precision Medicine, University of Campania “Luigi Vanvitelli”Hepatogastroenterology Unit, Department of Precision Medicine, University of Campania “Luigi Vanvitelli”Hepatogastroenterology Unit, Department of Precision Medicine, University of Campania “Luigi Vanvitelli”Pharmaceutical Department, ASL 3 SudHepatogastroenterology Unit, Department of Precision Medicine, University of Campania “Luigi Vanvitelli”Hepatogastroenterology Unit, Department of Precision Medicine, University of Campania “Luigi Vanvitelli”Hepatogastroenterology Unit, Department of Precision Medicine, University of Campania “Luigi Vanvitelli”Hepatogastroenterology Unit, Department of Precision Medicine, University of Campania “Luigi Vanvitelli”Mental Health Department, S. Pio Hospital, via dell’AngeloHepatogastroenterology Unit, Department of Precision Medicine, University of Campania “Luigi Vanvitelli”Purpose Inflammatory Bowel Diseases (IBD) are disorders intensively studied in the literature as a model of gut-brain interactions within the so-called gut-brain axis. A non-negligible proportion of patients with IBD have psychological and psychiatric comorbidities and show non-low levels of depressive and anxiety symptoms. The remitting-recurrent course of IBD poses the need for therapeutic intervention that not only serves to induce clinical remission of the disease but also has an impact on maintenance. Therefore, therapeutic adherence is undoubtedly a cornerstone of managing these patients. Material and methods A literature search was conducted to identify studies with psychotherapy as an intervention and therapeutic adherence to IBD-specific therapy as one of the outcomes. Results Not many studies in the literature have specifically explored the role of psychotherapy in improving therapeutic adherence in patients with IBD. Most of the available trials have focused on cognitive-behavioral psychotherapeutic interventions and are directed toward basically oral therapies. Other studies focused on interventions delivered under telemedicine or mindfulness or hypnotherapy techniques. Conclusions This narrative review leans toward a probable beneficial effect of psychotherapy in therapeutic adherence although new and more organic studies need to be conducted to generate stronger evidence.http://dx.doi.org/10.1080/27706710.2023.2181101ulcerative colitiscrohn’s diseasegut-brain axispsychotherapy |
| spellingShingle | Antonietta Gerarda Gravina Raffaele Pellegrino Giovanna Palladino Chiara Mazzarella Pierluigi Federico Giusi Arboretto Rossella D’Onofrio Simone Olivieri Giuseppe Zagaria Tommaso Durante Alessandro Federico Targeting the gut-brain axis for therapeutic adherence in patients with inflammatory bowel disease: a review on the role of psychotherapy Brain-Apparatus Communication ulcerative colitis crohn’s disease gut-brain axis psychotherapy |
| title | Targeting the gut-brain axis for therapeutic adherence in patients with inflammatory bowel disease: a review on the role of psychotherapy |
| title_full | Targeting the gut-brain axis for therapeutic adherence in patients with inflammatory bowel disease: a review on the role of psychotherapy |
| title_fullStr | Targeting the gut-brain axis for therapeutic adherence in patients with inflammatory bowel disease: a review on the role of psychotherapy |
| title_full_unstemmed | Targeting the gut-brain axis for therapeutic adherence in patients with inflammatory bowel disease: a review on the role of psychotherapy |
| title_short | Targeting the gut-brain axis for therapeutic adherence in patients with inflammatory bowel disease: a review on the role of psychotherapy |
| title_sort | targeting the gut brain axis for therapeutic adherence in patients with inflammatory bowel disease a review on the role of psychotherapy |
| topic | ulcerative colitis crohn’s disease gut-brain axis psychotherapy |
| url | http://dx.doi.org/10.1080/27706710.2023.2181101 |
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