Four-year follow-up of psychiatric and psychosomatic profile in patients with Inflammatory Bowel Disease (IBD)
Abstract Psychological characterization of patients affected by Inflammatory Bowel Disease (IBD) focuses on comorbidity with psychiatric disorders, somatization or alexithymia. Whereas IBD patients had higher risk of stable anxiety and depression for many years after the diagnosis of the disease, th...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-04-01
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| Series: | BMC Psychology |
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| Online Access: | https://doi.org/10.1186/s40359-024-01726-5 |
| _version_ | 1827276872777465856 |
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| author | Sara Gostoli Francesco Ferrara Ludovica Quintavalle Sara Tommasino Graziano Gigante Maria Montecchiarini Alessia Urgese Francesco Guolo Regina Subach Angelica D’Oronzo Annamaria Polifemo Federica Buonfiglioli Vincenzo Cennamo Chiara Rafanelli |
| author_facet | Sara Gostoli Francesco Ferrara Ludovica Quintavalle Sara Tommasino Graziano Gigante Maria Montecchiarini Alessia Urgese Francesco Guolo Regina Subach Angelica D’Oronzo Annamaria Polifemo Federica Buonfiglioli Vincenzo Cennamo Chiara Rafanelli |
| author_sort | Sara Gostoli |
| collection | DOAJ |
| description | Abstract Psychological characterization of patients affected by Inflammatory Bowel Disease (IBD) focuses on comorbidity with psychiatric disorders, somatization or alexithymia. Whereas IBD patients had higher risk of stable anxiety and depression for many years after the diagnosis of the disease, there is a lack of studies reporting a comprehensive psychosomatic assessment addressing factors of disease vulnerability, also in the long-term. The objective of this investigation is to fill this gap in the current literature. The aims were thus to assess: a) changes between baseline and a 4-year follow-up in psychiatric diagnoses (SCID), psychosomatic syndromes (DCPR), psychological well-being (PWB-I), lifestyle, gastrointestinal symptoms related to IBD and Irritable Bowel Syndrome (IBS)-like symptoms b) stability of psychiatric and psychosomatic syndromes at 4-year follow-up. A total of 111 IBD outpatients were enrolled; 59.5% of them participated at the follow-up. A comprehensive assessment, including both interviews and self-report questionnaires, was provided at baseline and follow-up. Results showed increased psychiatric diagnoses, physical activity, consumption of vegetables and IBS-like symptoms at follow-up. Additionally, whereas psychiatric diagnoses were no longer present and new psychopathological pictures ensued at follow-up, more than half of the sample maintained psychosomatic syndromes (particularly allostatic overload, type A behavior, demoralization) from baseline to follow-up. Long-term presence/persistence of such psychosocial burden indicates the need for integrating a comprehensive psychosomatic evaluation beyond traditional psychiatric nosography in IBD patients. Moreover, since psychosomatic syndromes represent vulnerability factors of diseases, further studies should target subgroups of patients presenting with persistent psychosomatic syndromes and worse course of the disease. |
| first_indexed | 2024-04-24T07:11:21Z |
| format | Article |
| id | doaj.art-f4ef3cedd3724958849568e3addd9706 |
| institution | Directory Open Access Journal |
| issn | 2050-7283 |
| language | English |
| last_indexed | 2024-04-24T07:11:21Z |
| publishDate | 2024-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychology |
| spelling | doaj.art-f4ef3cedd3724958849568e3addd97062024-04-21T11:34:17ZengBMCBMC Psychology2050-72832024-04-0112111110.1186/s40359-024-01726-5Four-year follow-up of psychiatric and psychosomatic profile in patients with Inflammatory Bowel Disease (IBD)Sara Gostoli0Francesco Ferrara1Ludovica Quintavalle2Sara Tommasino3Graziano Gigante4Maria Montecchiarini5Alessia Urgese6Francesco Guolo7Regina Subach8Angelica D’Oronzo9Annamaria Polifemo10Federica Buonfiglioli11Vincenzo Cennamo12Chiara Rafanelli13Department of Psychology “Renzo Canestrari”, University of BolognaGastroenterology and Interventional Endoscopy Unit, AUSL BolognaDepartment of Psychology “Renzo Canestrari”, University of BolognaDepartment of Psychology “Renzo Canestrari”, University of BolognaDepartment of Psychology “Renzo Canestrari”, University of BolognaDepartment of Psychology “Renzo Canestrari”, University of BolognaDepartment of Psychology “Renzo Canestrari”, University of BolognaDivision of Cardiology, Bellaria Hospital, AUSL BolognaDepartment of Psychology “Renzo Canestrari”, University of BolognaDepartment of Psychology “Renzo Canestrari”, University of BolognaGastroenterology and Interventional Endoscopy Unit, AUSL BolognaGastroenterology and Interventional Endoscopy Unit, AUSL BolognaGastroenterology and Interventional Endoscopy Unit, AUSL BolognaDepartment of Psychology “Renzo Canestrari”, University of BolognaAbstract Psychological characterization of patients affected by Inflammatory Bowel Disease (IBD) focuses on comorbidity with psychiatric disorders, somatization or alexithymia. Whereas IBD patients had higher risk of stable anxiety and depression for many years after the diagnosis of the disease, there is a lack of studies reporting a comprehensive psychosomatic assessment addressing factors of disease vulnerability, also in the long-term. The objective of this investigation is to fill this gap in the current literature. The aims were thus to assess: a) changes between baseline and a 4-year follow-up in psychiatric diagnoses (SCID), psychosomatic syndromes (DCPR), psychological well-being (PWB-I), lifestyle, gastrointestinal symptoms related to IBD and Irritable Bowel Syndrome (IBS)-like symptoms b) stability of psychiatric and psychosomatic syndromes at 4-year follow-up. A total of 111 IBD outpatients were enrolled; 59.5% of them participated at the follow-up. A comprehensive assessment, including both interviews and self-report questionnaires, was provided at baseline and follow-up. Results showed increased psychiatric diagnoses, physical activity, consumption of vegetables and IBS-like symptoms at follow-up. Additionally, whereas psychiatric diagnoses were no longer present and new psychopathological pictures ensued at follow-up, more than half of the sample maintained psychosomatic syndromes (particularly allostatic overload, type A behavior, demoralization) from baseline to follow-up. Long-term presence/persistence of such psychosocial burden indicates the need for integrating a comprehensive psychosomatic evaluation beyond traditional psychiatric nosography in IBD patients. Moreover, since psychosomatic syndromes represent vulnerability factors of diseases, further studies should target subgroups of patients presenting with persistent psychosomatic syndromes and worse course of the disease.https://doi.org/10.1186/s40359-024-01726-5Diagnostic Criteria for Psychosomatic Research (DCPR)Inflammatory Bowel Disease (IBD)Lifestyle behaviorsPsychological well-beingPsychiatric diagnosesPsychosomatic syndromes |
| spellingShingle | Sara Gostoli Francesco Ferrara Ludovica Quintavalle Sara Tommasino Graziano Gigante Maria Montecchiarini Alessia Urgese Francesco Guolo Regina Subach Angelica D’Oronzo Annamaria Polifemo Federica Buonfiglioli Vincenzo Cennamo Chiara Rafanelli Four-year follow-up of psychiatric and psychosomatic profile in patients with Inflammatory Bowel Disease (IBD) BMC Psychology Diagnostic Criteria for Psychosomatic Research (DCPR) Inflammatory Bowel Disease (IBD) Lifestyle behaviors Psychological well-being Psychiatric diagnoses Psychosomatic syndromes |
| title | Four-year follow-up of psychiatric and psychosomatic profile in patients with Inflammatory Bowel Disease (IBD) |
| title_full | Four-year follow-up of psychiatric and psychosomatic profile in patients with Inflammatory Bowel Disease (IBD) |
| title_fullStr | Four-year follow-up of psychiatric and psychosomatic profile in patients with Inflammatory Bowel Disease (IBD) |
| title_full_unstemmed | Four-year follow-up of psychiatric and psychosomatic profile in patients with Inflammatory Bowel Disease (IBD) |
| title_short | Four-year follow-up of psychiatric and psychosomatic profile in patients with Inflammatory Bowel Disease (IBD) |
| title_sort | four year follow up of psychiatric and psychosomatic profile in patients with inflammatory bowel disease ibd |
| topic | Diagnostic Criteria for Psychosomatic Research (DCPR) Inflammatory Bowel Disease (IBD) Lifestyle behaviors Psychological well-being Psychiatric diagnoses Psychosomatic syndromes |
| url | https://doi.org/10.1186/s40359-024-01726-5 |
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