Eccles, Jessica Anne, Ascott, Anna, McGeer, Rona, Hills, Emma, St. Clair Jones, Anja, Page, Lisa A, Smith, Melissa A, Loewenberger, Alana and Gregory, Jemima (2020) Inflammatory bowel disease psychological support pilot reduces inflammatory bowel disease symptoms and improves psychological wellbeing. Frontline Gastroenterology. pp. 1-4. ISSN 2041-4137

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Abstract

This prospective service evaluation aimed to determine if integrated psychological support for Inflammatory Bowel Disease (IBD) patients enhanced outcomes. 75 patients were assessed and treated by a specialist liaison psychiatric service between 2015 -2017; 43 received psychiatric intervention alone, 32 were referred for psychological intervention by clinical health psychologist; 26 completed this. Pre-post data (n=15 available) included: Global impression, quality of life, psychiatric and IBD symptom scores. Referrer/patient satisfaction and cost effectiveness were retrospectively calculated. Psychological intervention led to reductions in IBD symptoms (SIBD; p=0.003), alongside improvements in depression scores (PHQ-9, p=0.006) and global impression (CGI; p=0.046). Patient/referrer satisfaction was very high. Indicative data comparing service utilisation one year before and after engagement found reductions in outpatient appointments and in imaging. This small study suggests consideration of increased access to integrated psychological support services to improve outcomes and gather further evidence of efficacy.

Item Type:	Article
Schools and Departments:	Brighton and Sussex Medical School > Clinical and Experimental Medicine Brighton and Sussex Medical School > Neuroscience
Subjects:	R Medicine > RC Internal medicine > RC0321 Neurosciences. Biological psychiatry. Neuropsychiatry R Medicine > RZ Other systems of medicine > RZ0400 Mental healing
Depositing User:	Christina Lee
Date Deposited:	13 Feb 2020 09:13
Last Modified:	07 Apr 2020 15:45
URI:	http://sro.sussex.ac.uk/id/eprint/89885

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