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Experience with and attitudes toward psychotherapy and antidepressants among patients with inflammatory bowel disease and functional gastrointestinal disorders: an online patient survey to inform system design
journal contribution
posted on 2016-07-01, 00:00 authored by Antonina Mikocka-WalusAntonina Mikocka-Walus, J M AndrewsThis study aimed to explore and compare experiences with and attitudes toward psychotherapy and antidepressants of patients with inflammatory bowel disease (IBD) and functional gastrointestinal disorders (FGiDs). Patients from gastroenterology clinic databases were invited to an online survey. Student's t test, Mann-Whitney U test, chi-square test, and Fisher's test were used to compare patients with IBD and FGiD on demographics and variables of interest. Of 86 participants, 56 (65%) had IBD and 30 (35%) had FGiDs. Mean levels of anxiety, depressive, and stress symptoms were within the moderate to severe range. Psychological care and antidepressants were offered to significantly more FGiD than to IBD respondents (37% vs. 9%; p = .009). Although the symptoms were generally reduced after the prescription of antidepressants, only 30% of IBD respondents and 21% of FGiD respondents using antidepressants would recommend them to others. In contrast, 53% of IBD respondents and 69% of FGiD respondents who used psychotherapy would recommend it to others. Both these therapies were valued by recipients; however, neither was reported to improve gastrointestinal (GI) symptoms. Given the high desire for and positive experiences of psychological care for these 2 common GI conditions, access to formal psychological support services within GI clinics would appear to be the most efficient model.
History
Journal
Gastroenterology nursingVolume
39Issue
4Pagination
278 - 286Publisher
Lippincott Williams & WilkinsLocation
Philadelphia, Pa.Publisher DOI
ISSN
1042-895XeISSN
1538-9766Language
engPublication classification
C Journal article; C1.1 Refereed article in a scholarly journalCopyright notice
2016, Society of Gastroenterology Nurses and AssociatesUsage metrics
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