Psychosocial factors associated with pain-related interference included depression , catastrophising , fear avoidance , lower self-efficacy and worse mental well-being .
Conclusions Pain in IBD is significantly associated with cognitive and behavioural factors as well as low mood .
Objective Pain is frequently reported by patients with inflammatory bowel disease ( IBD ) .
Pain in IBD is not fully explained by disease activity or other clinical findings , and a recent systematic review suggested that psychosocial factors have an important role in IBD-pain .
The aim of this study was to investigate psychosocial factors associated with pain in IBD .
Changes in illness-related cognitions rather than distress mediate improvements in irritable bowel syndrome (IBS) symptoms and disability following a brief cognitive behavioural therapy intervention.
OBJECTIVE A previous r and omised controlled trial demonstrated that a cognitive behavioural therapy ( CBT ) self-management intervention significantly improved  irritable bowel syndrome ( IBS ) symptoms and disability  compared to treatment as usual ( TAU ) . The current study analysed additional data to establish whether ; 1 ) cognitive , behavioural and emotional factors hypothesized to perpetuate IBS symptoms and disability changed following CBT and , 2 ) ascertain if changes in these factors over the intervention period mediated treatment effects 6-months later . METHOD IBS patients ( CBT = 31 , TAU = 33 ) completed measures pre- and -post intervention including : Brief Illness Perception Question naire , Hospital Anxiety & Depression Scale and Cognitive and Behavioural Responses to Symptoms Question naire . Path models were evaluated to determine whether changes in cognitive and behavioural factors over the treatment period mediated treatment effects . RESULTS Compared to TAU , CBT patients showed significant positive changes on several cognitive variables but not anxiety and depression following intervention . Positive change in illness perceptions following intervention mediated the treatment effect on improved IBS symptom severity and social adjustment six months later . Changes in damaging beliefs mediated the effect on social adjustment . CONCLUSIONS Change in cognition rather than mood mediated treatment related improvements . Changing negative perceptions of IBS appears to be a particularly important treatment mechanism
Psychosocial factors associated with pain-related interference included depression , catastrophising , fear avoidance , lower self-efficacy and worse mental well-being .
Conclusions Pain in IBD is significantly associated with cognitive and behavioural factors as well as low mood .
Objective Pain is frequently reported by patients with inflammatory bowel disease ( IBD ) .
Pain in IBD is not fully explained by disease activity or other clinical findings , and a recent systematic review suggested that psychosocial factors have an important role in IBD-pain .
The aim of this study was to investigate psychosocial factors associated with pain in IBD .