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 .
Mindfulness-based therapy for inflammatory bowel disease patients with functional abdominal symptoms or high perceived stress levels.
BACKGROUND AND AIMS Psychological interventions are used in patients with inflammatory bowel disease ( IBD ) but there is uncertainty about who the optimal target population is . Multi-convergent therapy ( MCT ) is a form of psychotherapy that combines mindfulness meditation with aspects of cognitive behavioural therapy and has been used in the management of irritable bowel syndrome ( IBS ) . This study aim ed to assess the feasibility and efficacy of MCT in the management of IBD patients with either functional abdominal symptoms or high perceived stress levels . METHODS Sixty-six IBD patients in clinical remission with either IBS-type symptoms or high perceived stress levels were r and omly allocated to a 16-week MCT course or waiting list control group . Patients were followed-up for one year with the Inflammatory Bowel Disease Question naire ( IBDQ ) as the primary outcome measurement . RESULTS A higher mean IBDQ score was observed in the active group compared to controls at the 4-month assessment ( 167 vs. 156 , p=0.081 ) , but this was not statistically significant nor did it reached the predefined clinical ly significant difference of 20 . In patients with IBS-type symptoms at baseline there was a significantly higher mean IBDQ score in the active group compared to controls ( 161 vs. 145 , p=0.021 ) . There was no difference between groups in relapse rate based on faecal calprotectin measurement . CONCLUSIONS IBS-type symptoms in patients with IBD represent a potential therapeutic target to improve quality of life . This study suggests that MCT may be useful in the management of these symptoms but larger studies are required to confirm this . CLINICAL TRIAL REGISTRATION NUMBER NCT01426568
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 .