Psychological aspects and possibilities of psychological intervention in patients with inflammatory bowel disease

2021 ◽  
Vol 75 (1) ◽  
pp. 40-45
Author(s):  
Hana Bednaříková ◽  
Natália Kaščáková ◽  
Zuzana Zelinková ◽  
Jozef Hašto ◽  
Peter Tavel
Keyword(s):  
Relaxation Training ◽  
Social Space ◽  
Positive Impact ◽  
Psychological Intervention ◽  
Psychological Aspects ◽  
Traumatic Experience ◽  
Psychological Interventions ◽  
Psychological Care ◽  
Psychotherapeutic Techniques ◽  
Inflammatory Bowel

Psychological aspects of inflammatory bowel diseases (IBD) were given less attention in the social space of former Czechoslovak countries. The possibilities of psychological care for patients with IBD have to be re-evaluated due to the new worldwide trends in the management of IBD. In the complex management of IBD treatment arises a demand after psychologist as a helping member of the gastroenterological team in order to be available for patients, as well as to consult the cases with the specialists. In the following article we described psychological interventions (psychotherapeutic techniques), whose effectivity as a supplemental treatment in patients with IBD was examined. Recently, several studies on the effectivity of psychological interventions in patients with IBD have already been available. This trend is in accordance with a bio­psychosocial model of patients‘ care. Promising results were observed in psychotherapeutic techniques which use the work with body feelings, relieving the tension and relaxation training. The presence of psychologist and psychological guidance in difficult periods during chronic diseases such as IBD appears to be helpful. Patients with a psychiatric comorbidity tend to have worse course of disease. It is important to identify the patients who are in need of psychological care, mostly the ones with trauma anamnesis. Overcoming traumatic experience may provide positive impact on the disease course.

scholarly journals Integrated Psychological Care is Needed, Welcomed and Effective in Ambulatory Inflammatory Bowel Disease Management: Evaluation of a New Initiative

2019 ◽  
Vol 13 (7) ◽  
pp. 819-827 ◽  
Author(s):  
Taryn Lores ◽  
Charlotte Goess ◽  
Antonina Mikocka-Walus ◽  
Kathryn L Collins ◽  
Anne L J Burke ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Psychological Intervention ◽  
Psychological Care ◽  
Psychological Screening ◽  
General Distress ◽  
Inflammatory Bowel

Abstract Background and Aims Inflammatory bowel disease is associated with psychosocial issues which reduce quality of life and impair medical management. However, these issues are rarely addressed in routine care. A model of integrated psychological screening and intervention was trialled to measure prevalence, patient participation, and potential benefits to mental health and/or quality of life. Methods During a 12-month period, 490 adult patients at an established hospital-based service were approached to complete screening instruments for anxiety, depression, general distress, quality of life and medication adherence. Disease-specific and demographic data were also collected. Patients who scored highly on screening questionnaires were offered psychological intervention (in-service or externally referred). Participants were reassessed after 12 months. Results Psychological screening was well accepted with 68% (N = 335) participating. Psychological care was ‘needed’, with 55% (N = 183) scoring highly for anxiety, depression and/or general distress. Half of those ‘in need’ (N = 91) accepted intervention. In those who accepted, levels of anxiety (mean at intake [M1] = 12.11 vs mean at follow-up [M2] = 9.59, p < 0.001), depression (M1 = 8.38 vs M2 = 6.42, p < 0.001), general distress (M1 = 17.99 vs M2 = 13.96, p < 0.001), mental health quality of life (M1 = 54.64 vs M2 = 59.70, p < 0.001) and overall quality of life (M1 = 57.60 vs M2 = 64.10, p < 0.001) each improved between intake and follow-up. Engagement in psychological intervention was six times greater for those treated in-service vs externally referred (χ2[1] = 13.06, p < 0.001, odds ratio = 6.47). Conclusions Mental health issues are highly prevalent in people with inflammatory bowel disease. Patients are open to psychological screening and treatment. Psychological care can improve patient mental health and quality of life, and works best when integrated into routine management.

scholarly journals Psychological interventions for managing postpartum psychosis: a qualitative analysis of women’s and family members’ experiences and preferences

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
R. Forde ◽  
S. Peters ◽  
A. Wittkowski
Keyword(s):  
Psychological Intervention ◽  
Psychological Impact ◽  
Family Members ◽  
Psychological Needs ◽  
Postpartum Psychosis ◽  
Psychological Interventions ◽  
Structured Interviews ◽  
Seeking Safety ◽  
The Future ◽  
Severe Disorder

Abstract Background Postpartum psychosis is a rare, yet severe disorder, in which early identification and immediate intervention are crucial. Despite recommendations for psychological input, little is known about the types of psychological intervention reported to be helpful. The aim of this study was to explore the experiences, needs and preferences for psychological intervention from the perspective of women with postpartum psychosis and from the perspective of family members. Methods Thirteen women and eight family members, including partners were interviewed. The data from these semi-structured interviews were audio-recorded, transcribed and inductively analysed using thematic analysis. Results Twelve subthemes were identified and then organised around three main themes: 1) Seeking safety and containment, 2) Recognising and responding to the psychological impact and 3) Planning for the future. These themes highlight the temporal element of recovery from postpartum psychosis, because women’s psychological needs and preferences changed over time. Emphasis was initially placed on ensuring safety, followed by a need to connect, process and adjust to their experiences. Additional needs were reported by women and family when planning for the future, including managing the fear of relapse and help to reach a decision about future pregnancies. Conclusion The results illustrate a range of areas in which psychological intervention could be delivered to facilitate and enhance recovery. Further research is needed to develop meaningful and effective psychological interventions and to investigate the most appropriate timing for this to be offered.

Psychological interventions as an alternative and add-on to antidepressant medication to prevent depressive relapse: systematic review and meta-analysis

2020 ◽  
pp. 1-8
Author(s):  
Josefien Johanna Froukje Breedvelt ◽  
Maria Elisabeth Brouwer ◽  
Mathias Harrer ◽  
Maria Semkovska ◽  
David Daniel Ebert ◽  
...  
Keyword(s):  
Psychological Intervention ◽  
Meta Analysis ◽  
Antidepressant Medication ◽  
Cochrane Library ◽  
Psychological Interventions ◽  
Relapse Risk ◽  
Increased Risk ◽  
Antidepressant Use ◽  
Randomised Controlled ◽  
Risk Of Relapse

Background After remission, antidepressants are often taken long term to prevent depressive relapse or recurrence. Whether psychological interventions can be a viable alternative or addition to antidepressants remains unclear. Aims To compare the effectiveness of psychological interventions as an alternative (including delivered when tapering antidepressants) or addition to antidepressants alone for preventing depressive relapse. Method Embase, PubMed, the Cochrane Library and PsycINFO were searched from inception until 13 October 2019. Randomised controlled trials (RCTs) with previously depressed patients in (partial) remission where preventive psychological interventions with or without antidepressants (including tapering) were compared with antidepressant control were included. Data were extracted independently from published trials. A random-effects meta-analysis on time to relapse (hazard ratio, HR) and risk of relapse (risk ratio, RR) at the last point of follow-up was conducted. PROSPERO ID: CRD42017055301. Results Among 11 included trials (n = 1559), we did not observe an increased risk of relapse for participants receiving a psychological intervention while tapering antidepressants versus antidepressants alone (RR = 1.02, 95% CI 0.84–1.25; P = 0.85). Psychological interventions added to antidepressants significantly reduced the risk of relapse (RR = 0.85, 95% CI 0.74–0.97; P = 0.01) compared with antidepressants alone. Conclusions This study found no evidence to suggest that adding a psychological intervention to tapering increases the risk of relapse when compared with antidepressants alone. Adding a psychological intervention to antidepressant use reduces relapse risk significantly versus antidepressants alone. As neither strategy is routinely implemented these findings are relevant for patients, clinicians and guideline developers.

scholarly journals The Motivation Journey: A Grounded Theory Study on Female Cancer Survivors’ Experience of a Psychological Intervention for Quality of Life

2021 ◽  
Vol 18 (3) ◽  
pp. 950
Author(s):  
Ilaria Durosini ◽  
Lucrezia Savioni ◽  
Stefano Triberti ◽  
Paolo Guiddi ◽  
Gabriella Pravettoni
Keyword(s):  
Quality Of Life ◽  
Grounded Theory ◽  
Cancer Survivors ◽  
Psychological Intervention ◽  
Psychological Interventions ◽  
Theory Approach ◽  
Axial Coding ◽  
Motivation To Participate ◽  
Female Cancer Survivors

Psychological interventions are proposed to cancer survivors to support their quality of life against the emotional trauma of cancer and the side effects of treatment. Psychological interventions often require patient engagement and commitment to activities that could be more or less demanding in terms of lifestyle change (e.g., psychotherapy, sports). Analyzing participant motivations (personal aims, expectations, needs) prior to participation is useful to predict their adherence to the intervention as well as final outcomes. Yet, participant motivations may evolve during the intervention because the intervention experience turns out to be meaningful and positively challenging. The present study aimed to obtain a preliminary understanding of the process of motivation change in female cancer survivors who participated in a sport-based intervention to promote quality of life by employing a grounded theory approach. Data analysis took place alongside data collection and according to the procedure of grounded theory (“open coding”, “axial coding”, and “selective coding”) in order to describe the process of motivation change during women’s participation in psychological intervention for quality of life. On 14 women interviewed, 13 reported changing their motivation to participate during the first months of involvement, mostly changing from individualistic to group-related motivations (i.e., from self-care to friendship with other participants and enriching group membership), and from physical to psychological growth (i.e., pursuing not only physical health but also self-fulfillment). The discussion explains the preliminary aspects of the motivation change process and highlights the importance to monitor motivation dynamics within psychological interventions.

P–511 Characteristics of psychological services for couples undergoing ART treatment in Italy

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
A Renzi ◽  
R Spoletini ◽  
M D Trani ◽  
G Scaravelli
Keyword(s):  
Psychological Intervention ◽  
Psychological Services ◽  
Health Study ◽  
National Study ◽  
Psychological Interventions ◽  
Medical Procedure ◽  
Psychological Service ◽  
Shared Information ◽  
Registration Number ◽  
Italian Art

Abstract Study question What are the characteristics of the psychological services for couples undergoing ART treatment in Italy? Summary answer In the 47% of ART clinics the psychologist is a stable member of the team whereas psychological services are used by 10–20% of couples. What is known already: ART treatments are complex and emotionally demanding for both men and women. During the procedure the couples often experience stress and several negative emotions. In Italy the Law 40/2004 establishes the guidelines for ART application. This law sustains the importance of offering psychological support to the people who undergo ART treatments at any stage of the medical procedure. However, in Italy there are no specific recommendations or protocols for psychological interventions in ART centres. Furthermore, there is little or no studies regarding the characteristics of the psychological services offered to those undergoing ART treatments. Study design, size, duration This observational study aims to explore the characteristics of psychological services in ART clinics. Therefore, the ART Italian National Register (National Health Institute) with the Department of Dynamic and Clinical Psychology and Health study (Sapienza University) proposed a national survay to the 306 Italian ART centres. The Medical Director of each centre was invited to participate by e-mail and to fill a questionnaire on an on-line platform. Data collection was between Jenuary to February 2020. Participants/materials, setting, methods The participation has been proposed to all the Italian ART centres (n = 306). 35 centres have been previously excluded because participating in the first phase of the study regarding the questionnaire construction. Around the 40% of the centres participated in the study (n = 113). The questionnaire contains 26 items with multiple response answers. It mainly explored: the presence of the psychologist in the ART centres, charachteristics of the intervention offered, percentage of couples using the psychological service. Main results and the role of chance In the 47% of ART centres the psychologist is a stable member of the team. The 38% of respondents reported that the psychologist works on call in the centre, the 18% reported that the psychologist is present in the centre 1–2 times a week whereas the 32% reported that the psychologist works in a private practice outside the centre. The reported percentages of couples using the psychological service are: 10–20% (69%), 20–30% (13%), 30–50% (5%), more than 50% (5%) and around the 100% (8%). The number of psychological sessions usually offered are: up to five (9%), four (13%), three (29%), two (27%), one (10%). Couples interventions represent the 73%, single patient intervention the 14%, whereas the 13% are group interventions. The 60% of respondent reported the absence of a protocol for psychological intervention in the ART centre whereas the 40% reported the presence of a protocol. In around the 50% of cases the psychological service represents an extra cost for the couple/individual. In the 60% of cases the psychologist is not involved in the team meeting, however the 87% of respondents reported that confronting with the psychologist on patients is percived as useful. Limitations, reasons for caution These results should be considered with cautions due to the rate of participation (around 40%). Furthermore, this is a national study and the charachteristics of psychological services offered in ART centres of different countries should be investigated. Wider implications of the findings: In conclusion, the results show that psychological services in Italian ART centers are not yet fully operational and integrated in the ART procedure. All of this highlights the importance of further investigations with the aim to shared information to use to establish common protocols for psychological interventions in ART centres. Trial registration number Not applicable

scholarly journals Bridging the Gap Between Aging Research and Practice: A New Strategy for Enhancing the Consensus Workshop Model

2018 ◽  
Vol 39 (6) ◽  
pp. 677-680 ◽  
Author(s):  
Kelly M. Trevino ◽  
Beverly Canin ◽  
Charlotte Healy ◽  
Sheila Moran ◽  
William M. Trochim ◽  
...  
Keyword(s):  
Psychological Intervention ◽  
Institutional Factors ◽  
Psychological Interventions ◽  
Intervention Implementation ◽  
Relative Importance ◽  
Research To Practice ◽  
Aging Research ◽  
Research And Practice ◽  
Workshop Model ◽  
New Strategy

Objectives: The Cornell Research-to-Practice (RTP) Consensus Workshop Model is a strategy for bridging the gap between aging research and practice but lacks a technique for evaluating the relative importance of ideas. This project assessed the feasibility of adding a quantitative survey to the RTP model to address this gap. Method: Older adults with cancer (OACs), OAC caregivers, researchers, clinicians, and advocacy organization representatives participated in a RTP workshop on implementing psychological interventions for OACs. Following an in-person workshop, participants completed surveys assessing the relative importance of barriers and strategies for psychological intervention implementation. Results: Seventeen of 35 participants completed the survey, the majority of which were likely clinicians. Barriers and strategies to implementation rated as having the greatest impact were associated with the care team and institutional factors. Conclusion: Quantitative ratings add novel information to the RTP model that could potentially enhance the model’s impact on aging research and practice.

scholarly journals The Impact of Psychological Interventions on the Quality of Life of Diabetes Mellitus Patient

2014 ◽  
Vol 21 (4) ◽  
pp. 301-311
Author(s):  
Dana Sonia Oieru ◽  
Amorin Remus Popa ◽  
Ionuţ Vlad
Keyword(s):  
Diabetes Mellitus ◽  
Psychological Intervention ◽  
Coping Styles ◽  
Diabetes Mellitus Patient ◽  
Psychological Interventions ◽  
Etiologic Agents ◽  
Before And After ◽  
Somatic Diseases ◽  
And Coping ◽  
The Impact

AbstractBackground and aims: The theory regarding the psychological factors as etiologic agents that trigger the somatic diseases has gained more and more ground in the past few years, successfully repeating that the human being is a bio-psycho-social entity. In order to render the psychological interventions more efficient in the management of the psychosomatic diseases, this research aims to detect and modify, even treat throught psychological interventions those configurations of the early maladaptive schemes and coping styles that stick form together in the so-called acquired vulnerability which makes the person liable to an inappropriate reaction against stress, and also to track the effects of these changes on somatic indicators of diabetes mellitus. Material and methods: Analysis of variance (ANOVA) and paired T-test were used for analysing subjects` responses at three psychological instruments, evolution of blood pressure, body mass index, drug units, hospitalisation days, medical leave days, depressive symptoms before and after 10-12 psychological interventions sessions. Results: Results draw the attention once again upon the multiple directions of intervention and especially of prevention in case of the psychosomatic disease, in particular diabetes mellitus. Conclusions: Psychological intervention in the early stages of diabetes is a major contributor to the management of this disease.

scholarly journals Intervensi Psikologis Pada Peneriksaan KDRT (Kekerasan Dalam Rumah Tangga) Dalam PPA (Perlindungan Perempuan dan Anak) Di POLRESTA Malang

2013 ◽  
Vol 10 (1) ◽  
Author(s):  
Josina Judiari
Keyword(s):  
Domestic Violence ◽  
Psychological Intervention ◽  
Personality Inventory ◽  
Psychological Aspects ◽  
Personality Test ◽  
Color Test ◽  
Psychological Condition ◽  
Target Behavior ◽  
Test Items ◽  
Initial Investigation

Psychological intervention aimed at analyzing the motif of the informer or victim of the domestic violence and if it is needed, the reported party can be examined his psychological condition. Some test items that selected for the condition are MMPI Test (Mineesole Multiplanic Personality Inventory) that able to display 18 psychological aspects and the mostly highlighted in the initial investigation is the informer honesty. If the score do not fulfill the requirements it is important notes for the investigators to be careful and not accept without ceremony the victim complaints. Color test is personality test that able to reveal the situation target, behavior under pressure or the actual problems. The last, the violence victim can be occurred in the domestic area because the victim give opportunities for the violence occurrence for example too dominant, too sensitive or too relax, do not think her spouse if look at from NSQ (Neurotic Scale Questionaire).

scholarly journals Development of a psychological first-aid model in inpatients with COVID-19 in Wuhan, China

2020 ◽  
Vol 33 (3) ◽  
pp. e100292 ◽  
Author(s):  
Wenhong Cheng ◽  
Fang Zhang ◽  
Yingqi Hua ◽  
Zhi Yang ◽  
Jun Liu
Keyword(s):  
Mental Health ◽  
Health Workers ◽  
Psychological Intervention ◽  
Mental Healthcare ◽  
First Aid ◽  
Mental Health Workers ◽  
Psychological Interventions ◽  
Medical Systems ◽  
Psychological First Aid ◽  
Face To Face

BackgroundFacing the social panic and substantial shortage of medical resources during the coronavirus disease 2019 (COVID-19) outbreak, providing psychological first-aid to inpatients is essential for their rehabilitation and the orderly operating of medical systems. However, the closed-ward environment and extreme shortage of onsite mental health workers have limited the use of traditional face-to-face diagnosis and psychological interventions.AimTo develop a mental health intervention model for inpatients that can be applied during a widespread epidemic, such as COVID-19.MethodsIn a medical team stationed in Leishenshan Hospital, Wuhan, China, we integrated onsite and online psychological support resources to implement a graded psychological intervention system. The onsite psychiatrist established trust with the patients and classified them into categories according to their symptom severity. While face-to-face evaluation and intervention are critical for effective online support, the online team effectively extended the scope of the ‘first-aid’ to all patients.ConclusionThis integrated onsite and online approach was effective and efficient in providing psychological interventions for inpatients during the crisis. Our model provides a realistic scheme for healthcare systems in or after the COVID-19 epidemic and also could be adopted in areas of the world with insufficient mental healthcare resources.

scholarly journals The role of the psychologist in the inpatient pain service: development and initial outcomes

2020 ◽  
pp. 204946372092621
Author(s):  
Chandran Jepegnanam ◽  
Eleanor Bull ◽  
Sujesh Bansal ◽  
David McCarthy ◽  
Maureen Booth ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Length Of Stay ◽  
Hospital Admissions ◽  
Psychological Intervention ◽  
Intervention Group ◽  
Skills Training ◽  
Service Evaluation ◽  
Control Group ◽  
Psychological Interventions

Aim: This article describes the development and initial evaluation of introducing a psychologist role within an adult inpatient pain service (IPS) in a large North West of England National Health Service (NHS) trust. Background: The role of a psychologist in the management of outpatient chronic pain has been well documented, but their role within the IPS is less well described and rarely evaluated. We describe the development of a psychologist role within the team and initial service evaluation outcomes. Methods: Following an initial needs assessment, a band 8c psychologist joined the IPS one day per week offering brief one-to-one psychological interventions to people struggling with acute or chronic pain in hospital referred by inpatient pain team. The psychologist had an indirect role offering training, supervision and support to members of the inpatient pain team. Regarding direct patient work, following psychometric screening for pain-related disability and distress, a cognitive behavioural therapy (CBT) approach was applied including identifying unhelpful beliefs about pain, psychoeducation about acute and persistent pain, developing and sharing formulations, skills training including breathing and relaxation exercises and where appropriate, signposting onto an outpatient chronic pain services for further pain self-management advice (e.g. pain management programme. To explore the impact of this direct intervention, a prospective service evaluation with a controlled before and after design was conducted. This compared (a) number of admissions and (b) length-of-stay outcomes in the 12 months following psychometric screening for patients who received psychological input (n = 34, the treatment group) and a sample who did not receive input because of discharge before intervention or non-availability of the psychologist, for example, annual leave (n = 30, control group). Demographic information and summaries of psychometric questionnaires were also analysed. Results: Of the sample of 64 patients, 50 were women, ages ranged from 18–80 years, 72% reported being currently unemployed or off sick from work and on screening and 39% and 48% met criteria for severe depression and pain-related anxiety, respectively. Hospital admissions in the intervention group reduced significantly (by 60%) in the 12 months following screening but increased (by 7%) for the control group (F(1,62) = 7.21, p = .009). Days of stay in hospital reduced significantly more (by 84%) in the intervention group than in the control group (by 41%) (F(1,62) = 8.90, p = .004). Illustrated case studies of brief psychological intervention with three people struggling with pain-related distress are presented. Conclusions: The psychologist became a valuable member of the multi-disciplinary IPS team, offering brief direct and indirect psychological interventions. While a relatively small sample, our prospective service evaluation data suggest brief psychological intervention may contribute to reduced length of stay and hospital admissions for people experiencing pain-related distress in hospital.

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