Inflammatory Bowel Disease
Conditions
Keywords
Multi-Convergent Therapy, Mindfulness Meditation, Functional Abdominal Symptoms, Irritable Bowel Syndrome, Inflammatory Bowel Disease, Psychological Stress
Brief summary
The purpose of this study is to determine whether multi-convergent therapy is helpful to patients with inflammatory bowel disease who have functional abdominal symptoms or high perceived levels of psychological stress.
Interventions
Cognitive Behavioural Therapy Relaxation Techniques Meditation Stress Management
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of Inflammatory Bowel Disease * Clinical Remission of inflammatory bowel disease as defined by an adapted disease activity index and a CRP \<10 * Age 18 to 65 years * Evidence of irritable bowel syndrome (Rome III criteria) or high perceived stress level (Levenstein perceived stress score \> 0.44)
Exclusion criteria
* Use of steroids within 1 month of entry to study * Initiation or change in dose of medication within 1 month of entry to the study * Presence of ileostomy or colostomy * Diagnosis of dementia or cognitive impairment * Current psychosis or substance misuse * Change in psychotropic medication in 3 months prior to entry to study * Previous psychological interventions * Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in Quality of Life in Inflammatory Bowel Disease Questionnaire | Assessed at baseline and at 4 months, 8 months, and 1 year |
Secondary
| Measure | Time frame |
|---|---|
| Change in Levenstein Perceived Stress Score | 2 monthly intervals over 1 year |
| Change in Hospital Anxiety and Depression Score | 2 monthly intervals over 1 year |
| Change in Irritable Bowel Syndrome Symptom Severity Score | Assessed at baseline and at 4 months, 8 months, and 1 year |
| Relapse rate in inflammatory bowel disease | 1 year |
| Feasibility of Treatment | 4 months |
| Abdominal Symptoms Global Improvement Score | 4 monthly intervals over 1 year |
Countries
United Kingdom