Recommendations of the Spanish Working Group on Crohn's Disease and Ulcerative Colitis (GETECCU) and the Association of Crohn's Disease and Ulcerative Colitis Patients (ACCU) in the management of psychological problems in Inflammatory Bowel Disease patients
Por:
Barreiro-de Acosta, M, Marin-Jimenez, I, Panadero, A, Guardiola, J, Canas, M, Montoya, MG, Modino, Y, Alcain, G, Bosca-Watts, MM, Calvet, X, Casellas, F, Chaparro, M, Salazar, LF, Ferreiro-Iglesias, R, Ginard, D, Iborra, M, Mancenido, N, Manosa, M, Merino, O, Rivero, M, Roncero, O, Sempere, L, Vega, P, Zabana, Y, Minguez, M, Nos, P and Gisbert, JP
Publicada:
1 feb 2018
Resumen:
Aims: To establish recommendations for the management of psychological problems affecting patients with inflammatory bowel disease (IBD).
Methods: A meeting of a group of IBD experts made up of doctors, psychologists, nurses and patient representatives was held. The following were presented: 1) Results of a previous focal group, 2) Results of doctor and patient surveys, 3) Results of a systematic review of tools for detecting anxiety and depression. A guided discussion was then held about the most important psychological and emotional problems associated with IBD, appropriate referral criteria and situations to be avoided. The validated instrument most applicable to clinical practice was selected. A recommendations document and a Delphi survey were designed. The survey was sent to the group and to a scientific committee of the GETECCU group in order to establish the level of agreement with these recommendations.
Results: Fifteen recommendations were established linked to 3 key processes: 1) What steps should be taken to identify psychological problems at an IBD appointment; 2) What are the criteria for referring patients to a mental health specialist; 3) How to approach psychological problems.
Conclusions: Resources should be made available to healthcare professionals so that they can treat these problems during consultations, identify the disorders which could affect the clinical course of the disease and determine their impact on the patient's life in order that these can be treated and followed up by the most suitable professional. These recommendations could serve as a basis for redesigning IBD services or processes and as justification for the training of healthcare personnel. (C) 2017 Elsevier Espana, S.L.U. All rights reserved.
Filiaciones:
Barreiro-de Acosta, M:
Complexo Univ Santiago De Compostela, Servicio Aparato Digest, Unidad Enfermedad Inflamatoria Intestinal, Santiago De Compostela, Spain
Marin-Jimenez, I:
Hosp Gregorio Maranon, Serv Aparato Digest, Unidad Enfermedad Inflamatoria Intestinal, Madrid, Spain
Hosp Gregorio Maranon, Inst Invest Sanitaria Gregorio Maranon IiSGM, Madrid, Spain
Panadero, A:
ACCU Madrid, Madrid, Spain
Guardiola, J:
Hosp Univ Bellvitge IDIBELL, Hosp Llobregat, Serv Aparato Digest, Unidad Enfermedad Inflamatoria Intestinal, Barcelona, Spain
Canas, M:
Hosp Clin San Carlos, Serv Aparato Digest, Unidad Enfermedad Inflamatoria Intestinal, Madrid, Spain
Montoya, MG:
Positivamente Ctr Psicol, Madrid, Spain
Modino, Y:
Confederac Asociac Enfermos Crohn & Colitis Ulcer, Madrid, Spain
Alcain, G:
Hosp Virgen Victoria, UGC Aparato Digest, Unidad Enfermedad Inflamatoria Intestinal, Malaga, Spain
Bosca-Watts, MM:
Univ Valencia, Hosp Clin Univ Valencia, Valencia, Spain
Calvet, X:
Corp Sanitaria ParcTauli, Sabadell, Spain
Casellas, F:
Hosp Univ ValldHebron, Serv Aparato Digest, Unidad Atenc Crohn Colitis, Barcelona, Spain
Chaparro, M:
Univ Autonoma Madrid, Inst Invest Sanitaria Princesa IISIP, Hosp Univ La Princesa, Ctr Invest Biomed Red Enfermedades Hepat & Digest, Madrid, Spain
Salazar, LF:
Hosp Clin Univ Valladolid, Valladolid, Spain
Ginard, D:
Hosp Univ Son Espases, Palma De Mallorca, Spain
Iborra, M:
Hosp Univ & Politecn La Fe, CIBEREHD, Valencia, Spain
Mancenido, N:
Hosp Univ Infanta Sofia, Serv Aparato Digest, Madrid, Spain
:
Hosp Univ GermansTrias i Pujol, Badalona, Spain
Merino, O:
Hosp Univ Cruces, Baracaldo, Spain
Rivero, M:
Hosp Univ Marques Valdecilla, Serv Aparato Digest, Santander, Spain
Roncero, O:
Complejo Hosp La Mancha, Alcozar De San Juan, Spain
Sempere, L:
Hosp Gen Univ Alicante, Alicante, Spain
Vega, P:
Complexo Hosp Univ Ourense, Alicante, Spain
Zabana, Y:
Hosp Univ Mutua Terrassa CIBERehd, Terrassa, Spain
Minguez, M:
Univ Valencia, Hosp Clin Univ Valencia, Valencia, Spain
Nos, P:
Hosp Univ & Politecn La Fe, CIBEREHD, Valencia, Spain
Gisbert, JP:
Univ Autonoma Madrid, Inst Invest Sanitaria Princesa IISIP, Hosp Univ La Princesa, Ctr Invest Biomed Red Enfermedades Hepat & Digest, Madrid, Spain
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