Biopsychosocial conceptualizations of irritable bowel syndrome (IBS) see the physical and psychol... more Biopsychosocial conceptualizations of irritable bowel syndrome (IBS) see the physical and psychological experiences (e.g. bowel discomfort, pain, stress, IBS-related anxiety) of this condition as the key influence in the poorer outcomes of this population. Most of the current therapeutic targets proposed by practitioners and patients are somehow limited to control, change or elimination of these experiences. In this article, Nuno Bravo Ferreira, Maria Eugenicos, Paul Graham Morris and David Gillanders argue for a new functional conceptualization of the suffering in IBS as a result of psychological inflexibility. Acceptance and commitment therapy (ACT) as a new form of approach, not based on elimination strategies, will be proposed for the improvement of IBS outcomes. Finally, the possible applications and implications that ACT could have for gastrointestinal nursing will be considered.
Biopsychosocial conceptualizations of irritable bowel syndrome (IBS) see the physical and psychol... more Biopsychosocial conceptualizations of irritable bowel syndrome (IBS) see the physical and psychological experiences (e.g. bowel discomfort, pain, stress, IBS-related anxiety) of this condition as the key influence in the poorer outcomes of this population. Most of the current therapeutic targets proposed by practitioners and patients are somehow limited to control, change or elimination of these experiences. In this article, Nuno Bravo Ferreira, Maria Eugenicos, Paul Graham Morris and David Gillanders argue for a new functional conceptualization of the suffering in IBS as a result of psychological inflexibility. Acceptance and commitment therapy (ACT) as a new form of approach, not based on elimination strategies, will be proposed for the improvement of IBS outcomes. Finally, the possible applications and implications that ACT could have for gastrointestinal nursing will be considered.
Objectives: This study investigated relationships between Illness Perceptions and Acceptance amon... more Objectives: This study investigated relationships between Illness Perceptions and Acceptance amongst IBS patients and outcomes of Symptom Severity and Impact on Quality of Life. We also examined the potential mediating role of acceptance between Illness Perceptions and IBS outcomes. Methods: 112 consecutive IBS patients recruited from a Motility Clinic completed the following questionnaires: Brief-Illness Perceptions Questionnaire, IBS Acceptance and Action Questionnaire, IBS Symptom Severity Scale and the IBS36-Quality of Life. Correlation, multiple linear regression and path analysis were used with statistical significance set at p50.01. Results: Lower levels of Acceptance and more negative illness perceptions (consequences, timeline, identity, concern, emotional impact and treatment control) were associated with greater perceived impact on Quality of life and worse symptom severity. Perception of personal control was only associated with Impact on Quality of Life. Regression anal...
Biopsychosocial conceptualizations of irritable bowel syndrome (IBS) see the physical and psychol... more Biopsychosocial conceptualizations of irritable bowel syndrome (IBS) see the physical and psychological experiences (e.g. bowel discomfort, pain, stress, IBS-related anxiety) of this condition as the key influence in the poorer outcomes of this population. Most of the current therapeutic targets proposed by practitioners and patients are somehow limited to control, change or elimination of these experiences. In this article, Nuno Bravo Ferreira, Maria Eugenicos, Paul Graham Morris and David Gillanders argue for a new functional conceptualization of the suffering in IBS as a result of psychological inflexibility. Acceptance and commitment therapy (ACT) as a new form of approach, not based on elimination strategies, will be proposed for the improvement of IBS outcomes. Finally, the possible applications and implications that ACT could have for gastrointestinal nursing will be considered.
BackgroundBoth depression and anxiety are identified as significant experiences in inflammatory b... more BackgroundBoth depression and anxiety are identified as significant experiences in inflammatory bowel disease (IBD); whether these are a consequence of the disease or an active contributor to the disease remains controversial. This review aimed to identify and critique recent evidence regarding mental health in IBD.Sources of dataPubmedⓇ, OvidⓇ, EmbaseⓇ, EBSCO PsychInfo and Google-Scholar were searched within the last 5 years (2016–2020).Areas of agreementOverall, both depression and anxiety affect disease activity, relapse and healthcare utilization.Areas of controversyThere is some controversy on whether depression and anxiety affect IBD outcomes differently depending on IBD subtype.Growing pointsThe data support the need for depression and anxiety assessment to be incorporated in the routine management of IBD patients; prompt psychiatric and psychological management may ultimately reduce disease activity, relapses and healthcare costs.Areas timely for developing researchMore long...
Biopsychosocial conceptualizations of irritable bowel syndrome (IBS) see the physical and psychol... more Biopsychosocial conceptualizations of irritable bowel syndrome (IBS) see the physical and psychological experiences (e.g. bowel discomfort, pain, stress, IBS-related anxiety) of this condition as the key influence in the poorer outcomes of this population. Most of the current therapeutic targets proposed by practitioners and patients are somehow limited to control, change or elimination of these experiences. In this article, Nuno Bravo Ferreira, Maria Eugenicos, Paul Graham Morris and David Gillanders argue for a new functional conceptualization of the suffering in IBS as a result of psychological inflexibility. Acceptance and commitment therapy (ACT) as a new form of approach, not based on elimination strategies, will be proposed for the improvement of IBS outcomes. Finally, the possible applications and implications that ACT could have for gastrointestinal nursing will be considered.
Biopsychosocial conceptualizations of irritable bowel syndrome (IBS) see the physical and psychol... more Biopsychosocial conceptualizations of irritable bowel syndrome (IBS) see the physical and psychological experiences (e.g. bowel discomfort, pain, stress, IBS-related anxiety) of this condition as the key influence in the poorer outcomes of this population. Most of the current therapeutic targets proposed by practitioners and patients are somehow limited to control, change or elimination of these experiences. In this article, Nuno Bravo Ferreira, Maria Eugenicos, Paul Graham Morris and David Gillanders argue for a new functional conceptualization of the suffering in IBS as a result of psychological inflexibility. Acceptance and commitment therapy (ACT) as a new form of approach, not based on elimination strategies, will be proposed for the improvement of IBS outcomes. Finally, the possible applications and implications that ACT could have for gastrointestinal nursing will be considered.
Objectives: This study investigated relationships between Illness Perceptions and Acceptance amon... more Objectives: This study investigated relationships between Illness Perceptions and Acceptance amongst IBS patients and outcomes of Symptom Severity and Impact on Quality of Life. We also examined the potential mediating role of acceptance between Illness Perceptions and IBS outcomes. Methods: 112 consecutive IBS patients recruited from a Motility Clinic completed the following questionnaires: Brief-Illness Perceptions Questionnaire, IBS Acceptance and Action Questionnaire, IBS Symptom Severity Scale and the IBS36-Quality of Life. Correlation, multiple linear regression and path analysis were used with statistical significance set at p50.01. Results: Lower levels of Acceptance and more negative illness perceptions (consequences, timeline, identity, concern, emotional impact and treatment control) were associated with greater perceived impact on Quality of life and worse symptom severity. Perception of personal control was only associated with Impact on Quality of Life. Regression anal...
Biopsychosocial conceptualizations of irritable bowel syndrome (IBS) see the physical and psychol... more Biopsychosocial conceptualizations of irritable bowel syndrome (IBS) see the physical and psychological experiences (e.g. bowel discomfort, pain, stress, IBS-related anxiety) of this condition as the key influence in the poorer outcomes of this population. Most of the current therapeutic targets proposed by practitioners and patients are somehow limited to control, change or elimination of these experiences. In this article, Nuno Bravo Ferreira, Maria Eugenicos, Paul Graham Morris and David Gillanders argue for a new functional conceptualization of the suffering in IBS as a result of psychological inflexibility. Acceptance and commitment therapy (ACT) as a new form of approach, not based on elimination strategies, will be proposed for the improvement of IBS outcomes. Finally, the possible applications and implications that ACT could have for gastrointestinal nursing will be considered.
BackgroundBoth depression and anxiety are identified as significant experiences in inflammatory b... more BackgroundBoth depression and anxiety are identified as significant experiences in inflammatory bowel disease (IBD); whether these are a consequence of the disease or an active contributor to the disease remains controversial. This review aimed to identify and critique recent evidence regarding mental health in IBD.Sources of dataPubmedⓇ, OvidⓇ, EmbaseⓇ, EBSCO PsychInfo and Google-Scholar were searched within the last 5 years (2016–2020).Areas of agreementOverall, both depression and anxiety affect disease activity, relapse and healthcare utilization.Areas of controversyThere is some controversy on whether depression and anxiety affect IBD outcomes differently depending on IBD subtype.Growing pointsThe data support the need for depression and anxiety assessment to be incorporated in the routine management of IBD patients; prompt psychiatric and psychological management may ultimately reduce disease activity, relapses and healthcare costs.Areas timely for developing researchMore long...
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