During the last years, it has become clear that stress and affective disorders have influence on the course of inflammatory bowel disease. In a sample of 35 subjects, the effectiveness of a cognitive-behavioral treatment was analyzed in a group format. For this, changes in coping strategies and stress and disease management, in depressive symptoms and quality of life after treatment were analyzed. Significant differences were observed in quality of life and in all stress coping scales except negative self-targeting, improving depressive symptoms. Cognitive-behavioral therapy is the most promising psychological intervention according to the empirical data obtained so far and could begin to be considered part of a comprehensive treatment for these patients.
Durante los últimos años parece evidente que el estrés psicológico y los trastornos afectivos ejercen influencia sobre el curso de la enfermedad inflamatoria intestinal. En una muestra de 35 sujetos se analizó la eficacia de un tratamiento psicológico cognitivo-conductual en formato grupal. Para ello, se analizaron los cambios en las estrategias de afrontamiento del estrés y manejo de la enfermedad, en la sintomatología depresiva y en la calidad de vida tras el tratamiento. Se observaron, diferencias significativas en la calidad de vida, en todas las escalas de afrontamiento del estrés, excepto en autofocalización negativa, mejorando la sintomatología depresiva. La terapia cognitivo-conductual es la intervención psicológica más prometedora según los datos empíricos obtenidos hasta la fecha y podría empezar a ser considerada como parte del tratamiento integral para estos pacientes.
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