Z Gastroenterol 2020; 58(05): e76
DOI: 10.1055/s-0040-1712247
POSTER
CED

The need for psychological and psychotherapeutic interventions in Austrian patients with inflammatory bowel disease

M Kutschera
1   Medical University of Vienna, Department of Internal Medicine III, Division of Gastroenterology and HepatologyWien, Austria
,
T Waldhoer
2   Center of Public Health, Medical University of Vienna, Department of Epidemiology, Wien, Austria
,
H Groechenig
3   Hospital Brothers of St. John of God St. Veit an der Glan, Department of Internal Medicine, St. Veit an der Glan, Austria
,
T Haas
4   Darmpraxis, Salzburg, Salzburg, Austria
,
H Wenzl
5   Medical University of Graz, Department of Internal Medicine, Division of Gastroenterology and Hepatology ,Graz, Austria
,
P Steiner
6   Hospital Wels-Grieskirchen, Department of Internal Medicine I, Wels, Austria
,
R Koch
7   Medical University of Innsbruck, Department of Internal Medicine I ,Innsbruck, Austria
,
T Feichtenschlager
8   Hospital Rudolfstiftung, Department of Internal Medicine IV, Wien, Austria
,
G Eckhardt
9   Hospital Oberpullendorf, Department of Internal Medicine, Oberpullendorf, Austria
,
A Mayer
10   Universitätsklinikum St. Pölten, Department of Internal Medicine II, St. Pölten, Austria
,
A Kirchgatterer
11   Hospital Wels-Grieskirchen, Department of Internal Medicine V, Grieskirchen, Austria
,
O Ludwiczek
12   Hospital Hall in Tirol, Department of Internal Medicine, Hall in Tirol, Austria
,
R Platzer
13   Hospital Wiener Neustadt, Department of Internal Medicine I, Wiener Neustadt, Austria
,
P Papay
14   Franziskus Hospital, Department of Internal Medicine, Wien, Austria
,
J Gartner
15   Hanusch Hospital, Department of Internal Medicine, Wien, Austria
,
H Fuchssteiner
16   Hospital Elisabethinen Linz, Department of Internal Medicine IV, Linz, Austria
,
P Peters
17   Hospital Feldkirch, Department of Internal Medicine, Feldkirch, Austria
,
G Reicht
18   Hospital Brothers of St. John of God Graz, Department of Internal Medicine II, Graz, Austria
,
G Moser
1   Medical University of Vienna, Department of Internal Medicine III, Division of Gastroenterology and HepatologyWien, Austria
,
C Dejaco
1   Medical University of Vienna, Department of Internal Medicine III, Division of Gastroenterology and HepatologyWien, Austria
,
H Vogelsang
1   Medical University of Vienna, Department of Internal Medicine III, Division of Gastroenterology and HepatologyWien, Austria
,
C Primas
1   Medical University of Vienna, Department of Internal Medicine III, Division of Gastroenterology and HepatologyWien, Austria
,
G Novacek
1   Medical University of Vienna, Department of Internal Medicine III, Division of Gastroenterology and HepatologyWien, Austria
,
W Miehsler
19   Hospital Brothers of St. John of God Salzburg, Department of Internal Medicine, Salzburg, Austria
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Background Inflammatory Bowel Diseases (IBD) are lifelong conditions challenging the patient not only with respect to somatic complaints but also affecting psychosocial issues. This may lead to the need for additional psychological care. The present study investigated the patients’ subjective need for additional psychological care and indicators for such a need.

Materials & Methods We performed a cross-sectional multicenter study on Austrian IBD patients who were in routine care at one of the 18 participating IBD centers. The patients were asked to fill in a questionnaire booklet including the ADAPT, a validated questionnaire on the need for psychological care which gives two separate scores (“ADAPT-IPC” -need for integrated psychosomatic care, “ADAPT-PT”- need for psychotherapy), a validated questionnaire on the use of complementary and alternative medicine (CAM), the SIBDQ, and questions on clinical and sociodemographic data. The primary endpoint was the need for integrated psychosomatic care, psychotherapy or both.

Results 1286 patients returned the questionnaire. In total, 29.7 % of all patients expressed a need for additional psychological care, 19.6 % expressed a need for ADAPT-IPC and 20.2 % expressed a need for ADAPT-PT. The multivariable regression analysis revealed the two dominating factors associated with the need for both types of psychological care were the use of CAM and a low SIBDQ-score ≤ 50 (see Table for details).

Conclusion About 30 % of the Austrian IBD patients expressed a need for integrated psychosomatic therapy a/o psychotherapy. This need was especially associated with reduced quality of life and the use of CAM which may indicate the desire for an emphathetic and dedicated care. Further studies will be necessary to clarify if these results can be reproduced in other countries.



Publication History

Article published online:
26 May 2020

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