chapter  20
8 Pages

Cognitive behaviour therapy and hypnotherapy for IBD

ByLAURIE KEEFER

Psychological interventions have been historically applied with modest benefi t to subsets of infl ammatory bowel disease (IBD) patients, including those reporting high anxiety or multiple disease concerns, however, widespread application has not been supported (Timmer et al. 2011; von Wietersheim and Kessler 2006). A review of 18 trials of psychotherapy for IBD demonstrated that psychological interventions may actually show promise with respect to reducing pain, fatigue, relapse rate and hospitalisation and improving medication adherence (McCombie et al. 2013). This notion is supported by the work of Knowles and colleagues, who point out that if psychotherapies are grouped according to their theoretical approach and skills-based interventions, such as cognitive behavioural therapy (CBT), they tend to have slightly better impact on IBD (Knowles et al. 2013).