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A stress management programme for Crohn's disease.

E García-Vega1, C Fernandez-Rodriguez

  • 1Department of Psychology, University of Oviedo, Plaza Feijoo s/n, 33003 Oviedo, Asturias, Spain. elenagv@correo.uniovi.es

Behaviour Research and Therapy
|March 5, 2004
PubMed
Summary

Stress management interventions significantly reduced symptoms like tiredness and abdominal pain in Crohn's disease (CD) patients. These benefits persisted at a 12-month follow-up, unlike conventional treatment.

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Area of Science:

  • Gastroenterology
  • Psychology
  • Behavioral Medicine

Background:

  • Crohn's disease (CD) is a chronic inflammatory condition.
  • Stress significantly impacts the quality of life for CD patients.
  • Behavioral interventions may offer complementary therapeutic benefits.

Purpose of the Study:

  • To evaluate the effectiveness of stress management techniques for Crohn's disease.
  • To assess the impact of stress management on patient competence and symptoms.
  • To compare stress management with self-directed stress management and conventional treatment.

Main Methods:

  • Forty-five CD patients were randomized into three groups: stress management, self-directed stress management, and conventional medical treatment.
  • Participants received eight individual therapy sessions tailored to their group.

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  • Symptom monitoring diaries and a 12-month follow-up were utilized.

    • Main Results:

    • Stress management groups showed significant reductions in tiredness, constipation, and abdominal pain.
    • Self-directed stress management led to significant reductions in tiredness and abdominal pain.
    • No significant symptom changes were observed in the conventional treatment group.

    Conclusions:

    • Stress management techniques are effective in alleviating key symptoms of Crohn's disease.
    • Behavioral interventions offer a valuable addition to conventional medical treatment for CD.
    • The positive effects of stress management were sustained at 12-month follow-up.