AI Article Synopsis
- Fatigue in inflammatory bowel disease (IBD) is often not effectively managed, and while psychotherapy shows potential, current methods need enhancements due to varying results and high dropout rates.
- This study explored factors influencing willingness to engage in psychotherapy for IBD-related fatigue, including mental health, IBD activity, pain, and beliefs about psychotherapy.
- Results from a survey of 834 participants indicated that antidepressant use, pain levels, and self-worth beliefs are significant predictors of willingness to try psychotherapy, suggesting clinicians should focus on addressing patient expectations.
Article Abstract
Background: Fatigue in inflammatory bowel disease (IBD) is poorly controlled, with few existing interventions. Psychotherapy interventions for IBD fatigue show promise; however, due to mixed findings in efficacy and attrition, current interventions need improvement. Some research shows beliefs about psychotherapy and stigma toward psychotherapy may impact engagement in psychotherapy interventions.
Aims: This study aimed to examine the effects of IBD activity, fatigue, mental health status, previous experience with psychotherapy, and stigma toward psychotherapy on willingness to use psychotherapy as a fatigue intervention.
Methods: An online cross-sectional survey was conducted, and linear regression models were used to examine willingness to engage in psychotherapy for fatigue.
Results: Overall, 834 participants completed the survey. Regression analysis examining demographics, mental health status, IBD activity, fatigue, pain, antidepressant use, psychotherapy experience, and self-worth intervention efficacy belief significantly explained 25% of variance in willingness to use psychotherapy for fatigue. Significant factors included antidepressant use (b = .21, p < .01), pain (b = - .05, p < .001), and self-worth intervention belief (b = - .27, p < .001), which uniquely explained 18% of variance in the outcome.
Conclusions: Willingness to engage in psychotherapy for fatigue in IBD appears to be driven by expectations related to specific self-worth beliefs, rather than stigma, IBD activity, or any prior experience with psychotherapy. Clinicians should directly address these expectations with their patients.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9652205 | PMC |
| http://dx.doi.org/10.1007/s10620-022-07476-x | DOI Listing |
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