Systematic review: psychosocial factors associated with pain in inflammatory bowel disease

Autor:	Rona Moss-Morris, G. Chumbley, L Sweeney, Wladyslawa Czuber-Dochan, Christine Norton, Laura Meade
Rok vydání:	2018
Předmět:	Adult Male medicine.medical_specialty Abdominal pain Emotions Comorbidity Anxiety Cochrane Library Irritable Bowel Syndrome 03 medical and health sciences Social support 0302 clinical medicine Risk Factors Internal medicine Adaptation Psychological medicine Humans Psychology Pharmacology (medical) Irritable bowel syndrome Hepatology Depression business.industry Gastroenterology Chronic pain Inflammatory Bowel Diseases medicine.disease Abdominal Pain Mood Female 030211 gastroenterology & hepatology medicine.symptom business Psychosocial 030217 neurology & neurosurgery
Zdroj:	Alimentary Pharmacology & Therapeutics. 47:715-729
ISSN:	0269-2813
Popis:	Background Pain is a frequently reported symptom of inflammatory bowel disease (IBD) experienced by patients in active disease and remission. Psychological factors play a significant role in pain, but have not been systematically reviewed in IBD. Aim To review psychosocial factors associated with pain in adults diagnosed with IBD. Methods Electronic (PsycInfo, MEDLINE, EMBASE, Cochrane Library, CINAHL, Web of Science), and hand-searching were conducted February-May 2017. Two authors carried out screening and data extraction. Results Fifteen studies including 5539 IBD patients were identified. Emotional, cognitive-behavioural and personality factors were associated with IBD-pain. Depression and anxiety were the most commonly explored constructs, followed by perceived stress and pain catastrophising, all of which were positively associated with greater pain. Greater abdominal pain was associated with a concurrent mood disorder over fivefold (OR 5.76, 95% CI 1.39, 23.89). Coping strategies and pain fear avoidance correlated with pain levels. Perceived social support (r = .26) and internal locus of control (r = .33) correlated with less pain. Patients reporting pain in IBD remission more frequently had an existing diagnosis of a mood disorder, a chronic pain disorder and irritable bowel syndrome. Six studies controlled for disease activity, of which 4 found that psychosocial factors significantly predicted pain. The majority of studies (n = 10) were of high quality. Conclusion Psychosocial factors appear to play a significant role in IBD-pain. Further research is required to explore psychosocial constructs in relation to IBD-pain, with use of validated pain measures, large sample sizes and clearer characterisation of disease activity.
Databáze:	OpenAIRE
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