The effect of different psychological interventions on depression of patients with inflammatory bowel disease: a network meta-analysis_Chinese Journal of Evidence-Based Medicine

Authors：

CAI Wenjing ¹ , DING Kang ² ,  ZHANG Xuefang ² , ZHOU Xueying ¹ , FENG Jingyi ¹

1. School of Nursing, Nanjing University of Chinese Medicine, Nanjing 210023, P. R. China;
2. Nanjing Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Nanjing 210022, P. R. China;

Corresponding?author：

ZHANG Xuefang, Email: 20211051@njucm.edu.cn

Keywords：

Inflammatory bowel disease; Depression; Psychological intervention; Network meta-analysis

DOI：

10.7507/1672-2531.202306108

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To systematically review the effect of different psychological intervention methods on depressive symptoms in patients with inflammatory bowel disease. Methods PubMed, Embase, Cochrane Library, Web of Science, CNKI, WanFang Data, VIP and CBM databases were electronically searched to collect randomized controlled trials(RCTs) on psychological interventions on depression of patients with inflammatory bowel disease from inception to January 12, 2023. Two reviewers independently screened literature, extracted data and assessed the risk of bias of the included studies. Network meta-analysis was then conducted by using software Stata and GeMTC. Results A total of 18 articles, 1 567 patients and 6 psychological intervention methods were included. The results of the network meta-analysis showed that, compared with conventional nursing, music therapy, mindfulness therapy and cognitive behavioral therapy had statistically significant differences in the intervention effect of depression in patients with inflammatory bowel disease (P<0.05); Among the six psychological intervention methods included, there was a statistically significant difference in relaxation therapy compared with music therapy, writing expression and mindfulness therapy (P<0.05); The difference between cognitive behavioral therapy and music therapy and mindfulness therapy was statistically significant (P<0.05), while there was no statistically significant difference in other interventions (P>0.05). The SUCRA ranking probability chart showed that music therapy was the best intervention method for depression in patients with inflammatory bowel disease, followed by mindfulness therapy and cognitive behavioral therapy. Conclusion The current evidence suggests that music therapy has an advantage in relieving depression in patients with inflammatory bowel disease, followed by mindfulness therapy or cognitive behavioral therapy. Due to the limited quality and quantity of the included studies, more high-quality studies are needed to verify the above conclusion.

Citation： CAI Wenjing, DING Kang, ZHANG Xuefang, ZHOU Xueying, FENG Jingyi. The effect of different psychological interventions on depression of patients with inflammatory bowel disease: a network meta-analysis. Chinese Journal of Evidence-Based Medicine, 2023, 23(11): 1284-1289. doi: 10.7507/1672-2531.202306108 Copy

1.	許海健, 朱倩, 丁康, 等. 黃芩苷治療炎癥性腸病的作用機制研究進展. 現代藥物與臨床, 2023, 38(1): 219-223.
2.	Gong SS, Fan YH, Lv B, et al. Fatigue in patients with inflammatory bowel disease in Eastern China. World J Gastroenterol, 2021, 27(11): 1076-1089.
3.	Dubinsky MC, Dotan I, Rubin DT, et al. Burden of comorbid anxiety and depression in patients with inflammatory bowel disease: a systematic literature review. Expert Rev Gastroenterol Hepatol, 2021, 15(9): 985-997.
4.	Graffigna G, Bosio C, Pagnini F, et al. Promoting psycho-social wellbeing for engaging inflammatory bowel disease patients in their care: an Italian consensus statement. BMC Psychol, 2021, 9(1): 186.
5.	Higgins JP, Altman DG, G?tzsche PC, et al. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ, 2011, 343: d5928.
6.	王安世, 萬菁菁, 朱麗君, 等. 不同營養素干預對衰弱老年人身體物理機能影響的網狀Meta分析. 中國循證醫學雜志, 2023, 23(3): 303-310.
7.	朱云燕, 楊芳, 馮娟, 等. 擇時五音療法在肝郁脾虛型潰瘍性結腸炎患者中的應用. 交通醫學, 2022, 36(5): 504-506,509.
8.	曲文巧, 張超, 景麗偉, 等. 聚焦解決模式對潰瘍性結腸炎患者負性情緒的影響. 中國實用護理雜志, 2020, 36(33): 2580-2585.
9.	杜志茜. 正念減壓療法對潰瘍性結腸炎患者心理狀況及睡眠質量的影響. 航空航天醫學雜志, 2019, 30(7): 868-869.
10.	李賓賓, 關玉霞, 豐榮, 等. 音樂療法對炎癥性腸病患者疲乏焦慮及抑郁影響的研究. 護理學報, 2019, 26(18): 65-68.
11.	尚星辰. 基于書寫表達的積極心理干預對炎癥性腸病患者心理狀況的影響. 南京: 南京醫科大學, 2019.
12.	陸芹, 周怡. 音樂放松療法對炎癥性腸病患者負性情緒和生活質量的影響. 中華現代護理雜志, 2018, 24(29): 3565-3569.
13.	王富艷, 公培培, 張雪云. 聚焦解決模式在潰瘍性結腸炎患者中的應用及其效果評價. 中國實用護理雜志, 2018, 34(27): 2106-2111.
14.	陳敬濤, 左秀玲. 聚焦解決模式對炎癥性腸病患者焦慮抑郁的影響. 齊齊哈爾醫學院學報, 2013, 34(21): 3247-3248.
15.	Peerani F, Watt M, Ismond KP, et al. A randomized controlled trial of a multicomponent online stress reduction intervention in inflammatory bowel disease. Therap Adv Gastroenterol, 2022, 15: 17562848221127238.
16.	Shang X, Gu F, Bian Q, et al. Effects of a written expression-based positive psychological intervention on the psychological status of patients with inflammatory bowel disease: a randomized controlled trial. Gastroenterol Nurs, 2021, 44(6): 437-448.
17.	March-Luján VA, Prado-Gascó V, Huguet JM, et al. Impact of BMGIM music therapy on emotional state in patients with inflammatory bowel disease: a randomized controlled trial. J Clin Med, 2021, 10(8): 1591.
18.	Bernabeu P, van-der Hofstadt C, Rodríguez-Marín J, et al. Effectiveness of a multicomponent group psychological intervention program in patients with inflammatory bowel disease: a randomized trial. Int J Environ Res Public Health, 2021, 18(10): 5439.
19.	Wynne B, McHugh L, Gao W, et al. Acceptance and commitment therapy reduces psychological stress in patients with inflammatory bowel diseases. Gastroenterology, 2019, 156(4): 935-945.
20.	Neilson K, Ftanou M, Monshat K, et al. A controlled study of a group mindfulness intervention for individuals living with inflammatory bowel disease. Inflamm Bowel Dis, 2016, 22(3): 694-701.
21.	Gerbarg PL, Jacob VE, Stevens L, et al. The effect of breathing, movement, and meditation on psychological and physical symptoms and inflammatory biomarkers in inflammatory bowel disease: a randomized controlled trial. Inflamm Bowel Dis, 2015, 21(12): 2886-2896.
22.	Mizrahi MC, Reicher-Atir R, Levy S, et al. Effects of guided imagery with relaxation training on anxiety and quality of life among patients with inflammatory bowel disease. Psychol Health, 2012, 27(12): 1463-1479.
23.	Schoultz M, Atherton I, Watson A. Mindfulness-based cognitive therapy for inflammatory bowel disease patients: findings from an exploratory pilot randomised controlled trial. Trials, 2015, 16: 379.
24.	Jedel S, Hoffman A, Merriman P, et al. A randomized controlled trial of mindfulness-based stress reduction to prevent flare-up in patients with inactive ulcerative colitis. Digestion, 2014, 89(2): 142-155.
25.	張天嵩. 實用循證醫學方法學. 長沙: 中南大學出版社, 2014.
26.	Humbel F, Rieder JH, Franc Y, et al. Association of alterations in intestinal microbiota with impaired psychological function in patients with inflammatory bowel diseases in remission. Clin Gastroenterol Hepatol, 2020, 18(9): 2019-2029.
27.	S?rk?m? T, Laitinen S, Numminen A, et al. Pattern of emotional benefits induced by regular singing and music listening in dementia. J Am Geriatr Soc, 2016, 64(2): 439-440.
28.	Kabat-zinn J. Mindfulness-based interventions in context: past, present and future. Clin Psychol Sci & Practice, 2006, 10(2): 144-156.
29.	張心怡, 許木子, 鄭艷, 等. 健康焦慮及其網絡認知行為干預的研究進展. 中國全科醫學, 2023, 26(23): 2936-2942.
30.	朱天榮, 周云仙. 基于正念的干預訓練對炎癥性腸病患者焦慮、抑郁及生活質量影響的Meta分析. 解放軍護理雜志, 2022, 39(4): 61-64,80.
31.	孔敏, 郭敏, 石文昕, 等. 認知行為療法對分娩恐懼孕婦干預效果的Meta分析. 護士進修雜志, 2022, 37(21): 1973-1978.
32.	Hunt MG, Loftus P, Accardo M, et al. Self-help cognitive behavioral therapy improves health-related quality of life for inflammatory bowel disease patients: a randomized controlled effectiveness trial. J Clin Psychol Med Settings, 2020, 27(3): 467-479.
33.	趙媛媛, 張媛媛, 吳振云, 等. 認知行為干預對炎癥性腸病患者焦慮、抑郁及生活質量影響的Meta分析. 中華現代護理雜志, 2018, 24(19): 2297-2302.
34.	曹雪霏, 寧智鵬, 侯艷紅. 患者互聯網診療采納意愿影響因素的Meta分析. 中國循證醫學雜志, 2022, 22(3): 316-323.

1. 許海健, 朱倩, 丁康, 等. 黃芩苷治療炎癥性腸病的作用機制研究進展. 現代藥物與臨床, 2023, 38(1): 219-223.
2. Gong SS, Fan YH, Lv B, et al. Fatigue in patients with inflammatory bowel disease in Eastern China. World J Gastroenterol, 2021, 27(11): 1076-1089.
3. Dubinsky MC, Dotan I, Rubin DT, et al. Burden of comorbid anxiety and depression in patients with inflammatory bowel disease: a systematic literature review. Expert Rev Gastroenterol Hepatol, 2021, 15(9): 985-997.
4. Graffigna G, Bosio C, Pagnini F, et al. Promoting psycho-social wellbeing for engaging inflammatory bowel disease patients in their care: an Italian consensus statement. BMC Psychol, 2021, 9(1): 186.
5. Higgins JP, Altman DG, G?tzsche PC, et al. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ, 2011, 343: d5928.
6. 王安世, 萬菁菁, 朱麗君, 等. 不同營養素干預對衰弱老年人身體物理機能影響的網狀Meta分析. 中國循證醫學雜志, 2023, 23(3): 303-310.
7. 朱云燕, 楊芳, 馮娟, 等. 擇時五音療法在肝郁脾虛型潰瘍性結腸炎患者中的應用. 交通醫學, 2022, 36(5): 504-506,509.
8. 曲文巧, 張超, 景麗偉, 等. 聚焦解決模式對潰瘍性結腸炎患者負性情緒的影響. 中國實用護理雜志, 2020, 36(33): 2580-2585.
9. 杜志茜. 正念減壓療法對潰瘍性結腸炎患者心理狀況及睡眠質量的影響. 航空航天醫學雜志, 2019, 30(7): 868-869.
10. 李賓賓, 關玉霞, 豐榮, 等. 音樂療法對炎癥性腸病患者疲乏焦慮及抑郁影響的研究. 護理學報, 2019, 26(18): 65-68.
11. 尚星辰. 基于書寫表達的積極心理干預對炎癥性腸病患者心理狀況的影響. 南京: 南京醫科大學, 2019.
12. 陸芹, 周怡. 音樂放松療法對炎癥性腸病患者負性情緒和生活質量的影響. 中華現代護理雜志, 2018, 24(29): 3565-3569.
13. 王富艷, 公培培, 張雪云. 聚焦解決模式在潰瘍性結腸炎患者中的應用及其效果評價. 中國實用護理雜志, 2018, 34(27): 2106-2111.
14. 陳敬濤, 左秀玲. 聚焦解決模式對炎癥性腸病患者焦慮抑郁的影響. 齊齊哈爾醫學院學報, 2013, 34(21): 3247-3248.
15. Peerani F, Watt M, Ismond KP, et al. A randomized controlled trial of a multicomponent online stress reduction intervention in inflammatory bowel disease. Therap Adv Gastroenterol, 2022, 15: 17562848221127238.
16. Shang X, Gu F, Bian Q, et al. Effects of a written expression-based positive psychological intervention on the psychological status of patients with inflammatory bowel disease: a randomized controlled trial. Gastroenterol Nurs, 2021, 44(6): 437-448.
17. March-Luján VA, Prado-Gascó V, Huguet JM, et al. Impact of BMGIM music therapy on emotional state in patients with inflammatory bowel disease: a randomized controlled trial. J Clin Med, 2021, 10(8): 1591.
18. Bernabeu P, van-der Hofstadt C, Rodríguez-Marín J, et al. Effectiveness of a multicomponent group psychological intervention program in patients with inflammatory bowel disease: a randomized trial. Int J Environ Res Public Health, 2021, 18(10): 5439.
19. Wynne B, McHugh L, Gao W, et al. Acceptance and commitment therapy reduces psychological stress in patients with inflammatory bowel diseases. Gastroenterology, 2019, 156(4): 935-945.
20. Neilson K, Ftanou M, Monshat K, et al. A controlled study of a group mindfulness intervention for individuals living with inflammatory bowel disease. Inflamm Bowel Dis, 2016, 22(3): 694-701.
21. Gerbarg PL, Jacob VE, Stevens L, et al. The effect of breathing, movement, and meditation on psychological and physical symptoms and inflammatory biomarkers in inflammatory bowel disease: a randomized controlled trial. Inflamm Bowel Dis, 2015, 21(12): 2886-2896.
22. Mizrahi MC, Reicher-Atir R, Levy S, et al. Effects of guided imagery with relaxation training on anxiety and quality of life among patients with inflammatory bowel disease. Psychol Health, 2012, 27(12): 1463-1479.
23. Schoultz M, Atherton I, Watson A. Mindfulness-based cognitive therapy for inflammatory bowel disease patients: findings from an exploratory pilot randomised controlled trial. Trials, 2015, 16: 379.
24. Jedel S, Hoffman A, Merriman P, et al. A randomized controlled trial of mindfulness-based stress reduction to prevent flare-up in patients with inactive ulcerative colitis. Digestion, 2014, 89(2): 142-155.
25. 張天嵩. 實用循證醫學方法學. 長沙: 中南大學出版社, 2014.
26. Humbel F, Rieder JH, Franc Y, et al. Association of alterations in intestinal microbiota with impaired psychological function in patients with inflammatory bowel diseases in remission. Clin Gastroenterol Hepatol, 2020, 18(9): 2019-2029.
27. S?rk?m? T, Laitinen S, Numminen A, et al. Pattern of emotional benefits induced by regular singing and music listening in dementia. J Am Geriatr Soc, 2016, 64(2): 439-440.
28. Kabat-zinn J. Mindfulness-based interventions in context: past, present and future. Clin Psychol Sci & Practice, 2006, 10(2): 144-156.
29. 張心怡, 許木子, 鄭艷, 等. 健康焦慮及其網絡認知行為干預的研究進展. 中國全科醫學, 2023, 26(23): 2936-2942.
30. 朱天榮, 周云仙. 基于正念的干預訓練對炎癥性腸病患者焦慮、抑郁及生活質量影響的Meta分析. 解放軍護理雜志, 2022, 39(4): 61-64,80.
31. 孔敏, 郭敏, 石文昕, 等. 認知行為療法對分娩恐懼孕婦干預效果的Meta分析. 護士進修雜志, 2022, 37(21): 1973-1978.
32. Hunt MG, Loftus P, Accardo M, et al. Self-help cognitive behavioral therapy improves health-related quality of life for inflammatory bowel disease patients: a randomized controlled effectiveness trial. J Clin Psychol Med Settings, 2020, 27(3): 467-479.
33. 趙媛媛, 張媛媛, 吳振云, 等. 認知行為干預對炎癥性腸病患者焦慮、抑郁及生活質量影響的Meta分析. 中華現代護理雜志, 2018, 24(19): 2297-2302.
34. 曹雪霏, 寧智鵬, 侯艷紅. 患者互聯網診療采納意愿影響因素的Meta分析. 中國循證醫學雜志, 2022, 22(3): 316-323.

Chinese Journal of Evidence-Based Medicine

The effect of different psychological interventions on depression of patients with inflammatory bowel disease: a network meta-analysis

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