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.	许海健, 朱倩, 丁康, 等. 黄芩苷治疗炎症性肠病的作用机制研究进展. 现代药物与临床, 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, Gøtzsche PC, et al. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ, 2011, 343: d5928.
6.	王安世, 万菁菁, 朱丽君, 等. 不同营养素干预对衰弱老年人身体物理机能影响的网状Meta分析. 中国循证医学杂志, 2023, 23(3): 303-310.
7.	朱云燕, 杨芳, 冯娟, 等. 择时五音疗法在肝郁脾虚型溃疡性结肠炎患者中的应用. 交通医学, 2022, 36(5): 504-506,509.
8.	曲文巧, 张超, 景丽伟, 等. 聚焦解决模式对溃疡性结肠炎患者负性情绪的影响. 中国实用护理杂志, 2020, 36(33): 2580-2585.
9.	杜志茜. 正念减压疗法对溃疡性结肠炎患者心理状况及睡眠质量的影响. 航空航天医学杂志, 2019, 30(7): 868-869.
10.	李宾宾, 关玉霞, 丰荣, 等. 音乐疗法对炎症性肠病患者疲乏焦虑及抑郁影响的研究. 护理学报, 2019, 26(18): 65-68.
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12.	陆芹, 周怡. 音乐放松疗法对炎症性肠病患者负性情绪和生活质量的影响. 中华现代护理杂志, 2018, 24(29): 3565-3569.
13.	王富艳, 公培培, 张雪云. 聚焦解决模式在溃疡性结肠炎患者中的应用及其效果评价. 中国实用护理杂志, 2018, 34(27): 2106-2111.
14.	陈敬涛, 左秀玲. 聚焦解决模式对炎症性肠病患者焦虑抑郁的影响. 齐齐哈尔医学院学报, 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.	张天嵩. 实用循证医学方法学. 长沙: 中南大学出版社, 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.	Särkämö 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.	张心怡, 许木子, 郑艳, 等. 健康焦虑及其网络认知行为干预的研究进展. 中国全科医学, 2023, 26(23): 2936-2942.
30.	朱天荣, 周云仙. 基于正念的干预训练对炎症性肠病患者焦虑、抑郁及生活质量影响的Meta分析. 解放军护理杂志, 2022, 39(4): 61-64,80.
31.	孔敏, 郭敏, 石文昕, 等. 认知行为疗法对分娩恐惧孕妇干预效果的Meta分析. 护士进修杂志, 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.	赵媛媛, 张媛媛, 吴振云, 等. 认知行为干预对炎症性肠病患者焦虑、抑郁及生活质量影响的Meta分析. 中华现代护理杂志, 2018, 24(19): 2297-2302.
34.	曹雪霏, 宁智鹏, 侯艳红. 患者互联网诊疗采纳意愿影响因素的Meta分析. 中国循证医学杂志, 2022, 22(3): 316-323.

1. 许海健, 朱倩, 丁康, 等. 黄芩苷治疗炎症性肠病的作用机制研究进展. 现代药物与临床, 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, Gøtzsche PC, et al. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ, 2011, 343: d5928.
6. 王安世, 万菁菁, 朱丽君, 等. 不同营养素干预对衰弱老年人身体物理机能影响的网状Meta分析. 中国循证医学杂志, 2023, 23(3): 303-310.
7. 朱云燕, 杨芳, 冯娟, 等. 择时五音疗法在肝郁脾虚型溃疡性结肠炎患者中的应用. 交通医学, 2022, 36(5): 504-506,509.
8. 曲文巧, 张超, 景丽伟, 等. 聚焦解决模式对溃疡性结肠炎患者负性情绪的影响. 中国实用护理杂志, 2020, 36(33): 2580-2585.
9. 杜志茜. 正念减压疗法对溃疡性结肠炎患者心理状况及睡眠质量的影响. 航空航天医学杂志, 2019, 30(7): 868-869.
10. 李宾宾, 关玉霞, 丰荣, 等. 音乐疗法对炎症性肠病患者疲乏焦虑及抑郁影响的研究. 护理学报, 2019, 26(18): 65-68.
11. 尚星辰. 基于书写表达的积极心理干预对炎症性肠病患者心理状况的影响. 南京: 南京医科大学, 2019.
12. 陆芹, 周怡. 音乐放松疗法对炎症性肠病患者负性情绪和生活质量的影响. 中华现代护理杂志, 2018, 24(29): 3565-3569.
13. 王富艳, 公培培, 张雪云. 聚焦解决模式在溃疡性结肠炎患者中的应用及其效果评价. 中国实用护理杂志, 2018, 34(27): 2106-2111.
14. 陈敬涛, 左秀玲. 聚焦解决模式对炎症性肠病患者焦虑抑郁的影响. 齐齐哈尔医学院学报, 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. 张天嵩. 实用循证医学方法学. 长沙: 中南大学出版社, 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. Särkämö 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. 张心怡, 许木子, 郑艳, 等. 健康焦虑及其网络认知行为干预的研究进展. 中国全科医学, 2023, 26(23): 2936-2942.
30. 朱天荣, 周云仙. 基于正念的干预训练对炎症性肠病患者焦虑、抑郁及生活质量影响的Meta分析. 解放军护理杂志, 2022, 39(4): 61-64,80.
31. 孔敏, 郭敏, 石文昕, 等. 认知行为疗法对分娩恐惧孕妇干预效果的Meta分析. 护士进修杂志, 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. 赵媛媛, 张媛媛, 吴振云, 等. 认知行为干预对炎症性肠病患者焦虑、抑郁及生活质量影响的Meta分析. 中华现代护理杂志, 2018, 24(19): 2297-2302.
34. 曹雪霏, 宁智鹏, 侯艳红. 患者互联网诊疗采纳意愿影响因素的Meta分析. 中国循证医学杂志, 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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