Abstract
Psychological comorbidities are common among people with inflammatory bowel disease (IBD) and are associated with worse disease outcomes. Evidence-based psychotherapy is an effective means to increase psychosocial support. This study aimed to identify the barriers to attending psychotherapy. This electronic survey study included a demographic, quality of life, and barriers to psychotherapy questionnaire. Quality of life was assessed using the Short Inflammatory Bowel Disease Questionnaire (SIBDQ). Barriers were assessed using the Perceived Barriers to Psychological Treatments scale (PBPT). Linear regression was used to identify participant characteristics associated with higher PBPT scores. One hundred eighty-seven participants completed the study. Fifty-eight percent of participants had ≥1 significant barrier. Time (28%), knowledge about the availability of services (25%), and cost (19%) were the most common barriers. Least common were stigma (14%), lack of motivation (12%), and emotional concerns (7%). Lower SIBDQ scores, being male, not being full-time employed, having Crohn disease, and being in disease remission were associated with higher PBPT scores. Knowledge about the availability of services, time constraints, and cost are the leading barriers to psychotherapy among people with IBD. Care providers should develop a network of psychotherapists available to those with IBD. Being male and not being full-time employed may be risk factors for greater barriers. Further research is needed on barriers among groups underrepresented in this study and on novel psychotherapy solutions, like telehealth and low-cost options.
Highlights
Inflammatory bowel disease (IBD) is a complex, chronic disease that impacts the psychosocial elements of people’s lives
Given the increased risk for psychosocial comorbidities and the potential benefit toward quality of life and disease outcome, it is worth investigating the barriers to psychosocial support among people with IBD
The present study suggests that people with IBD share the barriers of cost, time, and a lack knowledge about availability of services but do not share the stigma barrier with people who do not have IBD
Summary
Inflammatory bowel disease (IBD) is a complex, chronic disease that impacts the psychosocial elements of people’s lives. Having psychological comorbidities are associated with worse disease outcomes including increased hospitalizations, disease severity, rates of surgery, and reliance upon medication for disease control.. Many studies and initiatives have called for increased attention to the psychological health of people with IBD.. Like using support systems and directly addressing a problem, are associated with better disease outcomes and higher quality of life.. People have been found to benefit from interventions that increase psychosocial support.. Given the increased risk for psychosocial comorbidities and the potential benefit toward quality of life and disease outcome, it is worth investigating the barriers to psychosocial support among people with IBD. Identifying the most common barriers to psychosocial support and the demographic or health characteristics associated with greater. Psychological comorbidities are common among people with inflammatory bowel disease (IBD) and are associated with worse disease outcomes.
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