Self-help guidebook improved quality of life for patients with irritable bowel syndrome
Self-help guidebook improved quality of life for patients with irritable bowel syndrome
Background:The primary aim of our study was to evaluate the impact of a comprehensive self-help guidebook on the disease related quality of life for patients with irritable bowel syndrome (IBS). The secondary aim was to evaluate whether the guidebook is less effective in IBS patients with depression, somatization disorder or panic disorder as a psychiatric comorbidity.
Methods:Prospective observational study. At baseline (t1), patients filled in the ´Functional Digestive Disorders Quality of Life´ (FDDQL) questionnaire and received the IBS guidebook together with an explanation of its content and use. Depression, anxiety and somatization were evaluated with the Patient Health Questionnaire (PHQ). Three (t2) and six months (t3) later, the questionnaire was sent by mail to the patients for follow-up evaluation. Data were analyzed with repeated measures ANOVA.
Results:71 patients participated (74.6% female). 53 (74.6%) completed the final assessment at t3 after 6 months. The global FDDQL score increased from 49.3 (SD 12.7) at t1 to 64.3 (SD 16.0) at t3 (p < 0.001). There was a significant between-subjects effect on the global FDDQL score related to depression (p = 0.001), anxiety (p = 0.001) and somatization (p = 0.011). Thus, the quality of life of patients with psychosomatic comorbidity was lower at baseline, but showed a similar increase within the following six months.
Conclusion:The self-help guidebook significantly improved measured quality of life for IBS patients. The use of screening questionnaires like PHQ might be valuable to identify patients with more complex problems. This might be helpful for them to intensify and adapt therapy. Further research has to evaluate if patients with psychological comorbidity are treated more effectively when they receive psychotherapy or specific medication in addition to the self-management guidebook.
Schneider, Antonius
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Rosenberger, Stefanie
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Bobardt, Johanna
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Bungartz-Catak, Jessica
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Atmann, Oxana
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Haller, Bernhard
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Kennedy, Anne
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Enck, Paul
a04a7672-1131-41d7-b64d-88f1cf709272
2017
Schneider, Antonius
bc4c61e8-5978-4e69-a714-ba3642bc366a
Rosenberger, Stefanie
daaf565b-abaa-488d-a874-8b4baaae22fd
Bobardt, Johanna
1afd8468-6bc6-431a-92fe-b0bf7b4fc388
Bungartz-Catak, Jessica
25af20c2-4ba3-4c51-8ac5-3dc824f23ae4
Atmann, Oxana
78c697df-efe0-4c93-9217-5edc303d00a2
Haller, Bernhard
56f8d681-25ff-4bac-84de-019d08e1f442
Kennedy, Anne
e059c1c7-d6d0-41c8-95e1-95e5273b07f8
Enck, Paul
a04a7672-1131-41d7-b64d-88f1cf709272
Schneider, Antonius, Rosenberger, Stefanie, Bobardt, Johanna, Bungartz-Catak, Jessica, Atmann, Oxana, Haller, Bernhard, Kennedy, Anne and Enck, Paul
(2017)
Self-help guidebook improved quality of life for patients with irritable bowel syndrome.
PLoS ONE, 12 (7), [e0181764].
(doi:10.1371/journal.pone.0181764).
Abstract
Background:The primary aim of our study was to evaluate the impact of a comprehensive self-help guidebook on the disease related quality of life for patients with irritable bowel syndrome (IBS). The secondary aim was to evaluate whether the guidebook is less effective in IBS patients with depression, somatization disorder or panic disorder as a psychiatric comorbidity.
Methods:Prospective observational study. At baseline (t1), patients filled in the ´Functional Digestive Disorders Quality of Life´ (FDDQL) questionnaire and received the IBS guidebook together with an explanation of its content and use. Depression, anxiety and somatization were evaluated with the Patient Health Questionnaire (PHQ). Three (t2) and six months (t3) later, the questionnaire was sent by mail to the patients for follow-up evaluation. Data were analyzed with repeated measures ANOVA.
Results:71 patients participated (74.6% female). 53 (74.6%) completed the final assessment at t3 after 6 months. The global FDDQL score increased from 49.3 (SD 12.7) at t1 to 64.3 (SD 16.0) at t3 (p < 0.001). There was a significant between-subjects effect on the global FDDQL score related to depression (p = 0.001), anxiety (p = 0.001) and somatization (p = 0.011). Thus, the quality of life of patients with psychosomatic comorbidity was lower at baseline, but showed a similar increase within the following six months.
Conclusion:The self-help guidebook significantly improved measured quality of life for IBS patients. The use of screening questionnaires like PHQ might be valuable to identify patients with more complex problems. This might be helpful for them to intensify and adapt therapy. Further research has to evaluate if patients with psychological comorbidity are treated more effectively when they receive psychotherapy or specific medication in addition to the self-management guidebook.
Text
Self-help guidebook improved QOL for pts with IBS
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Accepted/In Press date: 6 July 2017
e-pub ahead of print date: 25 July 2017
Published date: 2017
Identifiers
Local EPrints ID: 421764
URI: http://eprints.soton.ac.uk/id/eprint/421764
ISSN: 1932-6203
PURE UUID: 544e6e0a-274d-4f81-b8bd-d8a098f0910c
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Date deposited: 26 Jun 2018 16:30
Last modified: 15 Mar 2024 16:31
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Contributors
Author:
Antonius Schneider
Author:
Stefanie Rosenberger
Author:
Johanna Bobardt
Author:
Jessica Bungartz-Catak
Author:
Oxana Atmann
Author:
Bernhard Haller
Author:
Anne Kennedy
Author:
Paul Enck
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