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Psychological factors and response to medical treatment: Do psychological factors determine the outcome in patients with inflammatory bowel disease?

Not Applicable
Completed
Conditions
Inflammatory bowel disease
Oral and Gastrointestinal - Inflammatory bowel disease
Registration Number
ACTRN12605000751673
Lead Sponsor
niversity of Adelaide
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
65
Inclusion Criteria

Participants who visit the Department of Gastroenterology in Royal Adelaide Hospital (RAH) between November 2005 and April 2006 will be recruited consecutively by their doctors from IBD outpatients. Patients will be informed about the research and written consent will be obtained. Inclusion criteria (1)Patients with IBD (Crohn's disease or ulcerative colitis) diagnosed by clinical, endoscopic, histologic and/or radiologic criteria; (2)Patients with sufficient knowledge of English to understand and answer questionnaires;(3)Patients who sign written informed consent.

Exclusion Criteria

(1)Patients with insufficient knowledge of English or who are cognitively impaired, as the study requires filling in and understanding questionnaires written in English;(2)Patients who do not give informed consent.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The primary outcome will be remission of inflammatory bowel disease defined as 3 <br>weeks of Crohn's disease activity < 150 points (Crohn's Disease Activity Index) or a <br>drop in the score of at least 70 points, and ulcerative colitis activity < 2 (Simple <br>Clinical Colitis Activity Index) or a drop in the score of at least 3 points. [Measured each 3 months for a year.]
Secondary Outcome Measures
NameTimeMethod
The secondary outcome will be a remission of a psychological disorder and improved quality of life. A score between 0-7 on <br>the Hospital Anxiety and Depression Scale (HADS) or a drop of one category will be marked as improvement of <br>psychological disorders. A change on SCL-90-R will confirm the result on HADS. In general, respondents who score > 11 on <br>either subscale of HADS have a probable psychiatric disorder (Zigmond and Snaith 1983).<br>The change in quality of life will be noted on the SF-12 scale.[The outcome will be measured each 3 months for a year.]
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