Effect of psychological therapy on disease activity, psychological comorbidity, and quality of life in inflammatory bowel disease: a systematic review and meta-analysis

Depression is one of the most common comorbidities of many chronic medical diseases including cancer and cardiovascular, metabolic, inflammatory and neurological disorders. Indeed, the prevalence of depression in these patient groups is often substantially higher than in the general population, and depression accounts for a substantial part of the psychosocial burden of these disorders. Many factors can contribute to the occurrence of comorbid depression, such as shared genetic factors, converging biological pathways, social factors, health behaviours and psychological factors. Diagnosis of depression in patients with a medical disorder can be particularly challenging owing to symptomatic overlap. Although pharmacological and psychological treatments can be effective, adjustments may need to be made for patients with a comorbid medical disorder. In addition, symptoms or treatments of medical disorders may interfere with the treatment of depression. Conversely, symptoms of depression may decrease adherence to treatment of both disorders. Thus, comprehensive treatment plans are necessary to optimize care.

Comorbid depression in medical diseases.

Epithelial cells line the entire surface of the gastrointestinal tract and its accessory organs where they primarily function in transporting digestive enzymes, nutrients, electrolytes, and fluid t...

Guts and Gall: Bile Acids in Regulation of Intestinal Epithelial Function in Health and Disease

Prevalence of symptoms of anxiety and depression in patients with inflammatory bowel disease: a systematic review and meta-analysis

The influence of the brain-gut axis in inflammatory bowel disease and possible implications for treatment.

Depression and anxiety in patients with Inflammatory Bowel Disease: A systematic review

White Spaces were first described by organizational change expert Gary Rummler in the 1960’s to describe zones where meaningful action takes place outside of the normal chains of command dictated by organizational charts. This paper identifies key concepts for leadership in the white spaces as relationality, unanticipated organizational intention, intention to change and mutual purpose. Librarians serving nine Complementary and Alternative Medicine programs found themselves using white space leadership tactics to promote information literacy and evidence-based practice skills in the wake of receiving R25 grants from the National Institutes of Health. Their training as librarians paralleled the unique skills required for white space leadership and allowed them to create new opportunities for library integration into the curricula and programs of their institutions. Three case studies highlight the challenges of curriculum and cultural change at these schools and the synchronous opportunity for library involvement in those shifts.

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Noelle Stello

Papers

Depression and anxiety in patients with Inflammatory Bowel Disease: A systematic review

Collaboration in White Spaces: Librarians as Leaders in Evidence-Based Practice at CAM Institutions