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Education in practice
Understanding and managing psychological disorders in patients with inflammatory bowel disease: a practical guide
  1. Klaartje Bel Kok1,2,
  2. Peter Byrne1,
  3. Ana R Ibarra1,
  4. Peter Martin1,
  5. David S Rampton1
  1. 1Gastroenterology, Barts and The London NHS Trust, London, UK
  2. 2Centre for Immunobiology, Barts and The London School of Medicine and Dentistry Blizard Institute, London, UK
  1. Correspondence to Professor David S Rampton, Gastroenterology, Barts and The London NHS Trust, London E1 1BB, UK; david.rampton{at}


Mood disturbances such as anxiety and depression are common in patients with inflammatory bowel disease (IBD), and impact negatively on their quality of life and disease course. An integrated multidisciplinary IBD team, which includes access to psychology and psychiatry opinion, makes possible the prompt recognition and management of psychological disturbance in patients with IBD. Based on our experience and existing literature, including systematic reviews of the effectiveness of available treatment modalities, a stepwise approach to the maintenance and restoration of psychological well-being is recommended, evolving upwards from lifestyle advice, through behavioural therapies to pharmacotherapy.

  • inflammatory bowel disease
  • psychological stress

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  • Contributors All authors were responsible for design of study, data collection and critical revisions to the manuscript. KBK, PB, PM, DSR: data analysis and authorship. DSR and PB original idea.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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