Objective Cognitive behavioral therapy (CBT) is now included in the treatment of patients with inflammatory bowel disease (IBD) in many settings. However, different clinical trials report different outcomes without consensus. This study aims to evaluate the impact of CBT on the mental state, quality of life and disease activity of patients with IBD. Design Systematic review. Methods This systematic review searched eligible studies from 1946 to December 8, 2019, in MEDLINE, EMBASE, CINAHL, Cochrane library, ClinicalTrials.gov, PsycINFO, Web of Science for eligible randomized controlled trials (RCT). Results Among the initial identified 1807 references, 11 studies met inclusion criteria. CBT was shown to improve patient’s quality of life and reduce the level of depression and anxiety post-intervention but was not sustained. Evidence is not enough for the effect of CBT on disease activity, or C-reactive protein level. Conclusions CBT has shown short-term positive psychological effects on IBD patients, but there is insufficient evidence for sustained physical and psychological improvements of IBD patients. PROSPERO registration : CRD42019152330. Supplementary Information The online version contains supplementary material available at 10.1186/s12876-021-02003-0.
【저자키워드】 Depression, Inflammatory bowel disease, Quality of life, ulcerative colitis, Crohn's disease, Cognitive behavior therapy, 【초록키워드】 Randomized controlled trial, Treatment, clinical trial, Anxiety, CBT, systematic review, C-reactive protein, outcome, cognitive behavioral therapy, RCT, Patient, Psychological, patients, IBD, Disease activity, Evidence, Consensus, Web of Science, supplementary material, inclusion criteria, CINAHL, PsycINFO, positive, Effect, Mental, objective, physical, post-intervention, initial, IMPROVE, Result, shown, evaluate, searched, reduce, sustained, eligible, psychological improvement, 【제목키워드】 therapy, systematic review, Patient, Psychological, physiological, cognitive, Effect,