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Appears in Collections:Faculty of Health Sciences and Sport eTheses
Title: The Use of Mindfulness-Based Cognitive Therapy for Patients with Inflammatory Bowel Disease
Author(s): Schoultz, Mariyana
Supervisor(s): Watson, Angus
Atherton, Iain
Keywords: Mindfulness
inflammatory bowel disease
Crohn's disease
Ulcerative Colitis
Mindfulness Based Cognitive Therapy
Issue Date: Jan-2016
Publisher: University of Stirling
Citation: Schoultz, M. (2012). The role of psychological factors in inflammatory bowel disease. British journal of community nursing, 17(8), 370.
Schoultz, M., Atherton, I., Hubbard, G., & Watson, A. J. (2013). Assessment of causal link between psychological factors and symptom exacerbation in inflammatory bowel disease: a protocol for systematic review of prospective cohort studies. Systematic reviews, 2(1), 1.
Schoultz, M., Atherton, I. M., Hubbard, G., & Watson, A. J. (2013). The use of mindfulness-based cognitive therapy for improving quality of life for inflammatory bowel disease patients: study protocol for a pilot randomised controlled trial with embedded process evaluation. Trials, 14(1), 1.
Schoultz, M., Atherton, I., & Watson, A. (2015). Mindfulness-based cognitive therapy for inflammatory bowel disease patients: findings from an exploratory pilot randomised controlled trial. Trials, 16(1), 1.
Schoultz, M., Macaden, L., & Hubbard, G. (2016). Participants’ perspectives on mindfulness-based cognitive therapy for inflammatory bowel disease: a qualitative study nested within a pilot randomised controlled trial. Pilot and Feasibility Studies, 2(1), 1.
Schoultz, M., Macaden, L., & Watson, A. J. (2016). Co-designing inflammatory bowel disease (Ibd) services in Scotland: findings from a nationwide survey. BMC Health Services Research, 16(1), 1.
Abstract: Background: Inflammatory Bowel Disease (IBD) is a group of chronic gastrointestinal diseases with a relapsing nature. The two main types are Crohn’s disease (CD) and ulcerative colitis (UC). Both CD and UC patients experience very similar and distressing symptoms: acute abdominal pain, vomiting, malnutrition, fever, fatigue, diarrhoea and rectal bleeding. These symptoms are disabling and have a severe impact on physical and psychosocial wellbeing. Around 30% of patients suffer from moderate to severe psychological distress and have difficulties coping with the illness even in remission. However, it appears that mental health is overlooked by clinicians who often focus on physical gastrointestinal symptoms only. Mindfulness-Based Cognitive Therapy (MBCT) is evidence based, group psychological intervention that has been successful in reducing depression and anxiety scores in patients with depression while improving overall quality of life. However, MBCT has never been tested in the IBD population before. PhD question: Can MBCT be used as an adjunct therapy to IBD symptom management, for improving IBD patients' general well-being and quality of life? Aims and objectives: The overall aim of the thesis was to develop and collate the evidence for a definitive randomised controlled trial (RCT) testing the effectiveness of MBCT for patients with inflammatory bowel disease (IBD). The thesis brings together six publications. The six publications were integrated into four objectives that collectively contributed in answering the overall PhD question. Results: The findings from the first three publications highlighted the disease-related concerns and psychological needs for patients with IBD. The findings from the last three publications highlighted how feasible it is to use MBCT in IBD and emphasised the IBD patients’ perspectives about MBCT. Conclusion: The thesis concluded that a definitive RCT of MBCT for IBD patients is both feasible and acceptable.
Type: Thesis or Dissertation

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The Use of Mindfulness-Based Cognitive Therapy for Patients with Inflammatory Bowel Disease. Mariyana Schoultz PhD Thesis Final.pdfPhD thesis containing six published papers and linking narrative 14.41 MBAdobe PDFUnder Permanent Embargo    Request a copy
Paper1SchoultzBJCN.2012.17.8.370.pdfPaper 1348.37 kBAdobe PDFUnder Permanent Embargo    Request a copy
The Use of Mindfulness-Based Cognitive Therapy Schoultz PhD without restricted article.pdfPhD thesis with one restricted paper removed13.95 MBAdobe PDFView/Open

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