Supportive-Expressive Group Psychotherapy for Persons with Inflammatory Bowel Disease
Bibliographic record
Abstract
Objective: Supportive-expressive (SE) group psychotherapy is designed to be applicable to medically ill populations. In this open trial, SE therapy was adapted for use in treating inflammatory bowel disease (IBD). Method: Thirty subjects with Crohn's disease (CD) or ulcerative colitis (UC) were enrolled in 4 psychotherapy groups. Each group met weekly for 20 weeks to discuss emotional and interpersonal issues associated with illness. Physical and psychological variables were measured at the onset and at the finish of the group sessions. Results: There was no mean group change in quality of life (QL), anxiety, or depression over the course of treatment, although there was a mean group reduction in maladaptive coping. Conclusion: Although the trial was uncontrolled and the sample size small, which limits interpretation, the results are consistent with an ineffective intervention. Because a null result would be consistent with previously reported psychotherapeutic trials in cases of IBD, and because SE therapy has been effective in treating other medically ill populations, we discuss characteristics of IBD that may account for a relative resistance to psychotherapeutic support. Objectif: La thérapie de soutien par l'expression (SE) en groupe peut s'appliquer à des populations souffrant de maladies somatiques. Dans cet essai ouvert, la thérapie de SE a été adaptée au traitement de la maladie intestinale inflammatoire (MII). Méthode: Trente sujets souffrant de la maladie de Crohn (MC) ou de colite ulcéreuse (CU) se sont inscrits dans 4 groupes de psychothérapie. Chaque groupe s'est réuni chaque semaine pendant 20 semaines pour discuter des questions émotionnelles et interpersonnelles liées à la maladie. Les variables physiques et psychologiques ont été mesurées au début et à la fin des séances de groupe. Résultats: Il n'y avait pas de moyenne dans le groupe concernant le changement de qualité de vie (QV), d'anxiété ou de dépression en cours de traitement, mais il y avait une réduction moyenne des mécanismes d'adaptation mésadaptés. Conclusion: Même s'il s'agit d'un essai non contrôlé et d'un petit échantillon, ce qui limite l'interprétation, les résultats sont conformes à une intervention inefficace. Étant donné qu'un résultat nul serait conforme aux essais psychothérapeutiques déjà rapportés dans des cas de MII, et que la thérapie de SE a traité efficacement d'autres populations souffrant de maladies somatiques, nous présentons les caractéristiques de la MII auxquelles on peut attribuer une résistance relative au soutien thérapeutique.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".