RELEVANT PSYCHO-SOCIO-MEDICAL ASPECTS IN CROHN'S DISEASE. THE NEED OF PSYCHOTHERAPY. CASE STUDY
RELEVANT PSYCHO-SOCIO-MEDICAL ASPECTS IN CROHN'S DISEASE. THE NEED OF PSYCHOTHERAPY. CASE STUDY

Summary/Abstract: Objectives. (CD) and Ulcerative colitis (UC), the main Inflammatory Bowel Diseases (IBD), need surgery in many cases, despite the treatment. This study aims to extend the knowledge regarding the psychological component of IBD. Material and methods. In 2015, eight questionnaires were filled in and deep psychosocial anamnesis, semi-structured interview and observation were performed, to reconstitute the biography and critical incidents of a patient suffering from IBD since 1978. Results. During the analysed period, the patient was under the impact of five main negative stressors: death of a close relative, illnesses, marriage, changes of the eating habits, and difficulties in her own personal achievement which were experienced as catastrophic and humiliating. The onism as an irrational self-defeating belief. The anxiety was slightly elevated according to Hospital Anxiety and Depression Scale. By Woodworth-Mathews Personal Data Sheet, except for the score from instability that was normal, scales limit scores were recorded for the other 7. Scores to Aggression Questionnaire were medium at the physical one and high at the verbal one. Jenkins Activity Survey has revealed that the patient is never late, is too active and acts immediately under stress. Conclusions. The treatment strategy for IBD patients should be based on a multidisciplinary approach involving the gastroenterologist, nutritionist, surgeon, family doctor, and the psychologist. The psychologist should explore the lifestyle, existential major events, perceived stress, coping mechanisms, etc. of which might draw conclusions regarding the onset and the progression of the disease.

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