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FACT
Focus on Alternative and Complementary Therapies

Perceived stress is a potential indicator for interest in CAM in patients with inflammatory bowel disease

Langhorst J1, Anthonisen IB1, Steder-Neukamm U2, Lüdtke R3, Spahn G1, Michalsen A1, Dobos GJ1
1Chair of Complementary and Integrative Medicine, University of Duisburg-Essen Department of Internal Medicine, Kliniken Essen-Mitte, Germany
2German Crohn’s and Ulcerative Colitis Association e.V.
3Karl and Veronica Carstens Foundation, Essen, Germany

Objective

To determine which factors predict an active interest in CAM in patients with inflammatory bowel disease (IBD).

Materials and methods

We compared 112 participants of a national lay workshop on CAM in IBD of the German Crohn’s and Ulcerative Colitis Association (DCCV) with 684 patients randomly drawn from all DCCV members and associates.

Results

The duration of illness was shorter in workshop participants than in control patients (P = 0.0035) and fewer patients stated that their disease was currently in ‘remission’ (P = 0.0377). The groups did not differ significantly in their CAM experiences. Workshop participants more often reported the wish ‘to take a holistic therapeutical approach’ (P = 0.0008), to have ‘a different point of view from that of my doctor about the cause of and treatment options for IBD’ (P = 0.038) and the ‘lack of success of conventional therapy’ (P = 0.014) as reasons to use CAM. Workshop participants more often perceived ‘stress’ as having a negative effect on their IBD (P = 0.0001).

Conclusion

A group of IBD patients with an active interest in CAM showed distinct differences from a randomly selected group of IBD patients in their reasons for using CAM, especially in their wish to take a holistic therapeutic approach. Patients who report that stress has a negative effect on their IBD appear to be more likely to be interested in CAM.

Acknowledgements

The study was supported by the Karl und Veronica Carstens-Foundation and the DCCV.

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