Few published studies examine the influence of psychological treatment on health care utilization in Crohn's disease.
Dr Hans-Christian Deter and colleagues from Germany conducted a substudy of a prospective, randomized, multicenter trial in 69 of 488 consecutive Crohn's disease patients.
The investigative team assessed the way in which healthcare utilization is influenced by psychotherapy and relaxation in addition to standardized glucocorticoid therapy.
|There was a higher decrease of sick-leave days after psychological treatment|
|Inflammatory Bowel Diseases|
The team evaluated the techniques before and after a 1-year period of standardized somatic treatment.
The investigators compared the psychotherapy and control groups with regard to hospital and sick-leave days.
In addition, predictors of healthcare utilization were analyzed.
The investigators noticed a higher decrease of mean hospital days as well as sick-leave days in patients after psychological treatment.
The team then applied a covariate analysis was applied to compare the data at randomization.
The investigators found that the difference in hospital days remained statistically a trend.
Multivariate regression analysis detected a significant gender and depression effect for hospital days.
The team also identified a significant gender and age effect for sick-leave days.
Dr Deter's team concluded, "A significant drop in healthcare utilization after psychological treatment demonstrates a clear benefit of this additional therapy."
"This is important, since the study failed to demonstrate significant changes in the psychosocial status or somatic course of study patients."
"Clinical and psychological factors influencing these outcomes are discussed."