Evidence map›Paper›PMID 41163946›Full record

ArticleTherapeutic advances in gastroenterology2025

Psychological interventions improve mental health in inflammatory digestive diseases: a systematic review and meta-analysis of randomized controlled trials.

Diana-Elena Floria, Beatrix Fogarasi, Edina Tari, László Szabó, Dániel Sándor Veres, Anna Sára Bognár, Beáta Sikó, Bálint Erőss, Brigitta Teutsch, Péter Hegyi

Abstract read
In one paragraph

Article in Therapeutic advances in gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Diana-Elena FloriaCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.ORCID https://orcid.org/0000-0003-2727-9913
Beatrix FogarasiCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.
Edina TariCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.ORCID https://orcid.org/0000-0002-8540-0614
László SzabóCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.
Dániel Sándor VeresCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.
Anna Sára BognárCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.
Beáta SikóCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.
Bálint ErőssCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.
Brigitta TeutschCentre for Translational Medicine, Semmelweis University, Budapest, Hungary.ORCID https://orcid.org/0000-0002-9530-7886
Péter HegyiInstitute of Pancreatic Diseases, Semmelweis University, Budapest, Baross utca 22, 1085 Hungary.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Inflammatory digestive diseases can majorly impact the physical and mental well-being of affected patients. Objectives: This meta-analysis aimed to assess the efficacy of psychological interventions (including psychotherapy, mindfulness, cognitive-behavioral therapy, relaxation techniques, meditation, stress management, self-help strategies, psychoeducation, motivational interviewing, hypnotherapy, solution-based therapy, and counseling) on mental parameters and disease-related outcomes in this population. Design: This was a systematic review and meta-analysis. Data sources and methods: The systematic search was conducted on July 31, 2025. Randomized controlled trials (RCTs) were eligible. Outcomes were assessed at the end of therapy and at various time points during the follow-up period (short-, mid-, and long-term follow-up). Owing to the differences in scales and questionnaires, the standardized mean difference (SMD) was used to pool effect sizes, along with corresponding 95% confidence interval (CI). Higgins and Thompson's Results: We included 24 RCTs that investigated the effect of psychological interventions on depressive symptoms in inflammatory digestive diseases, totaling 1572 participants. The pooled analysis found that psychological interventions resulted in a moderate reduction of depression compared to controls (SMD -0.46; CI: -0.75; -0.18). Data from 19 RCTs with 1593 patients also demonstrated a moderate reduction in anxiety symptoms in subjects undergoing psychological interventions (SMD -0.58; CI: -0.94; -0.22). The pooled analysis of 13 RCTs with 772 participants found that psychological therapy was associated with a moderate decrease in stress (SMD -0.53; CI: -1.04; -0.03). The additional analysis of follow-up data showed that benefits resulting from treatment gradually decreased, showing no significant difference at the end of the long-term follow-up period. Conclusion: Psychological interventions effectively improve mental health-related outcomes in patients with inflammatory digestive diseases. Since benefits from therapy seem to decrease during the follow-up period, repeated interventions may be necessary. Trial registration: The study protocol was prospectively registered on PROSPERO (CRD42021282965).

Indexed as

anxietycognitive-behavioral therapy (CBT)Crohn’s diseasedepressioninflammationinflammatory bowel diseasepsychological interventionsstressulcerative colitis

Identifiers

PMID41163946
PMCPMC12559681

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.