Evidence map›Paper›PMID 41458295›Full record

ReviewClinical practice and epidemiology in mental health : CP & EMH2025

Emotional Disturbances and Crohn's Disease.

Mara Lastretti, Ettore D'Aleo, Roberta Pica, Daniela De Nitto, Mauro Giovanni Carta, Gavino Faa

Abstract readReview
In one paragraph

Review in Clinical practice and epidemiology in mental health : CP & EMH, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

6 authors.

Mara LastrettiDepartment of Economic, Psychological and Communication Sciences, Niccolò Cusano University, Rome, Italy.ORCID https://orcid.org/0009-0008-5789-2130
Ettore D'AleoDepartment of Economic, Psychological and Communication Sciences, Niccolò Cusano University, Rome, Italy.
Roberta PicaIBD Center - Gastroenterology Unit at Sandro Pertini Hospital, Rome, Italy.
Daniela De NittoIBD Center - Gastroenterology Unit at Sandro Pertini Hospital, Rome, Italy.
Mauro Giovanni CartaDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Gavino FaaDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: This review aims to explore the psychological, psychiatric, and neurocognitive dimensions of Crohn's disease. We examine the bidirectional interactions between the gut and brain, analyze the most widely used psychological assessment tools, and discuss current intervention models. Methods: A comprehensive narrative review was conducted, integrating the literature research findings of , psychosomatic medicine, neuropsychology, psychoneuroimmunology, and gut-brain axis. Attention was given to validated psychometric tools and emerging therapeutic approaches. Results: The evidence reveals a consistent link between CD and emotional disturbances, cognitive deficits, and altered gut-brain communication. Common neuropsychological impairments include deficits in attention, memory, and executive functioning. Anxiety, depression, and alexithymia are prevalent in CD patients and are associated with worse disease outcomes. Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and mindfulness-based interventions have demonstrated efficacy in enhancing both psychological well-being and disease management. Discussion: Findings confirm the link between Crohn's disease, emotional disturbances, and cognitive deficits, highlighting the need to distinguish between primary impairments of inflammatory/neurobiological origin and those secondary to psychological distress or low illness insight. Key gaps remain regarding how these mechanisms interact over time and the long-term effects of psychological interventions. Integrating psychological assessment and support into clinical care is crucial for enhancing adherence, resilience, and overall quality of life. Conclusion: Understanding CD through a biopsychosocial lens highlights the necessity of integrating psychological assessment and intervention into standard IBD care. Early identification and tailored treatment of emotional and cognitive disturbances can significantly improve patients' quality of life and overall clinical outcomes.

Indexed as

AnxietyBiopsychosocial modelCognitive impairmentCrohn’s diseaseDepressionGut-brain axisInflammatory bowel diseasePsychological assessment

Identifiers

PMID41458295
PMCPMC12741974

What OpenQuestion holds

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Registered trials

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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.