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eLIFEwithIBD: study protocol for a randomized controlled trial of an online acc...

Ferreira, Cláudia; Pereira, Joana; Matos-Pina, Inês; Skvarc, David; Galhardo, Ana; Ferreira, Nuno; Carvalho, Sérgio A.; Lucena-Santos, Paola

Background: Inflammatory bowel disease (IBD) entails physical, psychological, and social burden and holds a significant impact on quality of life. Experiential avoidance, cognitive fusion, shame, and self-criticism have been identified as possible therapeutic targets for improving mental health in people with IBD. Traditional face-to-face psychological therapy continues to provide obstacles for patients seeking...


Randomized Controlled Trial of an Acceptance and Commitment Therapy and Compass...

Ferreira, Cláudia; Pereira, Joana; Skvarc, David; Oliveira, Sara; Galhardo, Ana; Ferreira, Nuno B.; Lucena-Santos, Paola; Carvalho, Sérgio A.

Objectives: This study tested the acceptability and efficacy of an Acceptance and Commitment Therapy and compassion-based intervention (LIFEwithIBD) in people with IBD through a two-arm RCT. Methods: Participants were recruited at the Gastroenterology Department of the Coimbra University Hospital between June and September 2019. Of the 355 patients screened, those who accepted to participate were randomly assig...


Thiopurines have no impact on outcomes of Crohn's disease patients beyond 12 mo...

Sousa, Paula; Patita, Marta; Arroja, Bruno; Lago, Paula; Rosa, Isadora; Sousa, Helena Tavares; Ministro, Paula; Mocanu, Irina; Vieira, Ana

The emergence of new treatments the inflammatory bowel diseases (IBD) raised questions regarding the role of older agents, namely thiopurines. Aims: To clarify the benefits of combination treatment with thiopurines on Crohn's disease (CD) patients in the maintenance phase of infliximab. Methods: In this analysis of the 2 -year prospective multicentric DIRECT study, patients were assessed in terms of clinical ac...


How many biomarker measurements are needed to predict prognosis in Crohn's dise...

Magro, Fernando; Estevinho, Maria Manuela; Catalano, Gaia; Patita, Marta; Arroja, Bruno; Lago, Paula; Rosa, Isadora; Sousa, Helena Tavares

BackgroundTimely stratification of Crohn's disease (CD) is essential for patients' management. The use of noninvasive accurate biomarkers is key to monitor treatment and to pursue mucosal healing, the ultimate treatment endpoint in CD. ObjectiveWe aimed to evaluate the performance of readily available biomarkers and develop risk matrices to predict CD progression. MethodsData from 289 CD patients receiving infl...


Corrigendum: The LIFEwithIBD Intervention: Study Protocol for a Randomized Cont...

Trindade, Inês; Pereira, Joana; Galhardo, Ana; Ferreira, Nuno B.; Santos, Paola Lucena dos; Carvalho, Sérgio Andrade; Oliveira, Sara; Skvarc, David

[This corrects the article DOI: 10.3389/fpsyt.2021.699367.].


Role of Intestinal Ultrasound in the Evaluation of Postsurgical Recurrence in C...

Macedo, Cláudia Patricia; Sarmento Costa, Mara; Gravito-Soares, Elisa; Gravito-Soares, Marta; Ferreira, Ana Margarida; Portela, Francisco

Endoscopy remains the exam of choice in the evaluation of activity in Crohn's disease (CD) after surgery (ACD-AS). However, intestinal ultrasound (IUS) may represent a noninvasive alternative. The objective of this study is to determine the diagnostic accuracy of this modality compared to endoscopy. Material and Methods: This is a crosssectional study, comprising a period of 14 months, carried out in patients w...


Transmural remission improves clinical outcomes up to 5 years in Crohn's disease

Fernandes, Samuel; Serrazina, Juliana; Botto, Inês Ayala; Leal, Tiago; Guimarães, Andreia; Garcia, Joana Lemos; Rosa, Isadora; Prata, Rita

Introduction: Evidence supporting transmural remission (TR) as a long-term treatment target in Crohn's disease (CD) is still unavailable. Less stringent but more reachable targets such as isolated endoscopic (IER) or radiologic remission (IRR) may also be acceptable options in the long-term. Methods: Multicenter retrospective study including 404 CD patients evaluated by magnetic resonance enterography and colon...


Transmural remission improves clinical outcomes up to 5 years in Crohn's disease

Fernandes, Samuel Raimundo; Serrazina, Juliana; Botto, Inês Ayala; Leal, Tiago; Guimarães, Andreia; Garcia, Joana Lemos; Rosa, Isadora; Prata, Rita

IntroductionEvidence supporting transmural remission (TR) as a long-term treatment target in Crohn's disease (CD) is still unavailable. Less stringent but more reachable targets such as isolated endoscopic (IER) or radiologic remission (IRR) may also be acceptable options in the long-term. MethodsMulticenter retrospective study including 404 CD patients evaluated by magnetic resonance enterography and colonosco...


The LIFEwithIBD Intervention: Study Protocol for a Randomized Controlled Trial ...

Trindade, Inês; Pereira, Joana; Galhardo, Ana; Ferreira, Nuno B; Santos, Paola Lucena dos; Carvalho, Sérgio A.; Oliveira, Sara; Skvarc, David

Background: There is ample evidence of the high mental health burden caused by Inflammatory Bowel Disease (IBD). Several constructs such as experiential avoidance, cognitive fusion, shame, and self-criticism have recently emerged as potential intervention targets to improve mental health in IBD. Psychotherapeutic models such as Acceptance and Commitment Therapy and compassion-based interventions are known to ta...



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