Placebo Effect on Psychoemotional Status and Clinical Analyses of Armenian Crohn's Disease Patients
Commenced in January 2007
Frequency: Monthly
Edition: International
Paper Count: 33122
Placebo Effect on Psychoemotional Status and Clinical Analyses of Armenian Crohn's Disease Patients

Authors: Elya S. Pepoyan, Astghik Z. Pepoyan

Abstract:

The Zung self-depression scale and Beck Anxiety Inventory were used both to study the depression and anxiety levels of Armenian Crohn’s disease patients, and to reveal the relation between emotional status and placebo effect of these patients. On the other hand, the blood cell analyses and gut bacteria investigations were used to assess the placebo effect on ESR, and haemoglobin-s and leukocyte-s levels as well as gut commensal E. coli quantities of these patients. Despite of registered high levels of depression and anxiety, the high placebo effect on psychoemotional status for investigated patients during the investigations was described. On the other hand, no positive effect of placebo on measurements of ESP and hemoglobin-s levels of Crohn’s disease patients was revealed. The importance of use of psychotherapies for optimal outcomes during treatments of Crohn’s disease is discussed.

Keywords: Crohn's disease, emotional disorders, placebo, gut microflora and blood composition.

Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1084552

Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 1554

References:


[1] Bardel, "Factors associated with adherence to drug therapy: a population-based study", Eur J Clin Pharmacol, vol. 63, no. 3, 2007, pp. 307-314.
[2] Beck and R. Steer, Beck Anxiety Inventory Manual. San Antonio, TX: The Psychological Corporation Harcourt Brace and Company, 1993.
[3] Chamouard, Patrick; Zoe Richert, Nicolas Meyer, Gabriel Rahmi, René Baumann (2006 April). "Diagnostic Value of C-Reactive Protein for Predicting Activity Level of Crohn's Disease". Clinical Gastroenterology and Hepatology. doi:10.1016/j.cgh.2006.02.003. PMID 16630759
[4] Crohn, "Regional Ileitis", Ed. New York: Grune and Stratton, 1949, pp. 15-64.
[5] Drossman, F. Creed, K. Olden, J. Svedlund, B. Toner, and W. Whitehead, "Psychosocial aspects of functional gastrointestinal disorders", Gut, vol. 45, 1999, pp. 1125-1130
[6] Encyclopedia of clinical laboratorial tests. under red. of Ch. Titz, "Labinform", Moscow -1997 / Encyclopedia of clinical laboratory tests. Ed. H.Titsa. Ed. "Labinform", Moscow - 1997/,
[7] Gerbert, "Psychological aspects of Crohn's disease", Journal of Behavioral Medicine, vol. 3, 1980, pp. 41-58
[8] Holt JG, Krieg NR, Smeath PH, Staley JT and Williams ST. (ed.). 9th ed; 1994
[9] J. Kirsner, "Historical origins of current IBD concepts", World J Gastroenterol., vol. 7, no.2, 2001, pp. 175-184
[10] J. Mawdsley, and D. Rampton, "Psychological stress in IBD: new insights into pathogenic and therapeutic implications" Gut., vol. 55, no. 7, 2006, pp. 1053-1054
[11] K. Meissner, H. Distel, U. Mitzdorf (2007, March 19), Evidence for placebo effects on physical but not on biochemical outcome parameters: a review of clinical trials, BMC Medicine 2007, 5:3doi:10.1186/1741- 7015-5-3, Available: http://www.biomedcentral.com/1741-7015/5/3
[12] L. Kurina, M. Goldacre, D. Yeates, and L. Gill, "Depression and anxiety in people with inflammatory bowel disease", J Epidemiol Community Health, vol. 55, 2001, pp. 716-720
[13] Manvelyan A. M., Balayan M.A., Pepoyan A. Z. The role of gut microflora in the pathogenesis of Crohn-s disease, to be published, Biol. J. of Armenia-2007, / Manvelyan AM, Balayan, MA, Pepoyan AZ role the intestinal microflora in the pathogenesis of Crohn's disease. BZHA 2007 (in Russian), in press] /
[14] Okorokov A.N. Diagnostics of the diseases of internal organs, Vol. 1, Moscow, 2003, p.255/ Hams AN diagnosis of diseases internal organs. Moscow 2003, Volume 1, p. 255/
[15] S. Brescianini, M. Stoll, T. Trinh, S. Schreiber, J. D. Rioux, M. J. Daly, IBD5 is associated with an extensive complicated Crohn-s disease feature: implications from genotype-phenotype analysis, Gut 2007;56:149-150; doi:10.1136/gut.2006.102723, Available: http://gut.bmj.com/cgi/content/full/56/1/149
[16] Sands, R. Kozarek, J. Spainhour, C. Barish, S. Becker, L. Goldberg, S. Katz, R. Goldblum, R. Harrigan, D. Hilton, and Hanauer, "Safety and tolerability of concurrent natalizumab treatment for patients with Crohn's disease not in remission while receiving infliximab", Inflamm Bowel Dis., vol. 13, no. 1, 2007, pp. 2-11.
[17] T. Alander, K. Svardsudd, S. Johansson, and L. Agreus, "Psychological illness is commonly associated with functional gastrointestinal disorders and is important to consider during patient consultation: a populationbased study", BMC Med, vol. 13, 2005, pp. 3-8
[18] U. Gophna, K. Sommerfeld, Sh. Gophna, W. Ford Doolittle, Sander J. O. Veldhuyzen van Zanten (2006 September 8),Differences between Tissue-Associated Intestinal Microfloras of Patients with Crohn's Disease and Ulcerative Colitis, J Clin Microbiol. 2006 November; Vol. 44(11): p. 4136-4141, Available: http://jcm.asm.org/cgi/content/full/44/11/4136
[19] W. Zung, "A Self-rating Depression Scale Scale", Archives of General Psychiatry, vol. 12, 1965, pp. 63-70
[20] http://www.ccfa.org/research/placebo