| Interventions |
The online IBD.mindovergut.com intervention program is based on a combination of Stress Management (SM), CBT, and Acceptance and Commitment Therapy (ACT). SM strategies (such as relaxed breathing) will be utilised to reduce stress and the physiological impact that stress has on the body (e.g., increased muscle tension around the gastrointestinal tract). CBT strategies such as cognitive flexibility (identify and challenge unhelpful thinking patterns that promote stress and IBD symptoms e.g., y IBD is getting worse and exposure work (a planned activity where individuals confront a situation which they currently avoid due to unwanted distress). ACT strategies (e.g., Mindfulness and Cognitive defusion) aim to change the negative cycle of distress associated with illness. A summary of the modules and their focus of target around IBD-related processes are provide below: Module 1: Stress Management & Moving Towards Your Vision for The Future Stress Management and Setting goals based on your values; Targets: Hypervigilance/Visceral sensitivity, Perceived lack of control regarding IBD, Stress and Psychological distress, and Identifying with illness Module 2: How you think impacts on how you feel Mindfulness and acceptance, and Cognitive defusion; Targets: Catastrophizing and ruminating about symptoms, Perceived lack of control regarding IBD, Hypervigilance/Visceral sensitivity, and Stress and Psychological distress Module 3: How you think impacts on how you feel - Cognitive flexibility; Targets: Catastrophizing and ruminating about symptoms, Perceived lack of control regarding IBD, Hypervigilance/Visceral sensitivity, and Stress and Psychological distress Module 4: How you act can impact on how you think and feel - Exposure work; Targets: Avoidance, S |