{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:24:57Z","timestamp":1753892697460,"version":"3.41.2"},"reference-count":87,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,8,9]],"date-time":"2024-08-09T00:00:00Z","timestamp":1723161600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>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 assistance. Online psychological therapies centered on acceptance, mindfulness, and compassion have been shown to improve psychological distress in other populations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>This paper presents the study protocol of a two-arm Randomized Controlled Trial (RCT) of an ACT and compassion-based, online intervention \u2013 eLIFEwithIBD - on the improvement of psychological distress, quality of life, work and social functioning, IBD symptom perception, illness-related shame, psychological flexibility, and self-compassion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The eLIFEwithIBD intervention is an adaptation of the LIFEwithIBD programme (delivered through an in-person group format) and entails an ACT, mindfulness, and compassion-based intervention designed to be delivered as an e-health tool for people with IBD. This protocol outlines the structure and contents of the eLIFEwithIBD intervention. Participants were recruited by an advertisement on the social media platforms of Portuguese Associations for IBD in January 2022. A psychologist conducted a brief interview with 80 patients who were interested in participating. Fifty-five participants were selected and randomly assigned to one of two conditions [experimental group (eLIFEwithIBD + medical TAU; <jats:italic>n<\/jats:italic>\u2009=\u200937) or control group (medical TAU; <jats:italic>n<\/jats:italic>\u2009=\u200918)]. Outcome measurement took place at baseline, post-intervention, and 4-month follow-up. All analyses are planned as intent-to-treat (ITT).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The eLIFEwithIBD intervention is expected to empower people with IBD by fostering psychological strategies that promote illness adjustment and well-being and prevent subsequent distress. The eLIFEwithIBD aims to gain a novel and better understanding of the role of online contextual behavioral interventions on improving the quality of life and mental health of people with IBD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Trial Registration<\/jats:title><jats:p><jats:ext-link>https:\/\/classic.clinicaltrials.gov\/ct2\/show\/NCT05405855<\/jats:ext-link>, NCT05405855.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyg.2024.1369577","type":"journal-article","created":{"date-parts":[[2024,8,9]],"date-time":"2024-08-09T14:11:38Z","timestamp":1723212698000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["eLIFEwithIBD: study protocol for a randomized controlled trial of an online acceptance and commitment therapy and compassion-based intervention in inflammatory bowel disease"],"prefix":"10.3389","volume":"15","author":[{"given":"Cl\u00e1udia","family":"Ferreira","sequence":"first","affiliation":[]},{"given":"Joana","family":"Pereira","sequence":"additional","affiliation":[]},{"given":"In\u00eas","family":"Matos-Pina","sequence":"additional","affiliation":[]},{"given":"David","family":"Skvarc","sequence":"additional","affiliation":[]},{"given":"Ana","family":"Galhardo","sequence":"additional","affiliation":[]},{"given":"Nuno","family":"Ferreira","sequence":"additional","affiliation":[]},{"given":"S\u00e9rgio A.","family":"Carvalho","sequence":"additional","affiliation":[]},{"given":"Paola","family":"Lucena-Santos","sequence":"additional","affiliation":[]},{"given":"B\u00e1rbara S.","family":"Rocha","sequence":"additional","affiliation":[]},{"given":"Sara","family":"Oliveira","sequence":"additional","affiliation":[]},{"given":"Francisco","family":"Portela","sequence":"additional","affiliation":[]},{"given":"In\u00eas A.","family":"Trindade","sequence":"additional","affiliation":[]}],"member":"1965","published-online":{"date-parts":[[2024,8,9]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1016\/s2468-1253(19)30333-4","article-title":"The global, regional, and national burden of inflammatory bowel disease in 195 countries and territories, 1990\u20132017: a systematic analysis for the global burden of disease study 2017","volume":"5","author":"Alatab","year":"2020","journal-title":"Lancet Gastroenterol. Hepatol."},{"key":"ref2","first-page":"1597","article-title":"Ethical principles of psychologists and code of conduct","volume-title":"Am. Psychol.","year":"1992"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1002\/wps.20083","article-title":"Advantages and limitations of internet-based interventions for common mental disorders","volume":"13","author":"Andersson","year":"2014","journal-title":"World Psychiatry"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"707","DOI":"10.1016\/s2215-0366(18)30223-2","article-title":"Internet-based behavioural activation with lay counsellor support versus online minimal psychoeducation without support for treatment of depression: a randomised controlled trial in Indonesia","volume":"5","author":"Arjadi","year":"2018","journal-title":"Lancet Psych."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1111\/papt.12037","article-title":"An exploration of compassion focused therapy following acquired brain injury","volume":"88","author":"Ashworth","year":"2015","journal-title":"Psychol. Psychother. Theory Res. Pract."},{"key":"ref6","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1159\/000365764","article-title":"A meta-analysis of the efficacy of acceptance and commitment therapy for clinically relevant mental and physical health problems","volume":"84","author":"A-Tjak","year":"2015","journal-title":"Psychother. Psychosom."},{"key":"ref7","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1080\/08870446.2019.1699090","article-title":"Compassion-based interventions for people with long-term physical conditions: a mixed methods systematic review","volume":"36","author":"Austin","year":"2021","journal-title":"Psychol. Health"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"918","DOI":"10.1037\/ccp0000227","article-title":"Effectiveness of cognitive\u2013behavioral therapy on quality of life, anxiety, and depressive symptoms among patients with inflammatory bowel disease: a multicenter randomized controlled trial","volume":"85","author":"Bennebroek Evertsz","year":"2017","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"360","DOI":"10.1093\/ibd\/izy235","article-title":"Increased burden of psychiatric disorders in inflammatory bowel disease","volume":"25","author":"Bernstein","year":"2019","journal-title":"Inflamm. Bowel Dis."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"452","DOI":"10.1016\/j.amepre.2009.02.002","article-title":"How we design feasibility studies","volume":"36","author":"Bowen","year":"2009","journal-title":"Am. J. Prev. Med."},{"key":"ref11","article-title":"SUS: a \u201cquick and dirty\u201d usability scale","volume-title":"Usability evaluation in industry","author":"Brooke","year":"1996"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"23193","DOI":"10.4088\/pcc.19m02470","article-title":"A self-compassion group intervention for patients living with chronic medical illness: Treatment development and feasibility study","volume":"21","author":"Brown","year":"2019","journal-title":"Prim. Care Compan. CNS Disord."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2017\/6496727","article-title":"Prevalence of anxiety and depression in patients with inflammatory bowel disease","volume":"2017","author":"Byrne","year":"2017","journal-title":"Can. J. Gastroenterol. Hepatol."},{"key":"ref14","doi-asserted-by":"publisher","first-page":"524","DOI":"10.1002\/cpp.2643","article-title":"A pilot randomized controlled trial of online acceptance and commitment therapy versus compassion-focused therapy for chronic illness","volume":"29","author":"Carvalho","year":"2021","journal-title":"Clin. Psychol. Psychother."},{"key":"ref15","doi-asserted-by":"publisher","first-page":"709","DOI":"10.1007\/s12671-019-01292-7","article-title":"Self-compassion and depressive symptoms in chronic pain (CP): a 1-year longitudinal study","volume":"11","author":"Carvalho","year":"2020","journal-title":"Mindfulness"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"856","DOI":"10.1002\/jclp.22187","article-title":"Evaluating the multifactor structure of the long and short versions of the self-compassion scale in a clinical sample","volume":"71","author":"Castilho","year":"2015","journal-title":"J. Clin. Psychol."},{"key":"ref17","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1016\/s0895-4356(99)00152-3","article-title":"The UK IBDQ\u2014a British version of the inflammatory bowel disease questionnaire","volume":"53","author":"Cheung","year":"2000","journal-title":"J. Clin. Epidemiol."},{"key":"ref18","doi-asserted-by":"publisher","first-page":"169","DOI":"10.1007\/s10865-007-9144-1","article-title":"Internet-administered cognitive behavior therapy for health problems: A systematic review","volume":"31","author":"Cuijpers","year":"2008","journal-title":"J. Behav. Med."},{"key":"ref19","doi-asserted-by":"publisher","first-page":"545","DOI":"10.1097\/01.mib.0000440983.86659.81","article-title":"The burden of inflammatory bowel disease: a patient-reported qualitative analysis and development of a conceptual model","volume":"20","author":"Devlen","year":"2014","journal-title":"Inflamm. Bowel Dis."},{"key":"ref20","doi-asserted-by":"publisher","first-page":"668","DOI":"10.1080\/10503307.2020.1813915","article-title":"Perspectives on an acceptance and commitment therapy (ACT) based program for patients with inflammatory bowel disease and comorbid anxiety and\/or depressive symptoms","volume":"31","author":"Dober","year":"2020","journal-title":"Psychother. Res."},{"key":"ref21","doi-asserted-by":"publisher","first-page":"3357","DOI":"10.1017\/s0033291715001427","article-title":"Economic evaluations of internet interventions for mental health: a systematic review","volume":"45","author":"Donker","year":"2015","journal-title":"Psychol. Med."},{"key":"ref22","doi-asserted-by":"publisher","first-page":"e0119895","DOI":"10.1371\/journal.pone.0119895","article-title":"Internet and computer-based cognitive behavioral therapy for anxiety and depression in youth: a meta-analysis of randomized controlled outcome trials","volume":"10","author":"Ebert","year":"2015","journal-title":"PLoS One"},{"year":"2012","key":"ref23"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"254","DOI":"10.4324\/9780429203749-17","article-title":"Emerging approaches: Acceptance and commitment therapy (ACT) approaches to gastrointestinal conditions","volume":"16","author":"Ferreira","year":"2019","journal-title":"Psychogastroenterol. Adults"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"1","DOI":"10.33525\/pprj.v1i2.36","article-title":"Brief assessment of depression: psychometric properties of the Portuguese version of the patient health questionnaire (PHQ-9)","volume":"1","author":"Ferreira","year":"2019","journal-title":"Psychol. Pract. Res. J."},{"key":"ref26","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1111\/bjc.12043","article-title":"The origins and nature of compassion focused therapy","volume":"53","author":"Gilbert","year":"2014","journal-title":"Br. J. Clin. Psychol."},{"key":"ref27","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1016\/j.jcbs.2020.09.009","article-title":"The empirical status of acceptance and commitment therapy: a review of meta-analyses","volume":"18","author":"Gloster","year":"2020","journal-title":"J. Context. Behav. Sci."},{"key":"ref28","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1177\/2049463719857099","article-title":"\u2018All these things don\u2019t take the pain away but they do help you to accept it\u2019: making the case for compassion-focused therapy in the management of persistent pain, British","volume":"14","author":"Gooding","year":"2020","journal-title":"J. Pain."},{"key":"ref29","doi-asserted-by":"publisher","first-page":"1105","DOI":"10.1002\/ibd.20873","article-title":"Depression and anxiety in inflammatory bowel disease: a review of comorbidity and management","volume":"15","author":"Graff","year":"2009","journal-title":"Inflamm. Bowel Dis."},{"key":"ref30","doi-asserted-by":"publisher","first-page":"259","DOI":"10.3109\/10398562.2011.562295","article-title":"Acceptability of internet treatment of anxiety and depression","volume":"19","author":"Gun","year":"2011","journal-title":"Australas. Psychiatry"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"804","DOI":"10.1016\/0016-5085(89)90905-0","article-title":"A new measure of health status for clinical trials in inflammatory bowel disease","volume":"96","author":"Guyatt","year":"1989","journal-title":"Gastroenterology"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.brat.2005.06.006","article-title":"Acceptance and commitment therapy: model, processes and outcomes","volume":"44","author":"Hayes","year":"2006","journal-title":"Behav. Res. Ther."},{"key":"ref33","doi-asserted-by":"publisher","first-page":"1095","DOI":"10.1080\/08870446.2019.1707829","article-title":"Compassion-focused self-help for psychological distress associated with skin conditions: a randomized feasibility trial","volume":"35","author":"Hudson","year":"2020","journal-title":"Psychol. Health"},{"year":"2013","key":"ref34","article-title":"IBD standards: standards for the healthcare of people who have inflammatory bowel disease, IBD UK"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1016\/0016-5085(94)90585-1","article-title":"Quality of life: a valid and reliable measure of therapeutic efficacy in the treatment of inflammatory bowel disease","volume":"106","author":"Irvine","year":"1994","journal-title":"Gastroenterology"},{"year":"2020","key":"ref37"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"2717","DOI":"10.1017\/s0033291715000665","article-title":"Predictors of treatment dropout in self-guided web-based interventions for depression: an \u2018individual patient data\u2019 meta-analysis","volume":"45","author":"Karyotaki","year":"2015","journal-title":"Psychol. Med."},{"key":"ref39","doi-asserted-by":"publisher","first-page":"865","DOI":"10.1016\/j.cpr.2010.03.001","article-title":"Psychological flexibility as a fundamental aspect of health","volume":"30","author":"Kashdan","year":"2010","journal-title":"Clin. Psychol. Rev."},{"key":"ref40","doi-asserted-by":"publisher","first-page":"49","DOI":"10.2147\/ceg.s83533","article-title":"A systematic review of disease-related stigmatization in patients living with inflammatory bowel disease","volume":"9","author":"Keefer","year":"2016","journal-title":"Clin. Exp. Gastroenterol."},{"key":"ref41","doi-asserted-by":"publisher","first-page":"778","DOI":"10.1016\/j.beth.2017.06.003","article-title":"A meta-analysis of compassion-based interventions: current state of knowledge and future directions","volume":"48","author":"Kirby","year":"2017","journal-title":"Behav. Ther."},{"key":"ref42","doi-asserted-by":"publisher","first-page":"681","DOI":"10.3238\/arztebl.2017.0681","article-title":"An internet-based intervention for chronic pain","volume":"114","author":"Lin","year":"2017","journal-title":"Dtsch. Arztebl. Int."},{"key":"ref43","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1037\/ccp0000459","article-title":"Attrition and adherence in smartphone-delivered interventions for mental health problems: a systematic and meta-analytic review","volume":"88","author":"Linardon","year":"2020","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref44","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1016\/j.apnu.2021.10.001","article-title":"Effectiveness of online mindfulness-based interventions for improving mental health in patients with physical health conditions: systematic review and meta-analysis","volume":"37","author":"Liu","year":"2022","journal-title":"Arch. Psychiatr. Nurs."},{"key":"ref45","doi-asserted-by":"publisher","first-page":"1504","DOI":"10.1053\/j.gastro.2004.01.063","article-title":"Clinical epidemiology of inflammatory bowel disease: incidence, prevalence, and environmental influences","volume":"126","author":"Loftus","year":"2004","journal-title":"Gastroenterology"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"335","DOI":"10.1016\/0005-7967(94)00075-u","article-title":"The structure of negative emotional states: comparison of the depression anxiety stress scales (DASS) with the Beck depression and anxiety inventories","volume":"33","author":"Lovibond","year":"1995","journal-title":"Behav. Res. Ther."},{"key":"ref47","doi-asserted-by":"publisher","first-page":"1492","DOI":"10.1097\/mib.0000000000001205","article-title":"Management of the psychological impact of inflammatory bowel disease","volume":"23","author":"Mar\u00edn-Jim\u00e9nez","year":"2017","journal-title":"Inflamm. Bowel Dis."},{"key":"ref48","doi-asserted-by":"publisher","first-page":"471","DOI":"10.1192\/bjp.bp.107.041152","article-title":"Computer-aided psychotherapy: revolution or bubble?","volume":"191","author":"Marks","year":"2007","journal-title":"Br. J. Psychiatry"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"293","DOI":"10.1016\/j.procs.2015.09.273","article-title":"European Portuguese validation of the system usability scale (SUS)","volume":"67","author":"Martins","year":"2015","journal-title":"Proc. Comp. Sci."},{"key":"ref50","doi-asserted-by":"publisher","first-page":"752","DOI":"10.1097\/mib.0000000000000620","article-title":"Controversies revisited: a systematic review of the comorbidity of depression and anxiety with inflammatory bowel diseases","volume":"22","author":"Mikocka-Walus","year":"2016","journal-title":"Inflamm. Bowel Dis."},{"key":"ref51","doi-asserted-by":"publisher","first-page":"461","DOI":"10.1192\/bjp.180.5.461","article-title":"The work and social adjustment scale: a simple measure of impairment in functioning","volume":"180","author":"Mundt","year":"2002","journal-title":"Br. J. Psychiatry"},{"key":"ref52","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1080\/15298860309027","article-title":"The development and validation of a scale to measure self-compassion","volume":"2","author":"Neff","year":"2003","journal-title":"Self Identity"},{"volume-title":"Self compassion: stop beating yourself up and leave insecurity behind","year":"2011","author":"Neff","key":"ref53"},{"key":"ref54","doi-asserted-by":"publisher","first-page":"2769","DOI":"10.1016\/s0140-6736(17)32448-0","article-title":"Worldwide incidence and prevalence of inflammatory bowel disease in the 21st century: a systematic review of population-based studies","volume":"390","author":"Ng","year":"2017","journal-title":"Lancet"},{"key":"ref55","first-page":"229","article-title":"Contribui\u00e7\u00e3o para o estudo da adapta\u00e7\u00e3o portuguesa das Escalas de Ansiedade, Depress\u00e3o e Stress (EADS) de 21 itens de Lovibond e Lovibond [Contribution for the Portuguese adaptation of the Depression, Anxiety and Stress Scales (DASS) by Lovibond and Lovibond]","volume":"5","author":"Pais-Ribeiro","year":"2004","journal-title":"Psicologia Sa\u00fade Doen\u00e7as"},{"key":"ref56","doi-asserted-by":"publisher","first-page":"215","DOI":"10.1002\/pmh.1382","article-title":"The work and social adjustment scale: psychometric properties and validity among males and females, and outpatients with and without personality disorders","volume":"11","author":"Pedersen","year":"2017","journal-title":"Personal. Ment. Health"},{"key":"ref57","doi-asserted-by":"publisher","first-page":"109","DOI":"10.14417\/lp.627","article-title":"Estudos Psicom\u00e9tricos da Vers\u00e3o em Portugu\u00eas Europeu do \u00edndice De Qualidade de Vida EUROHIS-Qol-8","volume":"9","author":"Pereira","year":"2013","journal-title":"Laborat\u00f3rio De Psicologia."},{"key":"ref58","article-title":"Development of a common instrument for quality of life","volume-title":"EUROHIS: Developing common instruments for health surveys","author":"Power","year":"2003"},{"year":"2021","key":"ref59","article-title":"R: a language and environment for statistical computing"},{"key":"ref60","doi-asserted-by":"publisher","first-page":"250","DOI":"10.1002\/cpp.702","article-title":"Construction and factorial validation of a short form of the self-compassion scale","volume":"18","author":"Raes","year":"2011","journal-title":"Clin. Psychol. Psychother."},{"key":"ref61","doi-asserted-by":"publisher","first-page":"811","DOI":"10.1155\/2012\/984575","article-title":"Inflammatory bowel disease: a Canadian burden of illness review","volume":"26","author":"Rocchi","year":"2012","journal-title":"Can. J. Gastroenterol."},{"key":"ref62","doi-asserted-by":"publisher","first-page":"420","DOI":"10.1093\/eurpub\/cki155","article-title":"The EUROHIS-QOL 8-item index: psychometric results of a cross-cultural field study","volume":"16","author":"Schmidt","year":"2005","journal-title":"Eur. J. Pub. Health"},{"volume-title":"Ehealth em Portugal: Vis\u00e3o 2020","year":"2015","key":"ref63"},{"key":"ref64","doi-asserted-by":"publisher","first-page":"967","DOI":"10.1093\/jpepsy\/jsy029","article-title":"Effectiveness of disease-specific cognitive behavioral therapy on anxiety, depression, and quality of life in youth with inflammatory bowel disease: a randomized controlled trial","volume":"43","author":"Stapersma","year":"2018","journal-title":"J. Pediatr. Psychol."},{"key":"ref65","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1016\/j.cpr.2016.05.004","article-title":"What is compassion and how can we measure it? A review of definitions and measures","volume":"47","author":"Strauss","year":"2016","journal-title":"Clin. Psychol. Rev."},{"key":"ref66","doi-asserted-by":"publisher","first-page":"981","DOI":"10.1176\/appi.ps.201200454","article-title":"Lifetime treatment contact and delay in treatment seeking after first onset of a mental disorder","volume":"64","author":"ten Have","year":"2013","journal-title":"Psychiatr. Serv."},{"key":"ref67","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1080\/00207411.1994.11449286","article-title":"Development of the WHOQOL: rationale and current status","volume":"23","year":"1994","journal-title":"Int. J. Ment. Health"},{"key":"ref68","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1016\/j.jcbs.2021.05.002","article-title":"Comprehensive assessment of acceptance and commitment therapy processes (CompACT): measure refinement and study of measurement invariance across Portuguese and UK samples","volume":"21","author":"Trindade","year":"","journal-title":"J. Contextual Behav. Sci."},{"key":"ref69","doi-asserted-by":"publisher","first-page":"651","DOI":"10.1007\/s00384-017-2774-z","article-title":"An 18-month study of the effects of IBD symptomatology and emotion regulation on depressed mood","volume":"32","author":"Trindade","year":"","journal-title":"Int. J. Color. Dis."},{"key":"ref70","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1002\/cpp.2035","article-title":"Chronic illness-related shame: development of a new scale and novel approach for IBD patients' depressive symptomatology","volume":"24","author":"Trindade","year":"","journal-title":"Clin. Psychol. Psychother."},{"key":"ref71","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1111\/bjhp.12280","article-title":"The longitudinal effects of emotion regulation on physical and psychological health: a latent growth analysis exploring the role of cognitive fusion in inflammatory bowel disease","volume":"23","author":"Trindade","year":"2018","journal-title":"Br. J. Health Psychol."},{"key":"ref72","doi-asserted-by":"publisher","first-page":"511","DOI":"10.1177\/1359105317718925","article-title":"Shame and emotion regulation in inflammatory bowel disease: effects on psychosocial functioning","volume":"25","author":"Trindade","year":"","journal-title":"J. Health Psychol."},{"key":"ref73","doi-asserted-by":"publisher","first-page":"162","DOI":"10.1016\/j.jcbs.2019.12.005","article-title":"Acceptability and preliminary test of efficacy of the mind programme in women with breast cancer: an acceptance, mindfulness, and compassion-based intervention, journal of contextual","volume":"15","author":"Trindade","year":"","journal-title":"Behav. Sci."},{"key":"ref74","doi-asserted-by":"publisher","first-page":"1328","DOI":"10.1016\/j.jpain.2021.04.003","article-title":"Efficacy of online-based acceptance and commitment therapy for chronic pain: a systematic review and meta-analysis","volume":"22","author":"Trindade","year":"","journal-title":"J. Pain"},{"key":"ref75","doi-asserted-by":"publisher","first-page":"743","DOI":"10.1002\/cpp.2398","article-title":"The influence of self-criticism on depression symptoms among ambulatory patients with inflammatory bowel disease","volume":"26","author":"Trindade","year":"2019","journal-title":"Clin. Psychol. Psychother."},{"key":"ref76","doi-asserted-by":"publisher","first-page":"367","DOI":"10.3389\/fpsyt.2021.699367","article-title":"The LIFEWITHIBD intervention: study protocol for a randomized controlled trial of a face-to-face acceptance and commitment therapy and compassion-based intervention tailored to people with inflammatory bowel disease","volume":"12","author":"Trindade","year":"","journal-title":"Front. Psych."},{"key":"ref77","doi-asserted-by":"publisher","first-page":"110429","DOI":"10.1016\/j.jpsychores.2021.110429","article-title":"The prospective effects of self-compassion on depressive symptoms, anxiety, and stress: a study in inflammatory bowel disease","volume":"146","author":"Trindade","year":"2021","journal-title":"J. Psychosom. Res."},{"key":"ref78","doi-asserted-by":"publisher","first-page":"100410","DOI":"10.1016\/j.invent.2021.100410","article-title":"An emotion-based online intervention for reducing anxiety and depression in cancer patients: study protocol for a randomized controlled trial","volume":"25","author":"Tsiouris","year":"2021","journal-title":"Internet Interv."},{"key":"ref79","doi-asserted-by":"publisher","first-page":"1756","DOI":"10.1016\/s0140-6736(16)32126-2","article-title":"Ulcerative colitis","volume":"389","author":"Ungaro","year":"2017","journal-title":"Lancet"},{"key":"ref80","doi-asserted-by":"publisher","first-page":"100465","DOI":"10.1016\/j.invent.2021.100465","article-title":"Online acceptance and commitment therapy (ACT) interventions for chronic pain: a systematic literature review","volume":"26","author":"van de Graaf","year":"2021","journal-title":"Internet Interv."},{"key":"ref81","doi-asserted-by":"publisher","first-page":"66","DOI":"10.2174\/1874220301401010066","article-title":"Group, one-on-one, or internet? Preferences for mindfulness meditation delivery format and their predictors","volume":"1","author":"Wahbeh","year":"2014","journal-title":"Open Med. J."},{"key":"ref82","doi-asserted-by":"publisher","first-page":"578","DOI":"10.1176\/appi.ps.201400248","article-title":"Insurance status, use of mental health services, and unmet need for mental health care in the United States","volume":"66","author":"Walker","year":"2015","journal-title":"Psychiatr. Serv."},{"key":"ref83","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1186\/s13012-017-0635-3","article-title":"Psychometric assessment of three newly developed implementation outcome measures","volume":"12","author":"Weiner","year":"2017","journal-title":"Implement. Sci."},{"key":"ref84","doi-asserted-by":"publisher","first-page":"877","DOI":"10.1007\/s11136-008-9362-1","article-title":"Beyond standard quality of life measures: the subjective experiences of living with inflammatory bowel disease","volume":"17","author":"Wolfe","year":"2008","journal-title":"Qual. 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