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The negative impact of inflammatory bowel disease-related symptomatology on patients芒�?�? quality of life and level of psychopathology
has been reported by several studies. Indeed, IBD is known to hold detrimental effects on the physical and psychosocial functioning
of the patients, even when the disease is inactive. Nevertheless, the analysis of the psychological mechanisms that may underlie these
effects is yet scarcely developed, even though it has been considered an especially relevant field. We have therefore explored the role
of maladaptive psychological processes in IBD using samples of Portuguese patients with Crohn芒�?�?s Disease and Ulcerative Colitis. Our
findings have demonstrated that experiential avoidance i.e., one芒�?�?s unavailability to accept internal events such as sensations, thoughts
or emotions while trying to control them, mediates the relationship between IBD symptomatology and physical and psychological
quality of life. That is, it seems that when patients try to control or avoid sensations like pain or discomfort or thoughts related to the
illness or its symptoms, this strategy holds a paradoxical nature and heightens the effect of those internal experiences on patients芒�?�?
well-being. Furthermore, we have also recently found that cognitive fusion (the excessive attachment to the content of one芒�?�?s thoughts)
and brooding (a form of rumination defined as the repetitive focused attention on one芒�?�?s distress and on its possible causes and
consequences) act as significant exacerbators of the association between symptomatology and depression. In fact, for the same level
of IBD symptomatology, patients who presented higher levels of those maladaptive processes revealed a significantly higher incidence
of depressive symptomatology. These findings suggest that rather than focusing solely on a physical and objective evaluation and
approach of patients芒�?�? IBD symptomatology, clinicians should also focus on the way patients deal with their symptoms in order to be
able to identify maladaptive emotion regulation processes (e.g., persistent patterns of inflexible thoughts relating to the limitations
and consequences of the disease and or its symptoms; inflexible efforts to avoid or control inner experiences). Furthermore, our
results also highlight that psychological interventions that focus on the promotion of adaptive emotion regulation processes to deal
with adverse and stressful events should be developed and implemented in IBD patients芒�?�? health care.
