Abstract Background Inflammatory bowel disease (IBD) is a chronic condition usually diagnosed at a young age and is associated with high rates of hospitalization, surgery, anxiety, and depression. Throughout the disease course, patients face multiple challenges that can negatively affect quality of life, disability, and their sense of hope. Hope is a fundamental spiritual and psychosocial need, that enables patients to envision a meaningful future despite illness, uncertainty, or physical limitations. Several scales exist to measure it in the setting of chronic diseases and understanding it is essential to improving patient-centred care and guiding supportive interventions. This review aims to map, analyse, and describe the concept of hope in adults with IBD in the national and international literature, using the Joanna Briggs Institute methodology. Methods We conducted a systematic review including studies describing hope according to the eligibility criteria: adults (men and women, aged 18 years or older) in outpatient, hospital, or day hospital settings with inflammatory bowel disease. The databases searched were PubMed, CINAHL complete (by EBSCO), JBI Database of Systematic Reviews and Implementation Reports; Cochrane Library, including Cochrane Database of Systematic Reviews (CDSR), Cochrane Central Register of Controlled Trials (CENTRAL), Database of Abstracts of Reviews of Effects (DARE) ; PsycINFO and PROSPERO- International prospective register of systematic reviews, as at November 2024. All reasons for the inclusion and exclusion of sources of evidence in the full text were recorded and reported in a PRISMA flow diagram. After the search, all identified citations were grouped and stored in RAYYAN. Results A total of 5, 866 publications were identified, 45 articles published between 1991 and 2024 were read in full, resulting in the inclusion of 7 final articles. The information obtained from the selected articles was grouped into cognitive coping processes and spiritual well-being. The articles discuss cognitive, emotional strategies, and positive attitudes as coping mechanisms that can reduce feelings of frustration, depression, and negative emotions, and hypothesize that these strategies encourage feelings of challenge, hope and quality of life. They also address the relationship between spiritual well-being and mental health, assessing emotions such as anxiety, sadness, frustration, anger, and hopelessness. Conclusion Hope is an understudies topic in the setting of IBD. Further studies are needed to understand and establish a relationship between hope and the outcomes reported by patients with IBD regarding their disease, progression, psychological and spiritual impact. References: 1. Torres J, Mehandru S, Colombel JF, Peyrin-Biroulet L. Crohn’s disease. The Lancet Internet. 2017 citado 27 de agosto de 2024;389 (10080): 1741–55. Disponível em: https: //www. thelancet. com/journals/lancet/article/PIIS0140-6736 (16) 31711-1/fulltext 2. Chester MA, Keefer L. Beyond Depression and Anxiety in Inflammatory Bowel Diseases: Forging a Path Toward Emotional Healing. Off J Am Coll Gastroenterol ACG Internet. maio de 2025 citado 17 de novembro de 2025;120 (5): 999. Disponível em: https: //journals. lww. com/ajg/abstract/2025/05000/beyonddepressionₐndₐnxietyᵢnᵢnflammatory. 16. aspx 3. Peters MD, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil H. Scoping reviews. Em: Aromataris E, Lockwood C, Porritt K, Pilla B, Jordan Z, editores. JBI Manual for Evidence Synthesis Internet. JBI; 2024 citado 28 de agosto de 2024. Disponível em: https: //jbi-global-wiki. refined. site/space/MANUAL/355862497/10. +Scoping+reviews 4. Brennan SE, Munn Z. PRISMA 2020: a reporting guideline for the next generation of systematic reviews. JBI Evid Synth Internet. 2021 citado 19 de março de 2025;19 (5): 906–8. Disponível em: https: //journals. lww. com/jbisrir/fulltext/2021/05000/prisma₂020_ₐᵣeportingguidelineforₜheₙext. 1. aspx Conflict of interest: Guedes, Ana: No conflict of interest Santos, Joana: No conflict of interest Teixeira, Flávia: No conflict of interest Tinoco da Silva Torres, Joana: Grant: Abbvie, Janssen Personal Fees: Pfizer, Janssen, Abbvie, Sandoz, Lilly, Sanofi, Takeda Non-financial Support: Janssen, Abbvie Capelas, Manuel Luís: No conflict of interest Charepe, Zaida: No conflict of interest
Guedes et al. (Thu,) studied this question.