A preliminary investigation of the effects of cognitive behavioral therapy for panic disorder on gastrointestinal distress in patients with comorbid panic disorder and irritable bowel syndrome

Grös, Daniel F.; Antony, Martin M.; McCabe, Randi E.; Lydiard, R. Bruce

doi:10.1002/da.20863

Cited by 7 publications

(3 citation statements)

References 43 publications

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“…The results showed that the CBSM effectively reduced negative moods (depression and anxiety) in IBS patients. This finding is consistent with Kennedy et al (32) and Gros et al (33). To adjust to their conditions, patients experience changes in daily activities, somatic reactions such as sleep disturbance, and thinking or emotions.…”

Section: Discussionsupporting

confidence: 91%

Effectiveness of Cognitive-Behavioral Stress Management for Depression, Anxiety, Cognitive Emotion Regulation, and Quality of Life in Patients with Irritable Bowel Syndrome: A Quasi-experimental Study

Jafari

Sabahi

Jahan

et al. 2022

Jundishapur J Chronic Dis Care

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Background: Irritable bowel syndrome (IBS) symptoms increase with aggravating psychological factors such as anxiety, mood disorders, depression, and stress caused by nerve stimulation. Effective psychotherapy-based interventions are essential for medical conditions and chronic diseases. Objectives: The present study aimed to investigate the effectiveness of cognitive-behavioral stress management (CBSM) for depression, anxiety, cognitive emotion regulation (CER), and quality of life (QoL) in IBS patients. Methods: This quasi-experimental study utilized a pretest-posttest design with a control group. The statistical population comprised all IBS patients visiting Be'sat Gastroenterology Specialist Clinic of Tehran in 2019. A sample of 50 patients was selected and randomly divided into intervention (CBSM, n = 25) and control (n = 25) groups. The experimental group underwent eight sessions (90-minute sessions per week) of CBSM, and the control group did not receive any intervention. The research instruments included the Cognitive Emotion Regulation Questionnaire (CERQ), the State-Trait Anxiety Inventory (STAI), the SF-36 Questionnaire (SF-36), and the Beck Depression Inventory (BDI-II). Multivariate analysis of covariance was used to analyze data. Results: The participants included 50 IBS patients aged 36.39 ± 7.45 years. The mean posttest scores for depression and anxiety were 24.70 ± 2.34 and 23.80 ± 2.88 in the experimental group and 29.73 ± 2.76 and 29.43 ± 2.77 in the control groups, respectively. The mean posttest score of QoL in the experimental group was 105.93 ± 7.85, which was significantly different from the control group score (92.03 ± 8.39). The CBSM was effective in reducing negative mood (depression and anxiety) and CER and improving QoL of IBS patients (P < 0.001). Conclusions: The CBSM is a practical therapeutic approach to increase QoL and reduce negative mood in IBS patients. Therefore, the CBSM can be used as an effective intervention to improve the QoL of IBS patients.

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Section: Discussionsupporting

confidence: 91%

Effectiveness of Cognitive-Behavioral Stress Management for Depression, Anxiety, Cognitive Emotion Regulation, and Quality of Life in Patients with Irritable Bowel Syndrome: A Quasi-experimental Study

Jafari

Sabahi

Jahan

et al. 2022

Jundishapur J Chronic Dis Care

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“…High comorbidity between IBS and PD has been identified in the literature [3, 17, 38]. The prevalence of IBS symptoms characteristics in patients with PD varies between 25 to 44%, several symptoms being characteristic of the two disorders (nausea, diarrhea, abdominal discomfort) [39–42].…”

Section: Reviewmentioning

confidence: 99%

The relationship between irritable bowel syndrome and psychiatric disorders: from molecular changes to clinical manifestations

et al. 2014

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Irritable bowel syndrome (IBS) is a functional syndrome characterized by chronic abdominal pain accompanied by altered bowel habits. Although generally considered a functional disorder, there is now substantial evidence that IBS is associated with a poor quality of life and significant negative impact on work and social domains. Neuroimaging studies documented changes in the prefrontal cortex, ventro-lateral and posterior parietal cortex and thalami, and implicate alteration of brain circuits involved in attention, emotion and pain modulation. Emerging data reveals the interaction between psychiatric disorders including generalized anxiety disorder, panic disorder, major depressive disorder, bipolar disorder, and schizophrenia and IBS, which suggests that this association should not be ignored when developing strategies for screening and treatment. Psychological, social and genetic factors appear to be important in the development of IBS symptomatology through several mechanisms: alteration of HPA axis modulation, enhanced perception of visceral stimuli or psychological vulnerability. Elucidating the molecular mechanisms of IBS with or without psychiatric comorbidities is crucial for elucidating the pathophysiology and for the identification of new therapeutical targets in IBS.

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“…Furthermore, the contents of intervention were self-monitoring and group work activities focused on lifestyle. Some studies [32][33][34][35] investigated the effects of self-monitoring focused on the emotions and feelings of the subjects, but we intervened in the lifestyles of the subjects using the self-monitoring method because we revealed a relationship between disordered lifestyles and IBS in our previous studies [6,7]. This study was the first to investigate the effects of lifestyle self-monitoring on the symptoms of IBS.…”

Section: Discussionmentioning

confidence: 97%

A randomized controlled trial of lifestyle self-monitoring for irritable bowel syndrome in female nursing school students

Okami¹,

Nin²,

Harada³

et al. 2013

OJGas

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Background: The aim of this study was to verify the efficacy of lifestyle self-monitoring for the improvement of the IBS and reveal what has been changed due to the intervention. Methods: A total of 111 nursing school students were randomized into three groups, two intervention groups (a two-month intervention group, n = 34, and a four-month intervention group, n = 35) and a control group (n = 34). The intervention groups conducted lifestyle self-monitoring in conjunction with a 15-minutes group work for either two or four months. The primary outcome measure was Rome II criteria for IBS. Other outcome measures were the Hospital Anxiety and Depression Scale (HADS) and the Gastrointestinal Symptom Rating Scale (GSRS). They were assessed at the baseline and the end of both of the intervention periods. Analysis was conducted as intention-to-treat. Results: The prevalence of IBS did not change significantly after the intervention in any of the groups. The HAD-A score, a subscale of the HADS score for anxiety, decreased 1.4 points in the two-month intervention group (p = 0.02) and 2.3 points in the four-month intervention group of (p = 0.01) after intervention. The average GSRS decreased 0.2 points in the control group (p = 0.05) and 0.3 points in the four-month intervention group (p < 0.01). Conclusions: Lifestyle self-monitoring for two or four months did not reduce the prevalence of the IBS significantly, but it did decrease anxiety and improved the QOL related to gastrointestinal symptoms in female nursing school students.

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A preliminary investigation of the effects of cognitive behavioral therapy for panic disorder on gastrointestinal distress in patients with comorbid panic disorder and irritable bowel syndrome

Abstract: Although additional research still is needed, these preliminary findings suggest that CBT for PD/A can be used to simultaneously treat comorbid symptoms of PD/A and IBS. Implications for the neurobiological models for these comorbid conditions were discussed.

Cited by 7 publications

References 43 publications

Effectiveness of Cognitive-Behavioral Stress Management for Depression, Anxiety, Cognitive Emotion Regulation, and Quality of Life in Patients with Irritable Bowel Syndrome: A Quasi-experimental Study

Effectiveness of Cognitive-Behavioral Stress Management for Depression, Anxiety, Cognitive Emotion Regulation, and Quality of Life in Patients with Irritable Bowel Syndrome: A Quasi-experimental Study

The relationship between irritable bowel syndrome and psychiatric disorders: from molecular changes to clinical manifestations

A randomized controlled trial of lifestyle self-monitoring for irritable bowel syndrome in female nursing school students

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