Cognitive change in patients undergoing hypnotherapy for irritable bowel syndrome

Gonsalkorale, Wendy M.; Toner, Brenda B.; Whorwell, Peter J.

doi:10.1016/s0022-3999(03)00076-x

Cited by 100 publications

(86 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…32 It is also assumed that hypnotherapy normalizes visceral sensation, decreases colonic phasic contractions, and reverses negative thoughts of IBS patients about their condition. [33][34][35] Although 3 more RCTs were added in this meta-analysis after the last systematic review, the number of included studies was too small to draw firm conclusions. The control groups varied somewhat between studies, from no treatment to supportive therapy; however, separate comparisons of the different control treatments were not conducted because of the limited number of included trials.…”

Section: Discussionmentioning

confidence: 99%

The Efficacy of Hypnotherapy in the Treatment of Irritable Bowel Syndrome: A Systematic Review and Meta-analysis

Lee

Choi

2014

J Neurogastroenterol Motil

View full text Add to dashboard Cite

Background/AimsHypnotherapy is considered as a promising intervention for irritable bowel syndrome (IBS), but the evidence is still limited. The aims of this study were to conduct a systematic review and meta-analysis to estimate the efficacy of hypnotherapy for the treatment of IBS. MethodsA literature search was performed using MEDLINE (PubMed), Embase, PsycINFO and the Cochrane Central Register of Controlled Trials (CENTRAL database). Only randomized controlled trials that compared hypnotherapy with any other conventional treatment or no treatment in patients with IBS were included. Studies had to report outcomes as IBS symptom score or quality of life. The mean change in outcome score was used to pool these outcomes for the meta-analysis. Data were synthesized using the standardized mean difference for continuous data. ResultsSeven randomized controlled trials (6 papers) involving 374 patients with IBS were identified. Performance bias was high in all trials because it was impossible to blind participants and therapists in this type of intervention. The outcomes in this meta-analysis were evaluated at 3 months for short-term effects and at 1 year for long-term effects. The change in abdominal pain score at 3 months was significant in the hypnotherapy group (standardized mean difference, -0.83; 95% CI, -1.65 to -0.01). Three of the 4 trials showed greater improvement in overall gastrointestinal symptoms in the hypnotherapy group. ConclusionsThis study provides clearer evidence that hypnotherapy has beneficial short-term effects in improving gastrointestinal symptoms of patients with IBS.

show abstract

Section: Discussionmentioning

confidence: 99%

The Efficacy of Hypnotherapy in the Treatment of Irritable Bowel Syndrome: A Systematic Review and Meta-analysis

Lee

Choi

2014

J Neurogastroenterol Motil

View full text Add to dashboard Cite

show abstract

“…[63][64][65][66] Working mechanisms of HT are still poorly understood, but outcomes of adult studies hypothesize that HT affects both physiologic processes, such as colonic motility and pain-processing brain regions, and psychological factors, such as stress and dysfunctional cognitions. [67][68][69] CBT aims to change attitudes, cognitions, and behavior that may play a role in generating or maintaining symptoms and is effective in improving pain and other IBS symptoms in adults. 70 Trials in children and adolescents also indicate beneficial effects of CBT, especially CBT-family, in improving pain and disability, and the effects seem to be long-lasting.…”

Section: Alternative Medicinementioning

confidence: 99%

Nonpharmacologic Treatment of Functional Abdominal Pain Disorders: A Systematic Review

et al. 2015

View full text Add to dashboard Cite

BACKGROUND AND OBJECTIVE: Various nonpharmacologic treatments are available for pediatric abdominal pain-related functional gastrointestinal disorders (AP-FGIDs). Data on efficacy and safety are scarce. The goal of this study was to summarize the evidence regarding nonpharmacologic interventions for pediatric AP-FGIDs: lifestyle interventions, dietary interventions, behavioral interventions, prebiotics and probiotics, and alternative medicine.METHODS: Searches were conducted of the Medline and Cochrane Library databases. Systematic reviews and randomized controlled trials (RCTs) concerning nonpharmacologic therapies in children (aged 3-18 years) with AP-FGIDs were included, and data were extracted on participants, interventions, and outcomes. The quality of evidence was assessed by using the GRADE approach.RESULTS: Twenty-four RCTs were found that included 1390 children. Significant improvement of abdominal pain was reported after hypnotherapy compared with standard care/wait-list approaches and after cognitive behavioral therapy compared with a variety of control treatments/wait-list approaches. Written self-disclosure improved pain frequency at the 6-month follow-up only. Compared with placebo, Lactobacillus rhamnosus GG (LGG) and VSL#3 were associated with significantly more treatment responders (LGG relative risk: 1.31 [95% confidence interval: 1.08 to 1.59]; VSL#3: P , .05). Guar gum significantly improved irritable bowel syndrome symptom frequency; however, no effect was found for other fiber supplements (relative risk: 1.17 [95% confidence interval: 0.75 to 1.81]) or a lactose-free diet. Functional disability was not significantly decreased after yoga compared with a wait-list approach. No studies were found concerning lifestyle interventions; gluten-, histamine-, or carbonic acid-free diets; fluid intake; or prebiotics. No serious adverse effects were reported. The quality of evidence was found to be very low to moderate. CONCLUSIONS:Although high-quality studies are lacking, some evidence shows efficacy of hypnotherapy, cognitive behavioral therapy, and probiotics (LGG and VSL#3) in pediatric AP-FGIDs. Data on fiber supplements are inconclusive.

show abstract

“…Such a process is likely involved in the activation of the anterior cingulate cortex during subliminal and supraliminal stimulation [50] . Moreover, hypnotherapy is effective in IBS and, although the underlying mechanism is unknown [51] , it might be hypothesized that it operates partly through a change in preconscious appraisal of internal events [52,53] .…”

Section: Discussionmentioning

confidence: 99%

Constructive thinking, rational intelligence and irritable bowel syndrome

Rey¹,

Ortega²,

Alonso³

et al. 2009

WJG

View full text Add to dashboard Cite

AIM:To evaluate rational and experiential intelligence in irritable bowel syndrome (IBS) sufferers. METHODS:We recruited 100 subjects with IBS as per Rome Ⅱ criteria (50 consulters and 50 non-consulters) and 100 healthy controls, matched by age, sex and educational level. Cases and controls completed a clinical questionnaire (including symptom characteristics and medical consultation) and the following tests: rationalintelligence (Wechsler Adult Intelligence Scale, 3rd edition); experiential-intelligence (Constructive Thinking Inventory); personality (NEO personality inventory); psychopathology (MMPI-2), anxiety (state-trait anxiety inventory) and life events (social readjustment rating scale). Analysis of variance was used to compare the test results of IBS-sufferers and controls, and a logistic regression model was then constructed and adjusted for age, sex and educational level to evaluate any possible association with IBS. RESULTS:No differences were found between IBS cases and controls in terms of IQ (102.0 ± 10.8 vs 102.8 ± 12.6), but IBS sufferers scored significantly lower in global constructive thinking (43.7 ± 9.4 vs 49.6 ± 9.7). In the logistic regression model, global constructive thinking score was independently linked to suffering from IBS ], without significant OR for total IQ. CONCLUSION:IBS subjects do not show lower rational intelligence than controls, but lower experiential intelligence is nevertheless associated with IBS.

show abstract

Cognitive change in patients undergoing hypnotherapy for irritable bowel syndrome

Cited by 100 publications

References 32 publications

The Efficacy of Hypnotherapy in the Treatment of Irritable Bowel Syndrome: A Systematic Review and Meta-analysis

The Efficacy of Hypnotherapy in the Treatment of Irritable Bowel Syndrome: A Systematic Review and Meta-analysis

Nonpharmacologic Treatment of Functional Abdominal Pain Disorders: A Systematic Review

Constructive thinking, rational intelligence and irritable bowel syndrome

Contact Info

Product

Resources

About