O62 Which patients are most likely to benefit from gut-directed hypnotherapy for refractory irritable bowel syndrome?

Editorial: Can we predict or not predict response to hypnotherapy? That is the question. Authors' reply

“…Lövdahl and Törnblom also highlighted the need for future studies in patients with less severe IBS 1 . They pointed out, correctly, that a high proportion of the patients included in our tertiary care study had severe IBS 2 . We also agree with their assertion that the degree of illness complexity and functional limitation are important factors, which should be taken into consideration in future studies.…”

“…We also agree with their assertion that the degree of illness complexity and functional limitation are important factors, which should be taken into consideration in future studies. Indeed, our data suggest that patients with severe IBS were more likely to achieve abdominal pain response, especially within the 12‐session group, 2 suggesting that a more personalised and intensive approach may be necessary in those with more debilitating symptoms. In contrast, patients with less severe IBS do not necessarily do so well with hypnosis.…”

Gut-Directed Hypnotherapy May Pose Specific Challenges in Gender-Diverse Patients: A Review of 3 Patients

“…3 Indeed, recent research suggests that patients with higher baseline depression are less likely to experience improvements in pain with GDH, and patients with greater anxiety and/or lower quality of life at baseline are more likely to drop out. 13 Given the high rates of both discrimination and mental health concerns in individuals who identify as transgender or gender diverse, it is likely that for these patients, shared decision making is particularly important. 14 It is possible that patients who self-identify as transgender or gender diverse and who are actively experiencing gender dysphoria may have better outcomes with individual therapy, including engaging in other evidence-based brain-gut behavior therapies or working first with a therapist who specializes in gender-related concerns.…”

Treating disorders of brain–gut interaction with multidisciplinary integrated care. Moving towards a new standard of care

“…Network meta-analysis indicate that self-administered or minimal-contact CBT, face-to-face CBT, and gut-directed hypnotherapy have the best evidence of efficacy, 41 improving outcomes in up to three-quarters of sufferers. 42 Treatments can be effectively delivered individually or in a group setting. 43 More formal involvement of a psychiatrist in the multidisciplinary team may also be warranted.…”