Self-Administered Cognitive Behavior Therapy for Moderate to Severe Irritable Bowel Syndrome: Clinical Efficacy, Tolerability, Feasibility

Lackner, Jeffrey M.; Jaccard, James; Krasner, Susan S.; Katz, Leonard; Gudleski, Gregory D.; Holroyd, Kenneth A.

doi:10.1016/j.cgh.2008.03.004

Cited by 155 publications

(143 citation statements)

References 30 publications

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“…Lackner et al [35] United States 75 CBT Lackner et al [42] United States 71 CBT Reme et al [43] United States 149 CBT CBT: Cognitive-behavioral therapy. Table 2 Randomized controlled trials reviewed by Ford et al [2] (not including the trials described in Table 1) Ref.…”

Section: Country Sample Size Psychological Therapy Usedmentioning

confidence: 99%

“…On the whole, IBS patients have been reported to have more psychological disturbance than control groups with organic gastrointestinal disease or general populations [24] . There is an increasing evidence for the effectiveness of CBT in alleviating the physical and psychological symptoms of IBS [2,25,34,35] and it has thus been recommended as a treatment option for the syndrome [17,19] . CBT has matured into a creative and rigorous synergy from empirical evidence and clinical innovation [36] .…”

Section: Cbt and Application To Ibsmentioning

confidence: 99%

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Cognitive-behavioral therapy for the management of irritable bowel syndrome

Tang

Lin

Zhang

2013

WJG

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Irritable bowel syndrome (IBS) is a common disorder, reported to be found in 5%-20% of the general population. Its management accounts for up to 25% of a gastroenterologist's workload in the outpatient department, and the main symptoms are abdominal pain, bloating, and altered bowel habits. Despite a great amount of available pharmacological treatments aimed at a wide variety of gastrointestinal and brain targets, many patients have not shown adequate symptom relief. In recent years, there has been increasing evidence to suggest that psychological treatments, in particular cognitive-behavioral therapy (CBT), are effective for the management of IBS. This review discusses CBT for the management of IBS. CBT has proved to be effective in alleviating the physical and psychological symptoms of IBS and has thus been recommended as a treatment option for the syndrome. Core tip: There is increasing evidence to suggest that cognitive-behavioral therapy (CBT) is effective for the management of irritable bowel syndrome (IBS). CBT can alleviate the physical and psychological symptoms of IBS, and has thus been recommended as a treatment option for the syndrome.Tang QL, Lin GY, Zhang MQ. Cognitive-behavioral therapy for the management of irritable bowel syndrome.

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Section: Country Sample Size Psychological Therapy Usedmentioning

confidence: 99%

Section: Cbt and Application To Ibsmentioning

confidence: 99%

Cognitive-behavioral therapy for the management of irritable bowel syndrome

Tang

Lin

Zhang

2013

WJG

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“…CBT has been found to be effective in hospital patients with IBS, however recent trials have reported equivocal results 55,56 . A number of clinical trials support the efficacy of CBT when administered over multiple (weekly) sessions by trained therapists in tertiary care settings 57,58 -the outcomes include improvement in key gastrointestinal symptoms (pain, bowel dysfunction), quality of life 59 , and psychological distress 60 . CBT has practical limitations (high cost, shortage of adequately trained therapists, long waiting lists, time requirements) that hamper its clinical utility.…”

Section: Cognitive Behavioral Therapymentioning

confidence: 99%

Psychological Aspects and Psychotherapy of Inflammatory Bowel Diseases and Irritable Bowel Syndrome in Children

Praško¹,

Jelenová²,

Mihál³

2010

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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“…25 No 3: 359-366 from 8 to 20 sessions), and can be combined with behavioral interventions such as encouraging patients to engage in activities that counter the disability associated with the bowel disorder [46]. Almost all studies published so far showed that CBT is efficient: it reduces the bowel symptom score, improves the QoL [29,46,47] and also help patients to better cope with their chronic illness [48]. In general, most studies were smallto-medium-sized trials and most small studies may not have been adequately powered [46].…”

Section: How Do Cbt and Gut-directed Hypnosis Work?mentioning

confidence: 99%

Psychological Interventions for Irritable Bowel Syndrome

Surdea-Blaga

Băban

Nedelcu

et al. 2016

JGLD

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Irritable bowel syndrome (IBS) patients often present psychoform symptoms or psychiatric disorders. Among the psychological factors studied in IBS patients, two seem to influence mostly its severity: catastrophizing and somatization. Somatization is an independent risk factor for IBS. In addition, somatization more than the severity of IBS influences the way the patients perceive their illness, the outcome and the efficacy of treatment. Irritable bowel syndrome patients demonstrate greater catastrophizing scores than controls, and pain catastrophizing is a significant predictor of gastrointestinal symptoms related to pain. In this context we analysed the data regarding the efficacy of two psychological treatments in IBS: cognitive behavioral therapy and hypnosis. Cognitive behavioral therapy is focused on replacing maladaptive coping strategies with more positive cognitions and behaviors. Several studies showed that cognitive behavioral therapy is effective in reducing bowel symptoms in IBS, both post-treatment and short-term follow-up. Gut-directed hypnotherapy has beneficial short-term effects in improving gastrointestinal symptoms of patients with IBS, and the results are maintained after one year in half of the patients. Psychological treatments are a suitable option for selected IBS patients. Abbreviations: CBT: Cognitive Behavioral Therapy; FGIDs: functional gastrointestinal disorders; GDH: Gut-Directed Hypnotherapy; GI: gastrointestinal; HRQoL: health related quality of liffe; IBS: irritable bowel syndrome; ICBT: Internet-delivered CBT; ISM: Internet-delivered Stress Management; NNT: number needed to treat; PROs: Patient-reported outcomes; QoL: Quality of Life; SD: Somatization Disorders; SMT: Supportive Medical Treatment.

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Self-Administered Cognitive Behavior Therapy for Moderate to Severe Irritable Bowel Syndrome: Clinical Efficacy, Tolerability, Feasibility

Abstract: Data from this pilot study lend preliminary empirical support to a brief patient-administered CBT regimen capable of providing short-term relief from IBS symptoms largely unresponsive to conventional therapies.

Cited by 155 publications

References 30 publications

Cognitive-behavioral therapy for the management of irritable bowel syndrome

Cognitive-behavioral therapy for the management of irritable bowel syndrome

Psychological Aspects and Psychotherapy of Inflammatory Bowel Diseases and Irritable Bowel Syndrome in Children

Psychological Interventions for Irritable Bowel Syndrome

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