Short-term and Long-term Efficacy of Psychological Therapies for Irritable Bowel Syndrome: A Systematic Review and Meta-analysis

Laird, Kelsey T.; Tanner‐Smith, Emily E.; Russell, Alexandra; Hollon, Steve D.; Walker, Lynn S.

doi:10.1016/j.cgh.2015.11.020

Cited by 119 publications

(84 citation statements)

References 63 publications

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“…Areas that have been extensively explored are cardiovascular [120,161,162,163,164,165], gastrointestinal [166], pulmonary [167], neurological disorders [168], chronic pain [169,170], diabetes [171,172], HIV/AIDS [173,174], and cancer [175,176,177]. These interventions may improve lifestyle and self-management, coping, quality of life, distress (especially depression and anxiety), course of physical illness, treatment adherence, and reduction in utilization of medical services [157,158,159,160,161,162,163,164,165,166,167,168,169,170,171,172,173,174,175,176,177]. Dealing with the psychological distress of family caregivers is another important area of action [178].…”

Section: Integration Of Psychological Care Into Medical Treatmentmentioning

confidence: 99%

Current Psychosomatic Practice

Fava

Cosci²,

Sonino³

2016

Psychother Psychosom

254

317

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Psychosomatic research has advanced over the past decades in dealing with complex biopsychosocial phenomena and may provide new effective modalities of patient care. Among psychosocial variables affecting individual vulnerability, course, and outcome of any medical disease, the role of chronic stress (allostatic load/overload) has emerged as a crucial factor. Assessment strategies include the Diagnostic Criteria for Psychosomatic Research. They are presented here in an updated version based on insights derived from studies carried out so far and encompass allostatic overload, type A behavior, alexithymia, the spectrum of maladaptive illness behavior, demoralization, irritable mood, and somatic symptoms secondary to a psychiatric disorder. Macroanalysis is a helpful tool for identifying the relationships between biological and psychosocial variables and the individual targets for medical intervention. The personalized and holistic approach to the patient includes integration of medical and psychological therapies in all phases of illness. In this respect, the development of a new psychotherapeutic modality, Well-Being Therapy, seems to be promising. The growth of subspecialties, such as psychooncology and psychodermatology, drives towards the multidisciplinary organization of health care to overcome artificial boundaries. There have been major transformations in health care needs in the past decades. From psychosomatic medicine, a land of innovative hypotheses and trends, many indications for changes in the current practice of medicine are now at hand. The aim of this critical review is to outline current and potential clinical applications of psychosomatic methods.

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Section: Integration Of Psychological Care Into Medical Treatmentmentioning

confidence: 99%

Current Psychosomatic Practice

Fava

Cosci²,

Sonino³

2016

Psychother Psychosom

254

317

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“…Patients often interpret a mental health referral as an indication that the gastroenterologist believes they are "crazy," malingering, or that the symptoms are "all in their head." Thus, the clinician should explicitly state that she/he believes that the patient's symptoms are real and that a growing body of rigorous scientific evidence supports the efficacy of behavioral treatments for improving GI symptoms, emotional well-being, and daily functioning in IBS [76][77][78][79] . If appropriate, the physician may emphasize that while behavioral treatment may not eliminate GI symptoms, psychotherapy is useful for learning strategies to cope with stress -including the stress of a chronic illness such as IBS.…”

Section: Referring Patients To a Mental Health Professionalmentioning

confidence: 99%

“…A variety of psychological therapies have been developed for IBS, and multiple meta-analyses support their efficacy [77][78][79] . The majority of research has been conducted on CBT, which aims to teach patients practical cognitive and behavioral techniques for managing IBS symptoms and related distress.…”

Section: Referring Patients To a Mental Health Professionalmentioning

confidence: 99%

“…The majority of research has been conducted on CBT, which aims to teach patients practical cognitive and behavioral techniques for managing IBS symptoms and related distress. A recent meta-analysis found no significant difference in the efficacy of three major therapeutic modalities (CBT, hypnosis, and relaxation) for reducing GI symptoms 78 . However, CBT appears more effective than other psychological modalities at improving daily functioning 79 .…”

Section: Referring Patients To a Mental Health Professionalmentioning

confidence: 99%

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Screening for psychosocial factors in patients with irritable bowel syndrome

Laird¹,

Lackner²

2022

NGL

Self Cite

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Psychosocial factors play a prominent role in both the onset and expression of irritable bowel syndrome (IBS) symptoms -particularly among those individuals who consult gastroenterologists. Although many patients with IBS respond to conventional medical or dietary treatment, outcomes are less positive for patients with severe gastrointestinal (GI) symptoms and/or significant psychosocial problems. Routine screening of IBS patients attending a GI outpatient clinic can be helpful for identifying those individuals who are less likely to respond to conventional therapy. Practical recommendations for screening procedures and referrals to mental health professionals are discussed.

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“…Various psychological and behavioral treatments for IBS have been tested [9, 10]. Relaxation training (RT)—including progressive muscle relaxation, relaxed breathing, and guided imagery—directly reduces the physiological arousal and negative emotions that contribute to IBS symptoms.…”

Section: Introductionmentioning

confidence: 99%

Ambivalence over emotional expression and perceived social constraints as moderators of relaxation training and emotional awareness and expression training for irritable bowel syndrome

Holmes

Thakur

Carty

et al. 2018

General Hospital Psychiatry

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Objective Psychological treatments are generally beneficial for patients with irritable bowel syndrome (IBS), but patients’ responses vary. A prior randomized controlled trial found that both relaxation training (RT) and emotional awareness and expression training (EAET) were superior to a waitlist control condition for IBS symptoms, quality of life, depression, and anxiety among IBS patients [1]. Method We conducted secondary analyses on these data to examine potential moderators of treatment outcomes. Baseline measures of patients’ ambivalence over emotional expression and perceived social constraints, which have been hypothesized to influence some treatments, were tested as possible moderators of the effects of RT and EAET, compared to the control condition. Results Results indicated that these variables moderated the effects of RT but not EAET. The benefits of RT occurred for patients who reported higher ambivalence over emotional expression or perceived social constraints, whereas the benefits of EAET were not influenced by these factors. Conclusion These findings suggest that RT might be particularly helpful for people who tend to avoid emotional disclosure and expression, supporting the possible benefit of targeting treatments to patient characteristics and preferences, whereas EAET might be helpful for a broader range of patients with IBS.

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Short-term and Long-term Efficacy of Psychological Therapies for Irritable Bowel Syndrome: A Systematic Review and Meta-analysis

Abstract: Psychological therapies reduce GI symptoms in adults with IBS. These effects remained significant and medium in magnitude after short-term and long-term follow-up periods.

Cited by 119 publications

References 63 publications

Current Psychosomatic Practice

Current Psychosomatic Practice

Screening for psychosocial factors in patients with irritable bowel syndrome

Ambivalence over emotional expression and perceived social constraints as moderators of relaxation training and emotional awareness and expression training for irritable bowel syndrome

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