The effects of cognitive behavioral therapy in female nursing students with irritable bowel syndrome

Jang, Ae Lee; Hwang, Sun-Kyung; Kim, Dong Uk

doi:10.1097/meg.0000000000000140

Cited by 23 publications

(19 citation statements)

References 22 publications

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“…24 Data were collected 4 times from both the CBT and control groups: prior to CBT (baseline) and after 8, 16, and 24 weeks.…”

Section: Methodsmentioning

confidence: 99%

“…Individuals were excluded if they had a history of digestive or bowel surgery that may have caused similar symptoms; had an accompanying organic digestive disease that had the potential to affect their symptoms (eg, inflammatory bowel disease, lactose malabsorption, celiac disease, obstructive bowel disease, etc); had severe thyroid disease; had a serious mental disorder; used any drug that can affect bowel movements (eg, prokinetics, antispasmodics, digestive stimulants, antidiarrheal agents, antibiotics, antihistamines, laxatives, etc); or smoked. 24 Participants were assigned randomly to the CBT or control group using a random number generator (https:// www.randomizer.org/). When all study participants gave written consent, they were not informed of their group assignment and were told that those assigned to the control group would be offered the CBT program after the completion of the study.…”

Section: Participantsmentioning

confidence: 99%

“…24 They are also noted to be similar lifestyles such as school lives and food patterns. 24 IBS-C patients was focused on due to a unique pattern of HRV and GI symptoms. 5 IBS-C patients are known experience more severe upper GI symptoms and lower GI bloating than those with other subtypes of IBS, suggesting greater vagal mediation of afferent signals.…”

Section: Introductionmentioning

confidence: 99%

“…15,22,23 The mechanism by which CBT improves somatic symptoms is related to the regulation of brain-gut axis function. 15,22,24 HRV is an objective, noninvasive biomarker that reflects current ANS function correlated with IBS symptoms. Thus, HRV may supplement clinical decisions in IBS patients who undergo CBT.…”

Section: Introductionmentioning

confidence: 99%

“…24 Young females nursing students were selected because of the high prevalence of IBS in this population. 24 They are also noted to be similar lifestyles such as school lives and food patterns. 24 IBS-C patients was focused on due to a unique pattern of HRV and GI symptoms.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Effects of Cognitive Behavior Therapy on Heart Rate Variability in Young Females with Constipation-predominant Irritable Bowel Syndrome: A Parallel-group Trial

Jang

Hwang

Padhye

et al. 2017

J Neurogastroenterol Motil

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Background/AimsThe relation between heart rate variability (HRV) as non-invasive biomarkers of autonomic function and cognitive behavior therapy (CBT) as non-pharmacological treatments has rarely been examined in patients with constipation-predominant irritable bowel syndrome (IBS-C). The purpose of this study is to evaluate the efficacy of an 8-week CBT intervention on HRV and IBS symptoms, and the correlation of changes in HRV with changes in IBS symptoms among young female nursing students with IBS-C. MethodsThis study consisted of an exploratory subgroup analysis of 43 participants with IBS-C who had been randomly assigned to receive either 8 weeks of CBT (n = 23) or general medical information (control, n = 20). At baseline and 8, 16, and 24 weeks, participants completed a questionnaire assessing their gastrointestinal (GI) symptoms, anxiety, depression, and stress, and their HRV was measured via electrocardiography. ResultsAt the 8-week follow-up, the high-frequency (HF) power was significantly higher, and the low-frequency (LF)/HF ratio was lower in the CBT group than in the control group (P < 0.001 for both), and the severity of GI symptoms (P = 0.003), anxiety (P < 0.001), depression (P < 0.001), and stress (P < 0.001) was significantly lower in the CBT group than in the control group. Changes in the HF power were significantly and inversely associated with changes in GI symptoms, anxiety, depression, and stress at 16 and 24 weeks (P < 0.05 for all; range of r from -0.37 to -0.68). Changes in the LF/HF ratio were also significantly and positively associated with changes in GI symptoms, anxiety, depression, and stress at 16 and 24 weeks (P < 0.05 for all; range of r from 0.38 to 0.60). ConclusionsCBT was effective in managing symptoms in young IBS-C patients and the improvement of symptoms was sustained at 24 weeks following the completion of CBT. Furthermore, indirect measurement of autonomic function using HRV may be a useful objective parameter for assessing response to CBT in young IBS-C patients.

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“…24 Data were collected 4 times from both the CBT and control groups: prior to CBT (baseline) and after 8, 16, and 24 weeks.…”

Section: Methodsmentioning

confidence: 99%

Section: Participantsmentioning

confidence: 99%