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All Boards >> Irritable Bowel Syndrome Research Library

HeatherAdministrator

Reged: 12/09/02
Posts: 7671
Loc: Seattle, WA
At-Home Cognitive Therapy Relieves IBS Symptoms
      01/19/18 01:56 PM


Coverage from the

World Congress of Gastroenterology 2017

News > Conference News
At-Home Cognitive Therapy Relieves IBS Symptoms

Damian McNamara

January 15, 2018

ORLANDO — A self-administered protocol for cognitive behavioral therapy that requires minimal clinician contact can be just as effective at relieving the symptoms of irritable bowel syndrome (IBS) as traditional therapy delivered in a clinical setting, new research shows.

With this protocol, "for the most part, symptom improvement is sustained out to 3 months and 6 months," said investigator Jeffrey Lackner, PsyD, from the University of Buffalo School of Medicine in New York.

These findings — which received an American College of Gastroenterology Governors Award for Excellence in Clinical Research — suggest that home-based treatments could be used to relieve chronic constipation, diarrhea, bloating, gas, and other IBS symptoms in more patients without increasing clinician time or the use of healthcare resources.

In April 2017, the National Institute for Health and Care Excellence (NICE) in the United Kingdom updated its guidelines on the diagnosis and treatment of IBS in adults. Patients who continue to experience IBS symptoms despite at least 12 months of pharmacologic treatment should be referred for cognitive behavioral therapy, hypnotherapy, or psychological therapy, the guidelines state.
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"The problem is that only a small fraction of people receive cognitive therapy in accordance with practice guidelines," said Dr Lackner. Therefore, "there is a demand for treatments that maintain efficacy but are more efficient to implement."

"One strategy is to decrease therapist contact time using home-based treatments," he said here at the World Congress of Gastroenterology.

For their study, Dr Lackner and his colleagues randomized 438 adults with moderate to severe IBS, diagnosed using Rome III criteria, to four 1-hour sessions of self-administered therapy, 10 sessions of standard psychiatrist- or psychologist-led therapy, or four sessions of education only. They assessed symptom relief at 12 weeks, 3 months, and 6 months.
A Durable Response

Significantly more patients in the self-administered therapy group than in the education-only group responded to the intervention — defined as moderate or substantial improvement — at 12 weeks (67.8% vs. 46.2%; P < .05) and at 3 months (63.8% vs. 49.2%; P < .05). At 6 months, the difference did not meet the threshold for significance (63.2% vs 50.5%; P < .07).

Patients' self-reported improvements closely mirrored the global assessments of gastroenterologists blinded to group assignment. At 12 weeks, the clinicians identified as responders 63% of the patients in the self-administered therapy group and 43% of the education-only group. They also identified 60% of patients in the standard therapy group as responders.

"Cognitive behavior therapy appears to have an enduring effect that protects against relapse and recurrence in a sizable sample," Dr Lackner reported.

Continue reading...

https://www.medscape.com/viewarticle/891321

--------------------
Heather is the Administrator of the IBS Message Boards. She’s the author of Eating for IBS and The First Year: IBS, and the CEO of Heather's Tummy Care. Join her IBS Newsletter. Meet Heather on Facebook!

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Subject Posted by Posted on
* Hypnosis / Hypnotherapy/Cognitive-Behavioral Therapy HeatherAdministrator 07/14/03 01:52 PM
. * At-Home Cognitive Therapy Relieves IBS Symptoms HeatherAdministrator   01/19/18 01:56 PM
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. * Even The Most Severe Symptoms Rapidly Relieved By Self-Directed Behavioral IBS Treatment HeatherAdministrator   05/13/10 10:47 AM
. * Rapid Response to Cognitive Behavior Therapy Predicts Treatment Outcome in Patients With Irritable Bowel Syndrome HeatherAdministrator   03/11/10 01:55 PM
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. * Hypnotherapy relieves more than just IBS symptoms HeatherAdministrator   05/28/09 01:31 PM
. * Using art to help understand the imagery of irritable bowel syndrome and its response to hypnotherapy HeatherAdministrator   03/05/09 02:52 PM
. * Hypnotherapy for IBS HeatherAdministrator   09/26/08 03:06 PM
. * Gastroenterologists are calling for hypnotherapy to be used more widely in treating IBS HeatherAdministrator   07/16/08 01:36 PM
. * Irritable Bowel Syndrome Audio Program Celebrates 10 Years of Success HeatherAdministrator   05/08/08 11:05 AM
. * Mind/Body psychological treatments for irritable bowel syndrome HeatherAdministrator   03/14/08 10:31 AM
. * Hypnosis and behavioral therapy ease irritable bowel syndrome HeatherAdministrator   02/14/08 02:15 PM
. * Gut-Directed Hypnotherapy Effective for Persistent IBS in Children HeatherAdministrator   12/06/07 03:09 PM
. * Short- and long-term benefit of relaxation training for irritable bowel syndrome HeatherAdministrator   10/10/07 12:46 PM
. * Hypnotherapy significantly helps IBS in both men and women - but differently HeatherAdministrator   09/24/07 11:41 AM
. * Cognitive Behavior Therapy Improves Symptoms in Irritable Bowel Syndrome HeatherAdministrator   09/13/07 12:32 PM
. * How Does Cognitive Behavior Therapy for Irritable Bowel Syndrome Work? HeatherAdministrator   08/08/07 01:12 PM
. * Hypnotherapy for IBS HeatherAdministrator   07/17/07 12:23 PM
. * Barriers to Mind-Body Medicine for IBS HeatherAdministrator   06/11/07 04:21 PM
. * Hypnotherapy Called a Cure for Pediatric Irritable Bowel Syndrome HeatherAdministrator   05/23/07 02:56 PM
. * A Comparative Analysis of Clinical Outcomes in the Refractive IBS Patient vs. the Newly Diagnosed HeatherAdministrator   01/21/07 03:35 PM
. * Hypnosis eases irritable bowel syndrome HeatherAdministrator   10/26/06 11:08 AM
. * Biofeedback for Functional Constipation HeatherAdministrator   07/05/06 05:46 PM
. * Mind-Body Treatments Ease Irritable Bowel HeatherAdministrator   05/29/06 01:43 PM
. * Gut-directed hypnotherapy upon health-related quality of life in patients with IBS HeatherAdministrator   05/13/06 12:34 PM
. * Dutch Study on IBS Hypnotherapy for Children HeatherAdministrator   04/02/06 03:46 PM
. * Hypnotherapy an effective treatment for IBS HeatherAdministrator   10/11/05 01:24 PM
. * Biofeedback Helpful in Outlet Dysfunction Constipation HeatherAdministrator   09/01/05 11:26 AM
. * Hypnotherapy could be a useful treatment for irritable bowel syndrome in primary care HeatherAdministrator   11/08/04 04:26 PM
. * Cognitive-behavioral therapy, hypnosis can help soothe irritable bowel syndrome HeatherAdministrator   08/08/04 02:41 PM
. * Hypnosis May Help Non-Responsive Irritable Bowel Syndrome Patients HeatherAdministrator   04/27/04 08:32 PM
. * Hypnosis treatment for severe irritable bowel syndrome HeatherAdministrator   04/27/04 04:59 PM
. * The growing case for hypnosis as adjunctive therapy for functional gastrointestinal disorders HeatherAdministrator   03/09/04 11:42 AM
. * Neuroscience looks at tthe remarkable effects of meditation on the brain HeatherAdministrator   12/16/03 11:48 AM
. * Long term benefits of hypnotherapy for irritable bowel syndrome. HeatherAdministrator   11/04/03 02:57 PM
. * Hypnosis for IBS HeatherAdministrator   10/20/03 03:27 PM
. * Cognitive-Behavioral Therapy Vs. Education and Desipramine Vs. Placebo HeatherAdministrator   09/16/03 03:52 PM
. * Long-term improvement in functional dyspepsia using hypnotherapy. HeatherAdministrator   07/18/03 12:46 PM
. * Hypnotherapy in irritable bowel syndrome: a large-scale audit HeatherAdministrator   07/15/03 06:27 PM
. * Overview of Published Research To Date on Hypnosis for IBS HeatherAdministrator   07/14/03 03:32 PM

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