06/11/07 04:21 PM
Barriers to Mind-Body Medicine for IBS

Explore (NY). 2007 Mar-Apr;3(2):129-35. Related Articles, Links

Use of mind-body therapies in psychiatry and family medicine faculty and residents: attitudes, barriers, and gender differences.

Sierpina V, Levine R, Astin J, Tan A.

University of Texas Medical Branch, Galveston, TX 77555-1123, USA. vssierpi@utmb.edu

A recent study in Digestion & Liver Disease noted that mind-body medicine (MBM) approaches to many health problems have been well documented in the literature, and efficacy has been well demonstrated in conditions such as irritable bowel syndrome. However, an apparent disconnect prevents more widespread adoption of such therapies into practice. Biofeedback, relaxation therapy, hypnosis, guided imagery, cognitive behavioral therapy, and psychoeducational approaches are the domain of MBM they examined in assessing physician attitudes, beliefs, and practices.

They found substantial reports that barriers to the use of MBM were largely based on lack of training, inadequate expertise, and insufficient clinic time. There was a high interest in both groups in learning relaxation techniques and meditation and lower interest in biofeedback and hypnosis.

Female physicians were significantly more likely to use MBM, both with patients and for their own self-care, and were less likely to be concerned that recommending these therapies would make patients feel that their symptoms were being discounted. Female physicians also had significantly higher beliefs about the benefits of MBM on health disorders in several of the conditions examined.


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