All Boards >> Irritable Bowel Syndrome Research Library

View all threads Posts     Flat     Threaded

Cognitive Behavior Therapy Improves Symptoms in Irritable Bowel Syndrome
      09/13/07 12:32 PM
HeatherAdministrator

Reged: 12/09/02
Posts: 7795
Loc: Seattle, WA

Cognitive Behavior Therapy Improves Symptoms in Irritable Bowel Syndrome

By Michelle Rizzo

NEW YORK (Reuters Health) Sept 11 - Cognitive behavior therapy (CBT) has a direct effect on overall improvement of gastrointestinal symptoms in patients with irritable bowel syndrome (IBS), independent of its effects on distress, results of a study published in the August issue of Gastroenterology suggest. Improvement in IBS symptoms is linked to improvements in the quality of life, which may lower distress.

"Although multiple clinical trials support the efficacy of psychological treatments for reducing IBS symptoms, the mechanisms responsible for symptomatic improvement are unknown," Dr. Jeffrey M. Lackner, of the University at Buffalo, State University of New York, and colleagues write.

In the current study, the researchers examined 147 patients who were randomly assigned to CBT, psychoeducation, or placement on a wait list. The primary end point was the global improvement of GI symptoms. These were measured 2 weeks after a 10-week regimen. Secondary end points included distress and quality of life.

Results showed that CBT was associated with improvements in IBS symptoms. The therapeutic gains did not depend on changes in the patients' overall level of psychological distress. Treatment outcome was moderated by symptom severity, but not clinical status or sociodemographic factors.

"A non-drug behavioral self-management program (CBT) significantly improved primary symptoms of IBS (abdominal pain, diarrhea, and/or constipation), and...these improvements in gut symptoms did not occur because patients became less distressed," Dr. Lackner told Reuters Heath. "Instead, the reduction of distress was a result of their actual improvement in physical symptoms. These findings are impressive because they were found in some of the most challenging, complex patients who were severely affected by IBS symptoms and are more disrupted by them."

"We also found that there was a 'reciprocal' relationship between improvement in distress and quality of life such that as CBT improved IBS symptoms, patients felt less distressed and that this reduction of distress improved the quality of life," Dr. Lackner said.

"The immediate implication is that patients who fail to respond to simple lifestyle changes like eliminating foods or medications should not grow hopeless but have confidence their condition is treatable," the author said. "They can learn practical, concrete skills to take control and reduce symptoms that affect millions of Americans and are a source of considerable health care cost and personal suffering."

Dr. Lackner said that while the results of their study are encouraging, "they are based on a program that requires weekly doctor visits over 10 weeks."

"The challenge is to develop patient-administered behavioral treatments that can be used effectively and efficiently outside of a clinic setting," he said. "This will appeal to patients who live outside the range of the few specialty clinics where CBT is available."

Gastroenterology 2007;133:433-444.

http://www.medscape.com/viewarticle/562701

--------------------
Heather is the Administrator of the IBS Message Boards. She is 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!

Print     Remind Me     Notify Moderator    

Entire thread
* 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
* Relaxation intervention improves symptoms, may help treat IBS, IBD
HeatherAdministrator
07/16/15 04:41 PM
* Is tummy trouble keeping your child out of school? It could be Irritable Bowel Syndrome.
HeatherAdministrator
09/25/13 12:56 PM
* Gut-directed hypnotherapy improves remission for Ulcerative Colitis
HeatherAdministrator
09/11/13 11:24 AM
* MP's support for pioneering IBS work by Michael Mahoney
HeatherAdministrator
04/18/13 05:42 PM
* Gut-directed group hypnotherapy improved quality of life in patients with IBS
HeatherAdministrator
03/18/13 01:22 PM
* Hypnosis effective in treating irritable bowels
HeatherAdministrator
04/06/12 11:14 AM
* Effects of Gut-Directed Hypnotherapy on IBS
HeatherAdministrator
10/21/11 12:53 PM
* Hypnosis as IBS health care quietly gains ground
HeatherAdministrator
08/22/11 12:59 PM
* Brain Imaging Illustrates How Meditation Reduces Pain
HeatherAdministrator
04/20/11 03:16 PM
* IBS Patient's Response To Hypnotherapy Can Be Predicted By Color Test
HeatherAdministrator
12/09/10 11:10 AM
* 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
* Hypnotherapy for IBS - systematic review of patients shows long-lasting symptom relief
HeatherAdministrator
11/24/09 01:09 PM
* 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

Extra information
0 registered and 5 anonymous users are browsing this forum.

Moderator:  Heather 



Permissions
      You cannot post until you login
      You cannot reply until you login
      HTML is enabled
      UBBCode is enabled

Thread views: 651029

Jump to

| Privacy statement Help for IBS Home

*
UBB.threads™ 6.2


McAfee SECURE sites help keep you safe from identity theft, credit card fraud, spyware, spam, viruses and online scams

HelpForIBS.com BBB Business Review