A course of instruction for women with irritable bowel syndrome

Bengtsson, Mariette; Ulander, Kerstin; Börgdal, Elisabet Bergh; Christensson, Ann-Christine; Ohlsson, Bodil

doi:10.1016/j.pec.2005.06.015

Cited by 28 publications

(30 citation statements)

References 47 publications

(50 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…On returning, the practitioner "removed" the placebo needles and exchanged a few words of encouragement. Specific cognitive and behavioural interventions that might be beneficial for irritable bowel syndrome (such as relaxation, 16 cognitive behavioural therapy, 17 or education/counselling 18 ) were not allowed.…”

Section: Group 3 (Augmented Interaction)mentioning

confidence: 99%

Components of placebo effect: randomised controlled trial in patients with irritable bowel syndrome

Kaptchuk

Kelley

Conboy

et al. 2008

BMJ

1,028

803

View full text Add to dashboard Cite

Objective To investigate whether placebo effects can experimentally be separated into the response to three components-assessment and observation, a therapeutic ritual (placebo treatment), and a supportive patient-practitioner relationship-and then progressively combined to produce incremental clinical improvement in patients with irritable bowel syndrome. To assess the relative magnitude of these components.

show abstract

Section: Group 3 (Augmented Interaction)mentioning

confidence: 99%

Components of placebo effect: randomised controlled trial in patients with irritable bowel syndrome

Kaptchuk

Kelley

Conboy

et al. 2008

BMJ

1,028

803

View full text Add to dashboard Cite

show abstract

“…Subsequent normalisation of their HRQOL at follow-up might be due to adequate treatment, receiving a diagnosis and information about the nature of their disease, or being taken care of. Bengtsson et al [46] have shown that being taken care of, and information/education, improves women's quality of life when suffering from functional diseases.…”

Section: Discussionmentioning

confidence: 99%

Posterior laryngitis: a disease with different aetiologies affecting health-related quality of life: a prospective case–control study

Pendleton

Ahlner-Elmqvist

Olsson

et al. 2013

BMC Ear Nose Throat Disord

Self Cite

View full text Add to dashboard Cite

BackgroundLaryngo-pharyngeal reflux (LPR) is assumed to be the most common cause of posterior laryngitis (PL). Since LPR is found in healthy subjects, and PL patients are not improved by acid-reducing therapy, other aetiologies to PL must be considered. The aims of this study in PL were to investigate the prevalence of acid reflux in the proximal oesophagus and functional gastrointestinal symptoms, to analyse motilin levels in plasma, and to assess health-related quality of life (HRQOL) before and after treatment.MethodsForty-six patients (26 women), with verified PL, median age 55 (IQR 41–68) years, were referred to oesophago-gastro-duodenoscopy and 24-h pH monitoring. Plasma motilin was analysed. The 36-item Short-Form questionnaire was completed at inclusion and at follow-up after 43±14 months, when also the Visual Analogue Scale for Irritable Bowel Syndrome was completed. Values were compared to controls. Treatment and relief of symptoms were noted from medical records.ResultsThirty-four percent had proximal acid reflux and 40% showed signs of distal reflux. Ninety-four percent received acid-reducing treatment, with total relief of symptoms in 17%. Patients with reflux symptoms had lower plasma motilin levels compared to patients without reflux symptoms (p = 0.021). The HRQOL was impaired at inclusion, but improved over time. Patients, especially men, had more functional gastrointestinal symptoms than controls.ConclusionsThis study indicates that a minority of patients with PL has LPR and is cured by acid-reducing therapy. Disturbed plasma motilin levels and presence of functional gastrointestinal symptoms are found in PL. The impaired HRQOL improves over time.

show abstract

“…15,16 Although nursing management of IBS patients has been reported to be adequate and efficient the diagnosis must first of all be confirmed before treatment is established for these patients. 5,7 Although there many IBS patients referred to specialists, and they constitute about half of all patients, the most efficient strategy still seems to be to program one initial visit to a specialized physician for a final judgement and then personalize care. 1 Clinically, specialists in gastroenterology have a tendency to reject patients admitted for suspected IBS at once, and they expect these patients to be handled at primary care centers.…”

Section: Discussionmentioning

confidence: 99%

“…Nurses are involved directly in the planning and implementation of therapeutic interventions for this patient population, and they can help patients with IBS by teaching them to help themselves. [4][5][6][7] The question is whether it is necessary to refer all these patients to gastroenterologists, or whether primary care physicians and other subspecialist physicians could make a fair judgment of the patients' health problems and offer care management.…”

Section: Introductionmentioning

confidence: 99%

Diagnosis of irritable bowel syndrome would be better made by gastroenterologists than primary care physicians

Bengtsson¹,

Ohlsson²

2010

Gastroenterol Insights

Self Cite

View full text Add to dashboard Cite

Irritable bowel syndrome (IBS) is a common disease, and constitutes a large portion of patients admitted to gastroenterology units. We wanted to examine whether there is a need for patients with suspected IBS to have a thorough examination by a gastroenterologist to establish the diagnosis, or whether other specialist or subspecialist physicians could better or equally identify the problems. From April 2003 to April 2005, females admitted with presumed IBS and consequently scrutinized by a gastroenterologist in our department were included. They were examined by a physician to establish a diagnosis. Four years later, the medical records were again scrutinized including abdominal symptoms, laboratory analyses and X-ray findings, to check if the findings were identical to the original diagnoses. Fifty admissions were identified. Nine of the patients did not want to participate, and 2 patients did not keep the appointment. The diagnosis of IBS was confirmed in only 20 (51%) and the other 19 (49%) had another diagnosis other than IBS. At follow up, 3 patients included with the IBS diagnosis had organic diseases, and 4 with another diagnosis also had IBS. Thus, 46% of the examined women with expected IBS had another diagnosis. A thorough examination of the patient and confirmation of the symptoms by a gastroenterologist is necessary before diagnosis of IBS is confirmed. For this purpose, patients need to meet a specialist when diagnosis is uncertain.

show abstract

A course of instruction for women with irritable bowel syndrome

Abstract: IBS may be of benefit for the patients, and could be a part of a multicomponent approach in the treatment of this patient group.

Cited by 28 publications

References 47 publications

Components of placebo effect: randomised controlled trial in patients with irritable bowel syndrome

Components of placebo effect: randomised controlled trial in patients with irritable bowel syndrome

Posterior laryngitis: a disease with different aetiologies affecting health-related quality of life: a prospective case–control study

Diagnosis of irritable bowel syndrome would be better made by gastroenterologists than primary care physicians

Contact Info

Product

Resources

About