Cognitive behavioral therapy for irritable bowel syndrome: the effects on state and trait anxiety and the autonomic nervous system during induced rectal distensions – An uncontrolled trial

Edebol-Carlman, Hanna; Schrooten, Martien; Ljótsson, Brjánn; Boersma, Katja; Linton, Steven J.; Brummer, Robert Jan

doi:10.1515/sjpain-2017-0153

Cited by 7 publications

(6 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…20,21 It has been shown that cognitive behavioral therapy leads to improved IBS symptoms by directly modifying gastrointestinal-related cognitions and behaviors; improved anxiety or depression is regarded as secondary and there is no modification of autonomic nervous system activity in response to pain. [22][23][24][25] On the other hand, other treatment studies have shown that improvement of IBS symptoms correlates closely with reduction of depression or anxiety and, in 1 study, improved tolerance to rectal distension was associated strongly with improved depression. 4,[26][27][28][29] IBS is clearly an heterogeneous disorder and psychological treatments can only be optimized once we understand better the relationship between psychological factors and IBS symptoms.…”

Section: Introductionmentioning

confidence: 73%

Risk Factors for Self-reported Irritable Bowel Syndrome With Prior Psychiatric Disorder: The Lifelines Cohort Study

Creed

2022

J Neurogastroenterol Motil

View full text Add to dashboard Cite

Background/AimsThe role of psychiatric disorder in irritable bowel syndrome (IBS) is not clear. This study aims to assess whether individuals who have psychiatric disorder prior to IBS onset differ in their risk factors from the remainder. MethodsThe prospective, population-based Lifelines cohort study includes 132 922 adults without prior IBS or taking IBS medication at baseline. Baseline data included socio-demographic status, physical and psychiatric disorders, psycho-social and behavioral variables. At follow-up (mean 2.4 years later) new onsets of IBS were recorded by self-report. The predictors of new onsets of IBS were assessed using logistic regression; participants with and without prior psychiatric disorders were analyzed separately. ResultsAt follow-up 1507 (1.1%) participants reported new onset IBS. Of these, 27% reported prior psychiatric disorder. Predictors of IBS in this group were: 2 or more psychiatric disorders (OR, 2.74; 95% CI, 1.3-5.6), female sex, proton pump inhibitors, numerous bodily symptoms, impaired sleep, low BMI and negative health perception. These variables, except psychiatric disorders and BMI, also predicted IBS in those without prior psychiatric disorder but, in this group, gallstones, asthma, fibromyalgia, reported allergies, impairment through bodily pain, and frequent healthcare were also predictors. ConclusionsDespite its limitations this study suggests that prior psychiatric disorder is an important risk factor in a quarter of IBS onsets. Negative health perception and multiple bodily symptoms are associated with all IBS onsets in line with the cognitive-behavior model of IBS. Prior psychiatric disorder may predict an optimal response to psychiatric treatment. Further studies could usefully study mechanisms linking IBS to prior psychiatric disorder.

show abstract

Section: Introductionmentioning

confidence: 73%

Risk Factors for Self-reported Irritable Bowel Syndrome With Prior Psychiatric Disorder: The Lifelines Cohort Study

Creed

2022

J Neurogastroenterol Motil

View full text Add to dashboard Cite

show abstract

“…The findings from the visual analysis of the baseline, treatment, and follow-up stages of gastrointestinal symptoms in these patients showed that short-term intensive dynamic psychotherapy has created significant, meaningful, and lasting improvement percentages. Several studies have examined the effectiveness of various psychotherapies, such as cognitivebehavioral (Edebol-Carlman et al, 2018) and compassionfocused therapies (Seyyedjafari, 2019), which have a different focus compared to the psychoanalytic school.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Short-term Intensive Dynamic Psychotherapy on the Severity of Gastrointestinal Symptoms and Depression in Patients with the Diarrhea Subtype of Irritable Bowel Syndrome

Hajrezaei,

Sazesh Rahbarjou,

Shamsaldini

2024

JARAC

View full text Add to dashboard Cite

Objective: Irritable Bowel Syndrome (IBS) is one of the functional gastrointestinal disorders and the most common digestive disorder. The purpose of the current study was to investigate the effectiveness of short-term intensive dynamic psychotherapy on the severity of gastrointestinal symptoms and depression in patients with the diarrhea subtype and concurrent depression of Irritable Bowel Syndrome. Methods and Materials: The present study employed a single-case quasi-experimental design. Three patients with the diarrhea subtype and concurrent depression of Irritable Bowel Syndrome, who had visited neurology and psychiatry clinics in Qom in December 2023, were selected through purposive sampling and each received 18 sessions of short-term intensive dynamic psychotherapy. Data derived from the Somatic Symptom Scale by Solati Dekordi et al. (2009) and the Beck Depression Inventory-II (BDI-II) by Beck et al. (1996) were recorded at three stages (baseline, treatment, and follow-up) and analyzed using visual plotting methods, the Reliable Change Index, and the percentage of improvement formula. Findings: The percentage of improvement in the severity of gastrointestinal symptoms and the severity of depression symptoms for each patient in the treatment and follow-up stages was higher than 50%, indicating therapeutic success. The Reliable Change Index for the severity of gastrointestinal symptoms and depression severity for all three patients was above 1.96, indicating significant improvement. Conclusion: Short-term intensive dynamic psychotherapy appears to be effective in reducing the severity of gastrointestinal symptoms and depression in these patients. Therefore, it is recommended that randomized controlled trials with long-term follow-up be conducted as a continuation of this preliminary study.

show abstract

“…Other factors in patients with IBS were also assessed as they contribute to the disability, including the Stress Symptoms Rating Questionnaire (SSRQ) and PCS. Only one study found that following CBT, the SSRQ, which evaluates the stress caused by these symptoms, was not significantly lower than the baseline within the group [ 23 ]. The PCS was significantly reduced through treatment with CBT, with one study reporting that 76.9% of subjects had a greater than 70% reduction, indicating a decrease in pain associated with IBS [ 13 , 15 , 24 ].…”

Section: Reviewmentioning

confidence: 99%

“…Jang et al observed that with CBT, there was a significant decrease in dysfunctional attitude scores, which indicated an overall reduction in dysfunctional attitudes toward their IBS [ 22 ]. There was also an improvement in the amount of stress concerning their IBS, with a significant improvement in the Perceived Stress Scale (PSS) scores [ 21 , 23 ].…”

Section: Reviewmentioning

confidence: 99%

Psychotherapy for Irritable Bowel Syndrome: A Systematic Review

Slouha,

Patel,

Mohamed

et al. 2023

Cureus

View full text Add to dashboard Cite

Psychotherapy has many forms, such as cognitive behavioral therapy (CBT), mindfulness therapy (MFT), and hypnotherapy, to name a few. Cognitive behavioral therapy is the gold standard in therapy-based treatment and is used for cognitive restructuring to reduce safety-seeking and avoidant behaviors. While the main application of psychotherapy is psychological disorders, recent studies have found that it is beneficial for somatic and physiological symptoms such as chronic pain or even irritable bowel syndrome (IBS). Irritable bowel syndrome is a common but debilitating gastrointestinal condition that has a prevalence of 12% in the United States and costs the average patient $9,776 annually in 2023. Irritatable bowel syndrome is a condition of exclusion but consists of abdominal discomfort or pain and must be associated with altered bowel habits as stated in the Rome IV criteria. At least half of these patients also exhibit extracolonic symptoms, most commonly psychological disorders like anxiety and stress. The true etiology of IBS is not understood, but ideas such as the brain-gut axis, stress response system, and gut microbiota have been evaluated. Treatment of IBS is extensive and heavily relies on the patient-physician interaction, but pharmacologic therapies have been employed and are sometimes unsuccessful. Irritable bowel syndrome impacts an individual as a whole, making them hesitate whether or not they eat a particular food or even go out to do an activity because of the unpredictable bowel pattern. Finding a better solution is essential to improving the patient's quality of life (QoL), especially by addressing how they perceive the illness, how they adjust to it, and even how they determine what foods to consume. This paper aims to evaluate whether or not psychotherapy can be employed to improve all aspects of IBS, as well as if it can reduce the cost of IBS treatment.

show abstract

Cognitive behavioral therapy for irritable bowel syndrome: the effects on state and trait anxiety and the autonomic nervous system during induced rectal distensions – An uncontrolled trial

Cited by 7 publications

References 38 publications

Risk Factors for Self-reported Irritable Bowel Syndrome With Prior Psychiatric Disorder: The Lifelines Cohort Study

Risk Factors for Self-reported Irritable Bowel Syndrome With Prior Psychiatric Disorder: The Lifelines Cohort Study

Effectiveness of Short-term Intensive Dynamic Psychotherapy on the Severity of Gastrointestinal Symptoms and Depression in Patients with the Diarrhea Subtype of Irritable Bowel Syndrome

Psychotherapy for Irritable Bowel Syndrome: A Systematic Review

Contact Info

Product

Resources

About