Cognitive-behavioral therapy for the management of irritable bowel syndrome

Abstract

Irritable bowel syndrome (IBS) is a common disorder, reported to be found in 5%-20% of the general population. Its management accounts for up to 25% of a gastroenterologist's workload in the outpatient department, and the main symptoms are abdominal pain, bloating, and altered bowel habits. Despite a great amount of available pharmacological treatments aimed at a wide variety of gastrointestinal and brain targets, many patients have not shown adequate symptom relief. In recent years, there has been increasing evidence to suggest that psychological treatments, in particular cognitive-behavioral therapy (CBT), are effective for the management of IBS. This review discusses CBT for the management of IBS. CBT has proved to be effective in alleviating the physical and psychological symptoms of IBS and has thus been recommended as a treatment option for the syndrome. Core tip: There is increasing evidence to suggest that cognitive-behavioral therapy (CBT) is effective for the management of irritable bowel syndrome (IBS). CBT can alleviate the physical and psychological symptoms of IBS, and has thus been recommended as a treatment option for the syndrome.Tang QL, Lin GY, Zhang MQ. Cognitive-behavioral therapy for the management of irritable bowel syndrome.

Emotional overactivity in patients with irritable bowel syndrome

“…67 In response to visceral pain, IBS patients consistently show decreased activation in these areas, coupled with the mobilization of regions associated with emotional arousal and endogenous pain perception. 9 Patients would thus benefit from therapies that reinforce top-down regulation, such as cognitive behavioral therapy 68,69 or mindfulness-based interventions. 70 These findings can inform the development of further investigations of the central dysregulation hypothesis in IBS.…”

Stigma perceptions in patients with eosinophilic gastrointestinal disorders

“…Finally, individuals who sought psychotherapy reported less perceived stigma from significant others than those who did not. There is strong evidence supporting the efficacy of psychological therapies for treatment in IBS 37–39 , including reducing stigma perception 30 . There is also evidence supporting the notion that psychological therapies can decrease healthcare utilization amongst patients with Crohn’s Disease 40 .…”

Irritábilisbél-szindróma: komorbid pszichiátriai zavarok és pszichológiai kezelési lehetőségek

“…Az irritábilisbél-szindróma kognitív viselkedésterápiájában a betegségre vonatkozó negatív reprezentációkmint például a betegség, illetve a tünetek -súlyos fenyegetésként való értelmezése vagy a helyzet kilátástalanságával kapcsolatos kogníciók kerülnek fókuszba [24]. Az eljárás a kognitív átstrukturálás gyakorlása révén módosítja a gastrointestinalis jelzésekhez kapcsolódó téves, fenyegető hiedelmeket, ezáltal csökkenti a testi érzetekre irányuló negatív gondolatokat és elvárásokat, illetve a kontrollvesztés élményét.…”