Hypnotherapy for irritable bowel syndrome: an audit of one thousand adult patients

Miller, Vivien; Carruthers, Helen R.; Morris, Julie; Hasan, Syed; Archbold, Sharon; Whorwell, Peter J.

doi:10.1111/apt.13145

Cited by 95 publications

(122 citation statements)

References 60 publications

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“…Indeed, there is evidence showing that the efficacy of gut‐focused hypnotherapy in children and adolescents with IBS is similar to that in adults, with long‐term benefits . While our experience suggests that the magnitude of clinical response in those over 50 years of age is less than that seen in younger patients, 74% of those above the age of 50 still achieve a clinically meaningful improvement (50 point reduction in IBS symptom severity scores); therefore, hypnotherapy is certainly still worth considering in this group, particularly in refractory cases where other conventional treatments have failed.…”

Section: Hypnotherapy In Irritable Bowel Syndrome: a Model For Other mentioning

confidence: 82%

Gut‐focused hypnotherapy for Functional Gastrointestinal Disorders: Evidence‐base, practical aspects, and the Manchester Protocol

Vasant

Whorwell

2019

Neurogastroenterology Motil

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Background Despite their high prevalence and advances in the field of neurogastroenterology, there remain few effective treatment options for functional gastrointestinal disorders (FGIDs). It is recognized that approximately 25% of sufferers will have symptoms refractory to existing therapies, causing significant adverse effects on quality of life and increased healthcare utilization and morbidity. Gut‐focused hypnotherapy, when delivered by trained therapists, has been shown to be highly effective in severe refractory FGIDs. However, hypnotherapy continues to be surrounded by much misunderstanding and skepticism. Purpose The purpose of this review is to provide a contemporary overview of the principles of gut‐focused hypnotherapy, its effects on gut‐brain interactions, and the evidence‐base for its efficacy in severe FGIDs. As supplementary material, we have included a hypnotherapy protocol, providing the reader with an insight into the practical aspects of delivery, and as a guide, an example of a script of a gut‐focused hypnotherapy session.

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Section: Hypnotherapy In Irritable Bowel Syndrome: a Model For Other mentioning

confidence: 82%

Gut‐focused hypnotherapy for Functional Gastrointestinal Disorders: Evidence‐base, practical aspects, and the Manchester Protocol

Vasant

Whorwell

2019

Neurogastroenterology Motil

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“…Conversely, we may pose the question of whether psychological or behavioural interventions may impact upon gut physiology and the gut microbiota, a key role for top‐down processes regulating the gut microbiota in the brain–gut–microbiome axis. Although the symptoms of IBS are gastrointestinal (see section on IBS below), cognitive behavioural therapy as well as hypnotherapy (Miller et al, ) have been successfully employed as an intervention for reducing IBS symptoms. There is currently limited evidence that psychological interventions may impact upon the composition of the gut microbiota to “normalise” it.…”

Section: Changing Our Minds Changing Our Gutsmentioning

confidence: 99%

A psychology of the human brain–gut–microbiome axis

Allen

Dinan

Clarke

et al. 2017

Social & Personality Psych

130

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In recent years, we have seen increasing research within neuroscience and biopsychology on the interactions between the brain, the gastrointestinal tract, the bacteria within the gastrointestinal tract, and the bidirectional relationship between these systems: the brain–gut–microbiome axis. Although research has demonstrated that the gut microbiota can impact upon cognition and a variety of stress‐related behaviours, including those relevant to anxiety and depression, we still do not know how this occurs. A deeper understanding of how psychological development as well as social and cultural factors impact upon the brain–gut–microbiome axis will contextualise the role of the axis in humans and inform psychological interventions that improve health within the brain–gut–microbiome axis. Interventions ostensibly aimed at ameliorating disorders in one part of the brain–gut–microbiome axis (e.g., psychotherapy for depression) may nonetheless impact upon other parts of the axis (e.g., microbiome composition and function), and functional gastrointestinal disorders such as irritable bowel syndrome represent a disorder of the axis, rather than an isolated problem either of psychology or of gastrointestinal function. The discipline of psychology needs to be cognisant of these interactions and can help to inform the future research agenda in this emerging field of research. In this review, we outline the role psychology has to play in understanding the brain–gut–microbiome axis, with a focus on human psychology and the use of research in laboratory animals to model human psychology.

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“…1,2 We find that approximately 15% of patients drop out from our hypnotherapy programme. It is our experience that a number of patients improve before completing their 12 sessions of treatment, and some do not feel the need to continue attending.…”

Section: Acknowledgementmentioning

confidence: 91%

Efficacy of hypnotherapy in one thousand patients with irritable bowel syndrome

Dube

Ford

2015

Aliment Pharmacol Ther

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nuanced the generalizability of our results, literally considering that "the results of our study suggest that 14-day fluoroquinolone plus bismuth quadruple therapy may be especially useful in regions where fluoroquinolone resistance is increasing but is still relatively low", and "14-day bismuth-containing fluoroquinolone quadruple therapy could be used in areas with a fluoroquinolone resistance of up to approximately 26%, a figure higher than that reported in Spain and Southern Italy".

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Hypnotherapy for irritable bowel syndrome: an audit of one thousand adult patients

Cited by 95 publications

References 60 publications

Gut‐focused hypnotherapy for Functional Gastrointestinal Disorders: Evidence‐base, practical aspects, and the Manchester Protocol

Gut‐focused hypnotherapy for Functional Gastrointestinal Disorders: Evidence‐base, practical aspects, and the Manchester Protocol

A psychology of the human brain–gut–microbiome axis

Efficacy of hypnotherapy in one thousand patients with irritable bowel syndrome

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