Identifying effective techniques within psychological treatments for irritable bowel syndrome: A meta-analysis

Henrich, Julia F; Knittle, Keegan; Gucht, Véronique De; Warren, Simone; Dombrowski, Stephan U; Maes, Stan

doi:10.1016/j.jpsychores.2014.12.009

Cited by 33 publications

(31 citation statements)

References 85 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…statistical power, risk of selection and/or reporting bias) and uniformity (i.e. definitions of case and recovery, diagnostic methods, subjective and objective outcome criteria, program description) [14,27,28]. Nonetheless, current evidence supports that motivation and adherence in efficacious intervention can be promoted by professionals, even in programs mediated by computer or internet technology, for better outcomes [29].…”

Section: Existing Treatment Gapsmentioning

confidence: 99%

“…This endeavor requires: 1) hypotheses driven process evaluations alongside trials (using quantitative and/or qualitative data), 2) transparent and universal reporting on the qualities of methodology (i.e. E-health CONSORT statement additions [69]), serious games for health (rationale, functionality, and data security [70]) and behavioral change content (theoretical approaches, change strategies and presentation methods [27,71]) in trials, 3) implementation research investigating organizational, professional, patient, and intervention factors, 4) impact assessment as dependent on actual reach, and 5) health technology assessments.…”

Section: Suggestions For Research and Practicementioning

confidence: 99%

See 1 more Smart Citation

Effectiveness of Serious Gaming During Multidisciplinary Rehabilitation for Patients with Complex Chronic Pain or Fatigue: A Natural Quasi-experiment (Preprint)

Vugts¹,

Joosen²,

Mert³

et al. 2017

Preprint

View full text Add to dashboard Cite

Background: Current evidence for the effectiveness of specialist multidisciplinary programs for burdensome chronic pain and functional somatic syndromes drive effort to improve approaches, strategies, and delivery modes. It is unknown to what extent and in what respect serious gaming during regular outpatient rehabilitation can contribute to health outcomes. Objective: Study objectives are: to determine the effect of additional serious gaming on 1) physical and/or emotional functioning in general, 2) particular outcome domains, and 3) patient global impressions of change, general health, and functioning; and to determine 4) dependency of serious gaming effects on adherence. Methods: A naturalistic quasi-experiment with embedded qualitative methods was conducted. Intervention group patients received an additional guided (mindfulness based) serious gaming intervention ('LAKA') during week 9-12 of a 16-week rehabilitation program at 2 sites of a Dutch rehabilitation clinic. Simultaneously, 119 control group patients followed the same program without serious gaming at 2 similar sites of the same clinic. Data consisted of 10 semi-structured patient interviews and routinely collected patient self-reported outcomes. First, multivariate

show abstract

Section: Existing Treatment Gapsmentioning

confidence: 99%

Section: Suggestions For Research and Practicementioning

confidence: 99%

Effectiveness of Serious Gaming During Multidisciplinary Rehabilitation for Patients with Complex Chronic Pain or Fatigue: A Natural Quasi-experiment (Preprint)

Vugts¹,

Joosen²,

Mert³

et al. 2017

Preprint

View full text Add to dashboard Cite

show abstract

“…An interesting aspect mentioned by the authors of a 2015 metaanalysis [32] is that psychological treatments for IBS, which have the same treatment labels (e.g. cognitive therapy), may not be comparable.…”

Section: How Do Cbt and Gut-directed Hypnosis Work?mentioning

confidence: 99%

“…For example, one reason might be the different hypothesis tested (e.g. improving depressive symptoms versus reductions in visceral hypersensitivity), another reason might be in regard to different techniques applied for the same intermediate theoretical predictors, or a third reason could be that two treatments with different labels may actually target the same intermediate theoretical constructs and utilize the same intervention techniques [32].…”

Section: How Do Cbt and Gut-directed Hypnosis Work?mentioning

confidence: 99%

“…Identifying and understanding the active ingredients of psychological therapies on IBS is crucial [32], but the differences in the design studies may transform this into an objective hard to complete. These differences start from the diagnostic procedures: according to the NICE (National Institute for Health and Care Excellence) guidelines [33] the diagnosis is recommended to be made in a positive manner, considering the symptoms which point towards the diagnosis, but in practice exclusion diagnostic procedure is still in use [34].…”

Section: How Do Cbt and Gut-directed Hypnosis Work?mentioning

confidence: 99%

See 1 more Smart Citation

Psychological Interventions for Irritable Bowel Syndrome

Surdea-Blaga

Băban

Nedelcu

et al. 2016

JGLD

View full text Add to dashboard Cite

Irritable bowel syndrome (IBS) patients often present psychoform symptoms or psychiatric disorders. Among the psychological factors studied in IBS patients, two seem to influence mostly its severity: catastrophizing and somatization. Somatization is an independent risk factor for IBS. In addition, somatization more than the severity of IBS influences the way the patients perceive their illness, the outcome and the efficacy of treatment. Irritable bowel syndrome patients demonstrate greater catastrophizing scores than controls, and pain catastrophizing is a significant predictor of gastrointestinal symptoms related to pain. In this context we analysed the data regarding the efficacy of two psychological treatments in IBS: cognitive behavioral therapy and hypnosis. Cognitive behavioral therapy is focused on replacing maladaptive coping strategies with more positive cognitions and behaviors. Several studies showed that cognitive behavioral therapy is effective in reducing bowel symptoms in IBS, both post-treatment and short-term follow-up. Gut-directed hypnotherapy has beneficial short-term effects in improving gastrointestinal symptoms of patients with IBS, and the results are maintained after one year in half of the patients. Psychological treatments are a suitable option for selected IBS patients. Abbreviations: CBT: Cognitive Behavioral Therapy; FGIDs: functional gastrointestinal disorders; GDH: Gut-Directed Hypnotherapy; GI: gastrointestinal; HRQoL: health related quality of liffe; IBS: irritable bowel syndrome; ICBT: Internet-delivered CBT; ISM: Internet-delivered Stress Management; NNT: number needed to treat; PROs: Patient-reported outcomes; QoL: Quality of Life; SD: Somatization Disorders; SMT: Supportive Medical Treatment.

show abstract

Implicit Identification with Illness in Patients with Irritable Bowel Syndrome (IBS)

2018

View full text Add to dashboard Cite

Identification with pain has been linked to symptom severity in chronic pain conditions. However, the role of identification with illness in patients with Irritable Bowel Syndrome (IBS) is unknown. We investigated whether participants with IBS show identification with illness and if the degree of illness identification is related to IBS symptom severity and additional physical and psychological variables. In this cross-sectional study, 42 participants with IBS and 41 healthy participants completed an Implicit Association Test (IAT) to measure their level of identification with illness and health. Data on illness duration, explicit illness associations, IBS severity, depression, anxiety, stress and additional symptoms were obtained. IBS participants scored significantly lower on identification with health than healthy participants. The level of health identification was negatively correlated with 'Nonspecific Somatic Symptoms'. Reduced health identification may be a maintaining factor of IBS that could be targeted with psychological treatments to reduce symptoms. Further, it may be possible to use the IAT to monitor the course of recovery.

show abstract

Identifying effective techniques within psychological treatments for irritable bowel syndrome: A meta-analysis

Cited by 33 publications

References 85 publications

Effectiveness of Serious Gaming During Multidisciplinary Rehabilitation for Patients with Complex Chronic Pain or Fatigue: A Natural Quasi-experiment (Preprint)

Effectiveness of Serious Gaming During Multidisciplinary Rehabilitation for Patients with Complex Chronic Pain or Fatigue: A Natural Quasi-experiment (Preprint)

Psychological Interventions for Irritable Bowel Syndrome

Implicit Identification with Illness in Patients with Irritable Bowel Syndrome (IBS)

Contact Info

Product

Resources

About