Internet-Delivered Exposure-Based Treatment vs. Stress Management for Irritable Bowel Syndrome: A Randomized Trial

Ljótsson, Brjánn; Hedman, Erik; Andersson, Erik; Hesser, Hugo; Lindfors, Perjohan; Hursti, Timo; Rydh, Sara; Rück, Christian; Lindefors, Nils; Andersson, Gerhard

doi:10.1038/ajg.2011.139

Cited by 184 publications

(211 citation statements)

References 56 publications

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“…In addition, a high level of education was found. This finding is in line with other online psychotherapy studies (e.g., Ljótsson, Hedman et al, 2011). Future research should reinvestigate the TAQ in different samples, in particular in acute tinnitus sufferers, in samples with lower/higher distress, and in samples not assessed via the Internet.…”

Section: M=4024 Sd=1223)supporting

confidence: 70%

Acceptance of Tinnitus: Validation of the Tinnitus Acceptance Questionnaire

Weise

Kleinstäuber

Hesser

et al. 2013

Cognitive Behaviour Therapy

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The concept of acceptance has recently received growing attention within tinnitus research due to the fact that tinnitus acceptance is one of the major targets of psychotherapeutic treatments. Accordingly, acceptance-based treatments will most likely be increasingly offered to tinnitus patients and assessments of acceptance-related behaviours will thus be needed. The current study investigated the factorial structure of the Tinnitus Acceptance Questionnaire (TAQ) and the role of tinnitus acceptance as mediating link between sound perception (i.e., subjective loudness of tinnitus) and tinnitus distress.In total, 424 patients with chronic tinnitus completed the TAQ and validated measures of tinnitus distress, anxiety and depression online. Confirmatory factor analysis provided support to a good fit of the data to the hypothesised bifactor model (RMSEA = .065; CFI = .974; TLI = .958; SRMR = .032). In addition, mediation analysis, using a nonparametric joint coefficient approach, revealed that tinnitus specific acceptance partially mediated the relation between subjective tinnitus loudness and tinnitus distress (path ab=5.96; 95% CI: 4.49, 7.69). In a multiple mediator model, tinnitus acceptance had a significantly stronger indirect effect than anxiety.The results confirm the factorial structure of the TAQ and suggest the importance of a general acceptance factor that contributes important unique variance beyond that of the firstorder factors activity engagement and tinnitus suppression. Tinnitus acceptance as measured with the TAQ is proposed to be a key construct in tinnitus research and should be further implemented into treatment concepts to reduce tinnitus distress.

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Section: M=4024 Sd=1223)supporting

confidence: 70%

Acceptance of Tinnitus: Validation of the Tinnitus Acceptance Questionnaire

Weise

Kleinstäuber

Hesser

et al. 2013

Cognitive Behaviour Therapy

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“…For example, a 2014 editorial about guided Internet-delivered CBT noted that therapists spent about 10 minutes per patient per week, 45 and in one RCT investigating Internet-delivered CBT for irritable bowel syndrome, six therapists treated 195 patients simultaneously. 46 In addition, a 2009 review of what makes Internet-delivered CBT effective stated that asynchronous therapist communications are advantageous because they minimize the need for immediate availability. 7 A 2014 review discussing the advantages and limitations of Internet-delivered CBT noted that the incorporation of questionnaires, homework and self-assessments allowed the patient's progress and outcome to be easily monitored.…”

Section: What Are the Advantages Of Internet-delivered Cbt Over Face-mentioning

confidence: 99%

“…The authors determined that the probability of Internetdelivered CBT being efficacious at a lower cost was 79.5% at a willingness-to-pay of US$0. Two studies compared a 10-module Internet-delivered CBT program with a stress-management strategy 46 or an Internet chat forum 48 for irritable bowel syndrome. The authors calculated a societal cost reduction of about US$16 000 and US$39 000 per patient compared with forum and stress-manage-…”

Section: Is Internet-delivered Cbt Cost-effective?mentioning

confidence: 99%

Internet-delivered cognitive behavioural therapy in the treatment of psychiatric illness

Gratzer

Khalid-Khan

2015

CMAJ

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“…It is suggested that some patients do not understand the cognitive behavior model as applying to them and are thus unlikely to engage in CBT [61] . As this is a therapy which makes significant demands on patients' time, some Lynch et al [52] Canada 21 CBT Heymann-Monnikes et al [53] Germany 20 CBT Sanders et al [54] United States 28 CBT Hunt et al [55] United States 54 CBT Moss-Morris et al [56] England 64 CBT Craske et al [40] United States 110 CBT Ljotsson et al [57] Sweden 195 CBT Ljotsson et al [58] Sweden 61 CBT Oerlemans et al [59] The Netherlands 75 CBT CBT: Cognitive-behavioral therapy.…”

Section: Potential Problemsmentioning

confidence: 99%

Cognitive-behavioral therapy for the management of irritable bowel syndrome

Tang

Lin

Zhang

2013

WJG

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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.

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Internet-Delivered Exposure-Based Treatment vs. Stress Management for Irritable Bowel Syndrome: A Randomized Trial

Cited by 184 publications

References 56 publications

Acceptance of Tinnitus: Validation of the Tinnitus Acceptance Questionnaire

Acceptance of Tinnitus: Validation of the Tinnitus Acceptance Questionnaire

Internet-delivered cognitive behavioural therapy in the treatment of psychiatric illness

Cognitive-behavioral therapy for the management of irritable bowel syndrome

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