Intervening on cognitions and behavior in irritable bowel syndrome: A feasibility trial using PDAs

Abstract

A cognitive-behavioral intervention on pocket-type computers appears feasible and efficacious for improving IBS-related complaints and cognitions in the short-term. The intervention group improved on several aspects, but most on catastrophizing thoughts, and these improvements even persisted after 3 months. Future studies should focus on unravelling the effective components of this innovative e-health intervention.

A systematic review of internet-based self-help therapeutic interventions to improve distress and disease-control among adults with chronic health conditions

“…Table 1 summarises the characteristics of the 24 studies included. Eight chronic health conditions were represented: chronic pain (n = 9 studies) (Andersson, Lundstrom, & Strom, 2003;Brattberg, 2008;Buhrman, Faltenhag, Strom, & Andersson, 2004;Chiauzzi et al, 2010;Devineni & Blanchard, 2005;Lorig, Ritter, Laurent, & Plant, 2008;Ruehlman et al, 2012;Strom, Pettersson, & Andersson, 2000;Williams et al, 2010), diabetes (n = 5) (Glasgow, Boles, McKay, Feil, & Barrera, 2003;Glasgow et al, 2006;Lorig et al, 2010;McKay, Glasgow, Feil, Boles, & Barrera, 2002;McKay, King, Eakin, Seeley, & Glasgow, 2001), irritable bowel syndrome (n = 4) (Hunt, Moshier, & Milonova, 2009;Ljótsson et al, 2010Ljótsson et al, , 2011Oerlemans, van Cranenburgh, Herremans, Spreeuwenberg, & van Dulmen, 2011), tinnitus (n = 2) (Andersson, Stromgren, Strom, & Lyttkens, 2002;Kaldo et al, 2008), fatigue (n = 1) (Ghahari et al, 2010), epilepsy (n = 1) (DiIorio, Bamps, Walker, & Escoffery, 2011), breast cancer (n = 1) (Owen et al, 2005) and other chronic illnesses (n = 1) (Lorig, Ritter, Laurent, & Plant, 2006). Studies were predominantly conducted in the USA (n = 14), with Sweden being second most represented (n = 8; seven of these were conducted by Andersson and colleagues).…”

Cognitive-behavioral therapy for the management of irritable bowel syndrome

“…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.…”

An mHealth Intervention for Persons with Diabetes Type 2 Based on Acceptance and Commitment Therapy Principles: Examining Treatment Fidelity (Preprint)

“…The IBS and CWP studies were RCT studies, whereas the DMT2 was a pilot. The RCTs showed positive results concerning catastrophizing, acceptance and illness impact at a 3 and 5-month follow-up, respectively [20,21]. The participants' subjective experiences of the interventions in all studies were mostly positive.…”

“…The intervention concept, use of mobile technology to deliver the treatment based on behavioral therapy in a written format, was developed and tested first in the Netherlands in persons with irritable bowel syndrome (IBS) [20]. Later the intervention concept was refined and tested in Norway in persons with chronic widespread pain (CWP) and DMT2, respectively [21,22].…”