Stress Management for Irritable Bowel Syndrome: A Controlled Trial

Shaw, Graham G.; Srivastava, E. D.; Sadlier, M; Swann, Philip; James, J; Rhodes, JM

doi:10.1159/000200738

Cited by 115 publications

(48 citation statements)

References 10 publications

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“…This process may occur through teaching coping mechanisms and relaxation skills, developing a greater sense of self-effi cacy by encouraging control over IBS symptoms, promoting lifestyle modifi cations to reduce symptoms (ie, diet, exercise, quitting smoking), and encouraging patients to recognize their own limitations. When provided in concert with standard medical therapies, these approaches yield improved overall HRQOL [20][21][22]. In short, treating bowel-related symptoms of IBS is important but may not be suffi cient to impact overall HRQOL.…”

Section: Hrqol Of Ibsmentioning

confidence: 99%

The burden of IBS: Looking at metrics

Spiegel

2009

Curr Gastroenterol Rep

150

104

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Irritable bowel syndrome (IBS) is a prevalent and expensive condition that significantly impairs health-related quality of life (HRQOL) and reduces work productivity. Based on strict criteria, 7% to 10% of people have IBS worldwide. Community-based data indicate that IBS-diarrhea and IBS-mixed subtypes are more prevalent than IBS-constipation, and that patients may switch among subtype groups. IBS is 1.5 times more common in women than in men, more common in lower socioeconomic groups, and more commonly diagnosed in patients younger than 50 years of age. Patients with IBS visit the doctor more frequently, use more diagnostic tests, consume more medications, miss more workdays, have lower work productivity, are hospitalized more frequently, and consume more overall direct costs than those without IBS. Resource utilization is highest in patients with severe symptoms and poor HRQOL. Treatment decisions should be tailored to the severity of each patient's symptoms and HRQOL decrement.

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Section: Hrqol Of Ibsmentioning

confidence: 99%

The burden of IBS: Looking at metrics

Spiegel

2009

Curr Gastroenterol Rep

150

104

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“…Lynch and Zamble (1989) compared CBT with a wait list condition and found that active treatment led to greater improvement in abdominal pain and discomfort, constipation, and STAI-Trait. Shaw et al (1991) found that stress management emphasizing progressive muscle relaxation was superior to a drug treatment on global ratings. Corney, Stanton, Newell, Clare, and Fairclough (1991) compared CBT to regular medical care and found that approximately twice as many CBT participants improved (59%) as for routine medical care over 3 months (30%).…”

Section: Psychological Treatments Of Ibsmentioning

confidence: 99%

Psychosocial aspects of assessment and treatment of irritable bowel syndrome in adults and recurrent abdominal pain in children.

Blanchard¹,

Scharff²

2002

Journal of Consulting and Clinical Psychology

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This article presents a selective review of psychosocial research on irritable bowel syndrome (IBS) in adults and on a possible developmental precursor, recurrent abdominal pain (RAP), in children. For IBS the authors provide a summary of epidemiology, of the psychological and psychiatric disturbances frequently found among IBS patients, and of the possible role of early abuse in IBS. A review of the psychosocial treatments for IBS finds strong evidence to support the efficacy of hypnotherapy, cognitive therapy, and brief psychodynamic psychotherapy. The research relating RAP to IBS is briefly reviewed, as is the research on its psychological treatment. Cognitive-behavioral therapy that combines operant elements and stress management has the strongest support as a treatment for RAP.Irritable bowel syndrome (IBS) is a functional disorder of the lower gastrointestinal (GI) tract in which psychosocial assessment and treatment procedures could play a major role. 1 This article selectively summarizes information on these psychosocial assessment and treatment procedures as they pertain to adults; in addition, it briefly summarizes the literature on a possible precursor of IBS, recurrent abdominal pain (RAP) in children. More detailed summaries of these topics can be found in a recent book by Edward B. Blanchard (Blanchard, 2001), Irritable Bowel Syndrome: Psychosocial Assessment and Treatment. Definitions of IBSThe formal definition of IBS is in a state of flux with a new definition, so-called Rome II, put forth in 1999 (Thompson et al., 1999). The three definitions are summarized in the Appendix.To the best of our knowledge, no reported empirical studies have shown a functional advantage of one definition over another; that is, we found no instances in which cases that met the criteria responded differently to a specified treatment than similar cases that did not meet full criteria, or in which cases that met the criteria showed a different natural history, and so forth. Epidemiology of IBSTwo well-conducted epidemiologic surveys have been published on American samples in the last 10 years: the Olmsted County Study, by Talley, Zinsmeister, Van Dyke, and Melton (1991), and the U.S. Householder Survey of Functional Gastrointestinal Disorders, by Drossman et al. (1993).In the Olmsted County Study, an age-and sex-stratified sample (N ϭ 1,021) of the residents of Olmsted County, Minnesota, between the ages of 30 and 64 were sent a validated self-report questionnaire (Talley, Phillips, Melton, Wiltgen, & Zinsmeister, 1989) that identified GI symptoms experienced over the past year, thus leading to valid diagnoses of functional GI disorders. Altogether, 835 individuals (82%) returned usable surveys. Of these, 26% reported abdominal pain more than six times in the past year, 17.9% reported chronic diarrhea, and 17.4% chronic constipation. Talley et al. (1991) found an overall prevalence of IBS of 17.0% (range ϭ 14.4 -19.6; 95% confidence interval), with women outnumbering men 1.15 to 1.0. Of the 329 individuals with function...

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“…The programme consisted of lectures on various subjects, including medical care, physical activity, stress management, diet and health insurance. Previous studies have shown that patients with IBS may benefit from more information on these subjects, for instance, the fact that regular physical activity can reduce pain [23] as well as fatigue [34] and that stress-management can reduce the severity and the frequency of the attacks [35]. The four lectures, each of two hours' duration, included a short break during which the participants could have informal discussions, were held in a lecture room at the hospital.…”

Section: The Programme Of Instructionmentioning

confidence: 99%