Face-to-Face Cognitive-Behavioral Therapy for Irritable Bowel Syndrome: The Effects on Gastrointestinal and Psychiatric Symptoms
Irritable bowel syndrome (IBS) is a gastrointestinal disorder linked to disturbances in the gut-brain axis. Visceral hypersensitivity and pain are hallmarks of IBS and linked to the physiological and psychological burden and to the nonadaptive coping with stress. Cognitive-behavioral therapy (CBT) f...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2017/8915872 |
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| author | Hanna Edebol-Carlman Brjánn Ljótsson Steven J. Linton Katja Boersma Martien Schrooten Dirk Repsilber Robert J. Brummer |
| author_facet | Hanna Edebol-Carlman Brjánn Ljótsson Steven J. Linton Katja Boersma Martien Schrooten Dirk Repsilber Robert J. Brummer |
| author_sort | Hanna Edebol-Carlman |
| collection | DOAJ |
| description | Irritable bowel syndrome (IBS) is a gastrointestinal disorder linked to disturbances in the gut-brain axis. Visceral hypersensitivity and pain are hallmarks of IBS and linked to the physiological and psychological burden and to the nonadaptive coping with stress. Cognitive-behavioral therapy (CBT) for IBS has proven effective in reducing gastrointestinal and psychiatric symptoms in IBS by means of coping with stress. The present pilot study evaluated for the first time whether CBT for IBS affected visceral sensitivity and pain. Individual CBT was performed for 12 weeks in 18 subjects with IBS and evaluated in terms of visceral sensitivity and pain during rectal distensions using the barostat method and self-rated visceral sensitivity and gastrointestinal and psychiatric symptoms. Visceral discomfort, urge, and pain induced by the barostat were not affected by CBT but were stable across the study. However, the level of self-rated visceral sensitivity and gastrointestinal and psychiatric symptoms decreased after the intervention. Central working mechanisms and increased ability to cope with IBS-symptoms are suggested to play a key role in the alleviation of IBS symptoms produced by CBT. |
| format | Article |
| id | doaj-art-df70a51862754f83a86238c50440cc10 |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-df70a51862754f83a86238c50440cc102025-02-03T01:00:56ZengWileyGastroenterology Research and Practice1687-61211687-630X2017-01-01201710.1155/2017/89158728915872Face-to-Face Cognitive-Behavioral Therapy for Irritable Bowel Syndrome: The Effects on Gastrointestinal and Psychiatric SymptomsHanna Edebol-Carlman0Brjánn Ljótsson1Steven J. Linton2Katja Boersma3Martien Schrooten4Dirk Repsilber5Robert J. Brummer6Nutrition-Gut-Brain Interactions Research Centre, Örebro University, 701 82 Örebro, SwedenDepartment of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, Stockholm, SwedenCenter for Health and Medical Psychology (CHAMP), School of Law, Psychology and Social Work, Örebro University, Örebro, SwedenCenter for Health and Medical Psychology (CHAMP), School of Law, Psychology and Social Work, Örebro University, Örebro, SwedenCenter for Health and Medical Psychology (CHAMP), School of Law, Psychology and Social Work, Örebro University, Örebro, SwedenNutrition-Gut-Brain Interactions Research Centre, Örebro University, 701 82 Örebro, SwedenNutrition-Gut-Brain Interactions Research Centre, Örebro University, 701 82 Örebro, SwedenIrritable bowel syndrome (IBS) is a gastrointestinal disorder linked to disturbances in the gut-brain axis. Visceral hypersensitivity and pain are hallmarks of IBS and linked to the physiological and psychological burden and to the nonadaptive coping with stress. Cognitive-behavioral therapy (CBT) for IBS has proven effective in reducing gastrointestinal and psychiatric symptoms in IBS by means of coping with stress. The present pilot study evaluated for the first time whether CBT for IBS affected visceral sensitivity and pain. Individual CBT was performed for 12 weeks in 18 subjects with IBS and evaluated in terms of visceral sensitivity and pain during rectal distensions using the barostat method and self-rated visceral sensitivity and gastrointestinal and psychiatric symptoms. Visceral discomfort, urge, and pain induced by the barostat were not affected by CBT but were stable across the study. However, the level of self-rated visceral sensitivity and gastrointestinal and psychiatric symptoms decreased after the intervention. Central working mechanisms and increased ability to cope with IBS-symptoms are suggested to play a key role in the alleviation of IBS symptoms produced by CBT.http://dx.doi.org/10.1155/2017/8915872 |
| spellingShingle | Hanna Edebol-Carlman Brjánn Ljótsson Steven J. Linton Katja Boersma Martien Schrooten Dirk Repsilber Robert J. Brummer Face-to-Face Cognitive-Behavioral Therapy for Irritable Bowel Syndrome: The Effects on Gastrointestinal and Psychiatric Symptoms Gastroenterology Research and Practice |
| title | Face-to-Face Cognitive-Behavioral Therapy for Irritable Bowel Syndrome: The Effects on Gastrointestinal and Psychiatric Symptoms |
| title_full | Face-to-Face Cognitive-Behavioral Therapy for Irritable Bowel Syndrome: The Effects on Gastrointestinal and Psychiatric Symptoms |
| title_fullStr | Face-to-Face Cognitive-Behavioral Therapy for Irritable Bowel Syndrome: The Effects on Gastrointestinal and Psychiatric Symptoms |
| title_full_unstemmed | Face-to-Face Cognitive-Behavioral Therapy for Irritable Bowel Syndrome: The Effects on Gastrointestinal and Psychiatric Symptoms |
| title_short | Face-to-Face Cognitive-Behavioral Therapy for Irritable Bowel Syndrome: The Effects on Gastrointestinal and Psychiatric Symptoms |
| title_sort | face to face cognitive behavioral therapy for irritable bowel syndrome the effects on gastrointestinal and psychiatric symptoms |
| url | http://dx.doi.org/10.1155/2017/8915872 |
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