Top

Gepubliceerd in:

01-04-2015 | Original Article

Empirical Support for a Self-help Treatment for IBS

Auteurs: Melissa G. Hunt, Elisabeth Ertel, Jordan A. Coello, Lauren Rodriguez

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 2/2015

Abstract

Irritable Bowel Syndrome (IBS) is a chronic, functional gastrointestinal (GI) disorder. Cognitive behavioral therapy (CBT) has been shown to be efficacious for IBS; however, access to qualified CBT therapists is limited. This study was a randomized, controlled trial of a CBT self-help workbook for IBS. Sixty patients with IBS were randomly assigned to active treatment or waitlist control. Participants were evaluated 6 weeks post-randomization at which point waitlist controls crossed over to active treatment. Treatment completers (17 in the immediate treatment group vs 19 in the waitlist control) experienced statistically and clinically significant improvement in quality of life, GI symptom severity, visceral sensitivity and catastrophic cognitions immediately post-treatment. Treatment efficacy was partially mediated by reductions in catastrophic thinking and visceral sensitivity. Limitations of the study included a high attrition rate, as is common in both internet-based and self-help intervention studies. Multiple imputation of missing data for post-treatment was carried out to correct for attrition, and subsequent analyses replicated prior statistically significant improvement on all major outcome measures. This study represents a move towards wider dissemination of and access to empirically-supported treatments for IBS, as well as an effort to test a self-help book in a randomized, controlled trial prior to publication.

vorige artikel Reaction Times to Appearance-Related or Non-appearance-Related Word Choice Among Women With and Without Eating Psychopathology

volgende artikel Change in Decentering Mediates Improvement in Anxiety in Mindfulness-Based Stress Reduction for Generalized Anxiety Disorder

Afari, N., Ahumada, S. M., Wright, L. J., Mostoufi, S., Golnari, G., Reis, V., et al. (2014). Psychological trauma and functional somatic syndromes: A systematic review and meta-analysis. Psychosomatic Medicine, 76(1), 2–11. doi:10.1097/PSY.0000000000000010.CrossRefPubMedCentralPubMed

American Gastroenterological Association. (2002). American Gastroenterological Association medical position statement: Irritable Bowel Syndrome. Gastroenterology, 123(6), 2105–2107. doi:10.1053/gast.2002.37095b.CrossRef

Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182. doi:10.1037/0022-3514.51.6.1173.CrossRefPubMed

Bergsma, A. (2008). Do self-help books help? Journal of Happiness Studies, 9(3), 341–360. doi:10.1007/s10902-006-9041-2.CrossRef

Bradley-Bolen, B. (2000). Breaking the bonds of irritable bowel syndrome: A psychological approach to regaining control of your life. Oakland, CA: New Harbinger.

Casiday, R. E., Hungin, A. P. S., Cornford, C. S., de Wit, N. J., & Blell, M. T. (2009). GPs’ explanatory models for irritable bowel syndrome: A mismatch with patient models? Family Practice, 26(1), 34–39. doi:10.1093/fampra/cmn088.CrossRefPubMed

Chapman, S., & Martin, M. (2011). Attention to pain words in irritable bowel syndrome: Increased orienting and speeded engagement. British Journal of Health Psychology, 16(1), 47–60. doi:10.1348/135910710X505887.CrossRefPubMed

Chilcot, J., & Moss-Morris, R. (2013). Changes in illness-related cognitions rather than distress mediate improvements in irritable bowel syndrome (IBS) symptoms and disability following a brief cognitive behavioural therapy intervention. Behaviour Research and Therapy, 51(10), 690–695. doi:10.1016/j.brat.2013.07.007.CrossRefPubMed

Cho, H. S., Park, J. M., Lim, C. H., Cho, Y. K., Lee, I. S., Kim, S. W., et al. (2011). Anxiety, depression and quality of life in patients with irritable bowel syndrome. Gut and Liver, 5(1), 29–36. doi:10.5009/gnl.2011.5.1.29.CrossRefPubMedCentralPubMed

Craske, M. G., Wolitzky-Taylor, K. B., Labus, J., Wu, S., Frese, M., Mayer, E. A., et al. (2011). A cognitive-behavioral treatment for irritable bowel syndrome using interoceptive exposure to visceral sensations. Behaviour Research and Therapy, 49(6–7), 413–421. doi:10.1016/j.brat.2011.04.001.CrossRefPubMedCentralPubMed

Dancey, C. P., Hutton-Young, S. A., Moye, S., & Devins, G. M. (2002). Perceived stigma, illness intrusiveness and quality of life in men and women with irritable bowel syndrome. Psychology, Health, & Medicine, 7(4), 381–395. doi:10.1080/1354850021000015203.CrossRef

Den Boer, P. C. A. M., Wiersma, D., & Van Den Bosch, R. J. (2004). Why is self-help neglected in the treatment of emotional disorders? A meta-analysis. Psychological Medicine, 34(6), 959–971. doi:10.1017/S003329170300179.CrossRef

Drossman, D. A. (2006). The functional gastrointestinal disorders and the Rome III process. Gastroenterology, 130(5), 1377–1390. doi:10.1053/j.gastro.2006.03.008.CrossRefPubMed

Drossman, D. A., Chang, L., Bellamy, N., Gallo-Torres, H. E., Lembo, A., Mearin, F., et al. (2011). Severity in irritable bowel syndrome: A Rome foundation working team report. American Journal of Gastroenterology, 106(10), 1749–1759. doi:10.1038/ajg.2011.201.CrossRefPubMed

Fond, G., Loundou, A., Hamdani, N., Boukouaci, W., Dargel, A., Oliveira, J., & Boyer, L. (2014). Anxiety and depression comorbidities in irritable bowel syndrome (ibs): A systematic review and meta-analysis. European Archives of Psychiatry and Clinical Neuroscience. doi:10.1007/s00406-014-0502-z

Ford, A. C., Bercik, P., Morgan, D. G., Bolino, C., Pintos-Sanchez, M. I., & Moayyedi, P. (2013). Validation of the Rome III criteria for the diagnosis of irritable bowel syndrome in secondary care. Gastroenterology, 145(6), 1262–1270.CrossRefPubMed

Ford, A. C., Brandt, L. J., Young, C., Chey, W. D., Foxx-Orenstein, A. E., & Moayyedi, P. (2009). Efficacy of 5-HT3 antagonists and 5-HT4 agonists in irritable bowel syndrome: Systematic review and meta-analysis. The American Journal of Gastroenterology, 104(7), 1831–1843. doi:10.1038/ajg.2009.223.CrossRefPubMed

Ford, A. C., Forman, D., Bailey, A. G., & Moayyedi, P. (2008). Irritable bowel syndrome: A 10 year natural history of symptoms, and factors that influence consultation behavior. American Journal of Gastroenterology, 103(5), 1229–1239. doi:10.1111/j.1572-0241.2007.01740.x.CrossRefPubMed

Gros, D. F., Antony, M. M., McCabe, R. E., & Swinson, R. P. (2009). Frequency and severity of the symptoms of irritable bowel syndrome across the anxiety disorders and depression. Journal of Anxiety Disorders, 23(2), 290–296. doi:10.1016/j.janxdis.2008.08.004.CrossRefPubMed

Halpert, A., & Drossman, D. (2005). Biopsychosocial issues in irritable bowel syndrome. Journal of Clinical Gastroenterology, 39(8), 665–669. Retrieved from http://journals.lww.com/jcge/pages/default.aspx

Hayes, A. F. (2009). Beyond Baron and Kenny: Statistical mediation analysis in the new millennium. Communication Monographs, 76(4), 408–420. doi:10.1080/03637750903310360.CrossRef

Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analyses: A regression-based approach. New York: The Guilford Press.

Hayes, A. F., & Scharkow, M. (2013). The relative trustworthiness of tests of indirect effects in statistical mediation analysis: Does method really matter? Psychological Science, 24(10), 1918–1927. doi:10.1177/0956797613480187.CrossRefPubMed

Hunt, M. G., Ertel, E., Coello, J. A., & Rodriguez, L. (2014). Development and validation of the GI-Cognitions Questionnaire. Cognitive Therapy and Research, 38(4), 472–482. http://www.springerlink.com/openurl.asp?genre=article&id=doi:10.1007/s10608-014-9607-y

Hunt, M. G., Milonova, M., & Moshier, S. (2009a). Catastrophizing the consequences of gastrointestinal symptoms in irritable bowel syndrome. Journal of Cognitive Psychotherapy, 23(2), 160–173. doi:10.1891/0889-8391.23.2.160.CrossRef

Hunt, M. G., Moshier, S., & Milonova, M. (2009b). Brief cognitive-behavioral internet therapy for irritable bowel syndrome. Behaviour Research and Therapy, 47, 797–802. doi:10.1016/j.brat.2009.05.002.CrossRefPubMed

Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59(1), 12–19. doi:10.1037/0022-006X.59.1.12.CrossRefPubMed

Jones, M., Koloski, N., Boyce, P., & Talley, N. J. (2011). Pathways connecting cognitive behavioral therapy and change in bowel symptoms of IBS. Journal of Psychosomatic Research, 70(3), 278–285. doi:10.1016/j.jpsychores.2010.10.004.CrossRefPubMed

Kaptchuk, T. J., Friedlander, E., Kelley, J. M., Sanchez, M. N., Kokkotou, E., Singer, J. P., et al. (2010). Placebos without deception: A randomized controlled trial in irritable bowel syndrome. PLoS One, 5(12), e15591. doi:10.10.1371/journal.pone.0015591.CrossRefPubMedCentralPubMed

Labus, J. S., Bolus, R., Chang, L., Wiklund, I., Naesdal, J., Mayer, E. A., et al. (2004). The visceral sensitivity index: Development and validation of a gastrointestinal symptom-specific anxiety scale. Alimentary Pharmacology & Therapeutics, 20(1), 89–97. doi:10.1111/j.1365-2036.2004.02007.x.CrossRef

Labus, J. S., Mayer, E. A., Chang, L., Bolus, R., & Naliboff, B. D. (2007). The central role of gastrointestinal-specific anxiety in irritable bowel syndrome: Further validation of the visceral sensitivity index. Psychosomatic Medicine, 69(1), 89–98. doi:10.1097/PSY.0b013e31802e2f24.CrossRefPubMed

Lackner, J. M., & Quigley, B. M. (2005). Pain catastrophizing mediates the relationship between worry and pain suffering in patients with irritable bowel syndrome. Behavior Research and Therapy, 43(7), 943–957. doi:10.1016/j.brat.2004.06.018.CrossRef

Lackner, J. M., Quigley, B. M., & Blanchard, E. B. (2004). Depression and abdominal pain in IBS patients: The mediating role of catastrophizing. Psychosomatic Medicine, 66(3), 435–441. doi:10.1097/01.psy.0000126195.82317.46.PubMed

Ljotsson, B., Falk, L., Vesterlund, A. W., Hedman, E., Lindfors, P., Ruck, C., et al. (2010). Internet-delivered exposure and mindfulness based therapy for irritable bowel syndrome: A randomized controlled trial. Behavior Research and Therapy, 48(6), 531–539. doi:10.1016/j.brat.2010.03.003.CrossRef

Ljotsson, B., Hesser, J., Andersson, E., Lackner, J. M., El Alaoui, S., Falk, L., et al. (2014). Provoking symptoms to relieve symptoms: A randomized controlled dismantling study of exposure therapy in irritable bowel syndrome. Behaviour Research and Therapy, 55, 27–39. doi:10.1016/j.brat.2014.01.007.CrossRefPubMed

Longstreth, G. F., Thompson, W. G., Chey, W. D., Houghton, L. A., Mearin, F., & Spiller, R. C. (2006). Functional bowel disorders. Gastroenterology, 130(5), 1480–1491. doi:10.1053/j.gastro.2005.11.061.CrossRefPubMed

Luscombe, F. A. (2000). Health-related quality of life and associated psychosocial factors in irritable bowel syndrome: A review. Quality of Life Research, 9(2), 161–176. doi:10.1023/A:1008970312068.CrossRefPubMed

Mains, J. A., & Scogin, F. R. (2003). The effectiveness of self-administered treatments: A practice friendly review of the research. Journal of Clinical Psychology, 59(2), 237–246. doi:10.1002/jclp.10145.CrossRefPubMed

Mathieu, E., McGeechan, K., Barratt, A., & Herbert, R. (2013). Internet-based randomized controlled trials: A systematic review. Journal of the American Medical Informatics Association, 20(3), 568–576. doi:10.1136/amiajnl-2012-001175.CrossRefPubMedCentralPubMed

Moss-Morris, R., McAlpine, L., Didsbury, L. P., & Spence, M. J. (2010). A randomized controlled trial of a cognitive behavioural therapy-based self-management intervention for irritable bowel syndrome in primary care. Psychological Medicine, 40(1), 85–94. doi:10.1017/S0033291709990195.CrossRefPubMed

Naliboff, B. D., Derbyshire, W. G., Munakata, J., Berman, S., Mandelkern, M., & Mayer, E. A. (2001). Cerebral activation in patients with irritable bowel syndrome and control subjects during rectosigmoid stimulation. Psychosomatic Medicine, 63(3), 365–375. Retrieved from http://www.psychosomaticmedicine.org/

Norcross, J. C. (2006). Integrating self-help into psychotherapy: 16 practical suggestions. Professional Psychology: Research and Practice, 37(6), 683–693. doi:10.1037/0735-7028.37.6.683.CrossRef

Patrick, D. L., Drossman, D. A., Frederick, I. O., DiCesare, J., & Puder, K. L. (1998). Quality of life in persons with irritable bowel syndrome: Development and validation of a new measure. Digestive Diseases and Sciences, 43(2), 400–411. doi:10.1023/A:1018831127942.CrossRefPubMed

Posserud, I., Svedlund, J., Wallin, J., & Simrén, M. (2009). Hypervigilance in irritable bowel syndrome compared with organic gastrointestinal disease. Journal of Psychosomatic Research, 66(5), 399–405. doi:10.1016/j.jpsychores.2008.09.020.CrossRefPubMed

Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, and Computers, 36(4), 717–731. doi:10.3758/BF03206553.CrossRefPubMed

Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing the indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879–891. doi:10.3758/BRM.40.3.879.CrossRefPubMed

Reme, S. E., Darnley, S., Kennedy, T., & Chalder, T. (2010). The development of the irritable bowel syndrome-behavioral responses questionnaire. Journal of Psychosomatic Research, 69(3), 319–325. doi:10.1016/j.jpsychores.2010.01.025.CrossRefPubMed

Sainsbury, A., & Ford, A. C. (2011). Treatment of irritable bowel syndrome: Beyond fiber and antispasmodic agents. Therapeutic Advances in Gastroenterology, 4(2), 115–127. doi:10.1177/1756283X10387203.CrossRefPubMedCentralPubMed

Sanders, A. S., Blanchard, E. B., & Sykes, M. A. (2007). Preliminary study of a self-administered treatment for irritable bowel syndrome: Comparison to a wait list control group. Journal of Applied Psychophysiological Biofeedback, 32(2), 111–119. doi:10.1007/s10484-007-9037-7.CrossRef

Spratt, M., Carpenter, J., Sterne, J. A. C., Carlin, J. B., Heron, J., Henderson, J., et al. (2010). Strategies for multiple imputation in longitudinal studies. American Journal of Epidemiology, 172(4), 478–487. doi:10.1093/aje/kwq137.CrossRefPubMed

van Dulmen, A. M., Fennis, J. F. M., & Bleijenberg, G. (1996). Cognitive-behavioral group therapy for irritable bowel syndrome: Effects and long-term follow-up. Psychosomatic Medicine, 58(5), 508–514. Retrieved from http://www.psychosomaticmedicine.org/

Whitehead, W. E., Palsson, O. S., Thiwan, S., Talley, N. J., Chey, W. D., Irvine, J., et al. (2006). Development and validation of the Rome III diagnostic questionnaire. In D. A. Drossman, E. Corazziari, R. C. Spiller, & W. G. Thompson (Eds.), Rome III: The functional gastrointestinal disorders (3rd ed., pp. 835–853). McLean, VA: Degnon Associates.

Wiklund, I. K., Fullerton, S., Hawkey, C. J., Jones, R. H., Longstreth, G. F., Mayer, E. A., et al. (2003). An irritable bowel syndrome-specific symptom questionnaire: Development and validation. Scandinavian Journal of Gastroenterology, 38(9), 947–954. doi:10.1080/00365520310004209.CrossRefPubMed

Wolitzky-Taylor, K., Craske, M. G., Labus, J. S., Mayer, E. A., & Naliboff, B. D. (2012). Visceral sensitivity as a mediator of outcome in the treatment of irritable bowel syndrome. Behaviour Research and Therapy, 50(10), 647–650. doi:10.1016/j.brat.2012.05.010.CrossRefPubMedCentralPubMed

Titel: Empirical Support for a Self-help Treatment for IBS
Auteurs: Melissa G. Hunt
Elisabeth Ertel
Jordan A. Coello
Lauren Rodriguez
Publicatiedatum: 01-04-2015
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 2/2015
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-014-9647-3

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 2/2015

Emotion Regulation Difficulties and Maladaptive Behaviors: Examination of Deliberate Self-harm, Disordered Eating, and Substance Misuse in Two Samples

What If I Appear Boring, Anxious, or Unattractive? Validation and Treatment Sensitivity of the Negative Self Portrayal Scale in Clinical Samples

The Role of Implicit Theories in Mental Health Symptoms, Emotion Regulation, and Hypothetical Treatment Choices in College Students

The Cognitive Behavioural Processes Questionnaire: A Preliminary Analysis within Student, Mixed Clinical and Community Samples and the Identification of a Core Transdiagnostic Process

Reaction Times to Appearance-Related or Non-appearance-Related Word Choice Among Women With and Without Eating Psychopathology

Attention to Emotional Information in Social Anxiety Disorder With and Without Co-Occurring Depression