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Psychological interventions for non-ulcer dyspepsia
1Gastroenterology Unit, Centre for Digestive Diseases, The General Infirmary at Leeds, Great George Street, Leeds, UK, LS1 3EX.
The Cochrane Database of Systematic Reviews
|November 1, 2001
Summary
Psychological interventions may help improve symptoms and quality of life for patients with non-ulcer dyspepsia (NUD). Further research is needed to clarify the effectiveness of these therapies for NUD.
Area of Science:
- Gastroenterology
- Psychology
- Evidence-based Medicine
Background:
- Non-ulcer dyspepsia (NUD) patients often exhibit higher levels of anxiety, depression, and pessimism.
- Psychological distress is frequently associated with NUD, impacting overall well-being.
Purpose of the Study:
- To evaluate the efficacy of psychological interventions for non-ulcer dyspepsia (NUD).
- To assess improvements in dyspepsia symptom scores and quality of life (QoL) in NUD patients.
Main Methods:
- Systematic review of randomized controlled trials (RCTs) and quasi-randomized studies.
- Searched multiple electronic databases including Cochrane, MEDLINE, EMBASE, CINAHL, and PsycLIT.
- Included studies on psychotherapy, psychodrama, CBT, relaxation therapy, guided imagery, and hypnosis for NUD.
Main Results:
- Three trials were identified, indicating improvement in dyspepsia symptom scores post-intervention.
- One trial reported improvements in psychological parameters.
- Meta-analysis was not feasible due to heterogeneity in interventions and reporting of outcome data.
Conclusions:
- Psychodynamic psychotherapy and cognitive behavioral therapy show potential benefits for NUD treatment.
- More rigorous trials are required to definitively establish the role of psychological interventions in managing NUD and its associated symptoms.