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Flexible coping psychotherapy for functional dyspeptic patients: a randomized, controlled trial
Cecilia Cheng1, Feng-Chi Yang, Song Jun
1Department of Psychology, The University of Hong Kong, Pokfulam Road, Hong Kong. ceci-cheng@hku.hk
Psychosomatic Medicine
|December 15, 2006
Summary
Flexible coping psychotherapy (FCP) effectively enhanced coping flexibility and reduced functional dyspepsia (FD) symptoms. FCP
Area of Science:
- Gastroenterology
- Psychiatry
- Psychology
Background:
- Functional dyspepsia (FD) is a common gastrointestinal disorder.
- Current treatments for FD have limited efficacy.
- Coping flexibility may play a role in FD symptom management.
Purpose of the Study:
- To test the efficacy of flexible coping psychotherapy (FCP) for enhancing coping flexibility in patients with FD.
- To compare FCP with supportive psychotherapy (SPP) in treating FD symptoms.
- To investigate whether FCP's effectiveness is due to its specific components or general psychotherapeutic factors.
Main Methods:
- Randomized controlled trial with 75 Chinese FD patients (18-65 years).
- Intervention: FCP vs. SPP.
- Outcome measures: coping flexibility, self-rated and gastroenterologist-rated dyspeptic symptom severity, and anxiety levels, assessed before and 12 months after treatment.
Main Results:
- FCP group showed significant increases in coping flexibility and reductions in symptom severity and anxiety (p < .01).
- SPP group showed reductions in symptom severity and anxiety (p < .0001).
- Only the FCP group's symptom severity was comparable to healthy controls (p = .28).
Conclusions:
- FCP is a potentially effective intervention for FD symptoms.
- FCP's benefits may stem from its specific therapeutic components, not just general factors like empathy.
- Further research is warranted to explore FCP's mechanisms and long-term effects.
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