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How do people with refractory irritable bowel syndrome perceive hypnotherapy?: Qualitative study
Matthew Krouwel1, Kate Jolly1, Sheila Greenfield1
1Institute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT, United Kingdom.
Complementary Therapies in Medicine
|July 24, 2019
Summary
Many Irritable Bowel Syndrome (IBS) patients are unaware of or misunderstand hypnotherapy as a treatment option. Addressing these knowledge gaps and perceived barriers could increase the uptake of hypnotherapy for IBS management.
Area of Science:
- Gastroenterology
- Psychosomatic Medicine
- Complementary and Alternative Medicine
Background:
- Irritable Bowel Syndrome (IBS) is a prevalent gastrointestinal disorder affecting millions globally.
- The UK's National Institute for Health and Care Excellence (NICE) recognizes hypnotherapy as a potential IBS treatment.
- Patient perspectives on hypnotherapy for IBS remain largely unexplored.
Purpose of the Study:
- To explore the perceptions of individuals with IBS regarding hypnotherapy.
- To identify barriers hindering the adoption of hypnotherapy for IBS management.
- To understand patient preferences for hypnotherapy delivery.
Main Methods:
- Qualitative study employing semi-structured interviews.
- Thematic analysis of interview data.
- 17 participants with refractory IBS recruited via posters and online support groups in the UK.
Main Results:
- Participants viewed hypnosis as a state conducive to change but often hadn't considered it for IBS.
- Key barriers included cost, therapist credibility, and a lack of understanding of hypnotherapy's mechanisms for IBS.
- One-to-one hypnotherapy was preferred over group sessions; video call delivery raised effectiveness concerns.
Conclusions:
- Lack of understanding and awareness are significant deterrents to hypnotherapy use for IBS.
- Effective promotion highlighting the mechanisms of action could enhance hypnotherapy uptake.
- Addressing patient-identified barriers is crucial for increasing the utilization of hypnotherapy in IBS care.
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