Perspectives of digital cognitive behavioural therapy for functional dyspepsia: qualitative interviews using thematic...

Cognitive behavioural therapy (CBT) has shown efficacy in improving mental health and symptoms of functional dyspepsia (FD), a prevalent disorder of gut-brain interaction (DGBI). However, FD-specific CBT is not widely available or scalable. Therefore, this study explored the perspectives of patients with FD and clinicians who treat them on the use of digital CBT-based interventions.

This qualitative study involved semi-structured interviews with 21 patients with FD and 10 clinicians. Iterative, inductive thematic analysis was conducted.

Three patient themes were developed: (1) their experiences contributing to coping difficulties, emphasising the complexity of self-management; (2) a desire for more personalised options, highlighting the need for accessible, FD-tailored CBT; and (3) concerns regarding human contact, safety, usability, and data security. Four clinician themes were also developed: (1) digital CBT bridges a gap in psychological support within gastroenterology; (2) perceived clinical utility of CBT; (3) digital CBT allows patient self-management; and (4) clinical concerns, including symptom tracking and patient safety.

Both patients and clinicians recognised the value and utility of digital CBT for FD. Tailored, digital CBT could inform and improve current management, making FD-specific psychological support more accessible.