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Related Experiment Videos

Psychotherapy in functional dyspepsia

T T Haug1, I Wilhelmsen, S Svebak

  • 1Department of Psychiatry, Haukeland University Hospital, University of Bergen, Norway.

Journal of Psychosomatic Research
|October 1, 1994
PubMed
Summary
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Cognitive psychotherapy significantly improved functional dyspepsia symptoms, including pain and nausea, compared to no treatment. This therapy offers a valuable approach for managing chronic digestive issues.

Area of Science:

  • Gastroenterology
  • Psychology
  • Clinical Medicine

Background:

  • Functional dyspepsia (FD) is a common gastrointestinal disorder characterized by persistent upper abdominal symptoms.
  • Psychological factors significantly influence FD symptom perception and severity.
  • Non-pharmacological interventions are increasingly explored for managing FD.

Purpose of the Study:

  • To evaluate the efficacy of cognitive psychotherapy in treating functional dyspepsia.
  • To compare outcomes between patients receiving cognitive psychotherapy and a no-treatment control group.
  • To assess the long-term effects of cognitive psychotherapy on dyspeptic symptoms and psychological parameters.

Main Methods:

  • Randomized controlled trial involving 100 patients with functional dyspepsia.

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  • Intervention group received 10 sessions of cognitive psychotherapy; control group received no treatment.
  • Patients were assessed at baseline, 4 months (end of therapy), and 1 year follow-up for dyspeptic symptoms, psychological parameters, and 'target complaints'.

    • Main Results:

    • Both groups showed improvements in dyspeptic and psychological symptoms at 1-year follow-up.
    • The cognitive psychotherapy group demonstrated significantly greater reductions in epigastric pain, nausea, heartburn, diarrhea, and constipation compared to the control group.
    • Patients in the therapy group also showed a significant reduction in their self-defined 'target complaints'.

    Conclusions:

    • Cognitive psychotherapy is an effective treatment for functional dyspepsia, leading to significant symptom improvement beyond non-specific effects.
    • The study highlights the role of psychological interventions in managing functional gastrointestinal disorders.
    • Cognitive psychotherapy offers a viable therapeutic option for patients suffering from chronic dyspeptic symptoms.