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Related Experiment Videos

Cognitive therapy for irritable bowel syndrome

B Greene1, E B Blanchard

  • 1Center for Stress and Anxiety Disorders, State University of New York, Albany 12203.

Journal of Consulting and Clinical Psychology
|June 1, 1994
PubMed
Summary

Cognitive therapy significantly reduced gastrointestinal symptoms in irritable bowel syndrome (IBS) patients compared to symptom monitoring. Most patients receiving cognitive therapy showed clinical improvement, sustained at follow-up.

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Area of Science:

  • Psychology
  • Gastroenterology
  • Clinical Medicine

Background:

  • Irritable bowel syndrome (IBS) is a common gastrointestinal disorder.
  • Effective treatments for IBS symptoms are needed.
  • Cognitive therapy is a potential intervention for managing IBS.

Purpose of the Study:

  • To evaluate the efficacy of intensive, individualized cognitive therapy for IBS.
  • To compare cognitive therapy with daily gastrointestinal symptom monitoring.

Main Methods:

  • Twenty IBS patients were randomized to cognitive therapy (10 sessions/8 weeks) or symptom monitoring (8 weeks).
  • Pre- and posttreatment evaluations assessed gastrointestinal symptom reduction.
  • A 3-month follow-up assessed sustained effects.

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Main Results:

  • Cognitive therapy led to significantly greater GI symptom reduction (p = .005) than symptom monitoring.
  • Eighty percent of the cognitive therapy group achieved clinically significant improvement versus 10% in the monitoring group.
  • Improvements correlated with changes in automatic thoughts within the cognitive therapy group.

Conclusions:

  • Intensive cognitive therapy is an effective treatment for reducing IBS symptoms.
  • Cognitive therapy offers a significant benefit over symptom monitoring for IBS management.
  • The findings support the role of cognitive processes in IBS symptom experience.