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Biofeedback for anismus in 15 sexually abused women
A M Leroi1, V Duval, C Roussignol
1Groupe de Biochimie et Physiopathologie Digestive et Nutritionnelle, Hôpital Charles Nicolle, Rouen, France,
International Journal of Colorectal Disease
|January 1, 1996
Summary
Biofeedback therapy is beneficial for patients with anismus, particularly those with a history of sexual abuse. However, combining biofeedback with psychotherapy significantly improves recovery rates compared to biofeedback alone.
Area of Science:
- Gastroenterology
- Psychology
- Sexual Abuse Research
Background:
- Anismus, a condition causing irritable bowel symptoms, affects sexually abused patients.
- Sexual abuse history (childhood or adulthood) was present in all 15 participants.
- Anismus diagnosis was confirmed via anorectal manometry.
Purpose of the Study:
- To evaluate the efficacy of biofeedback for anismus in sexually abused women.
- To determine if psychotherapy is necessary when combined with biofeedback.
Main Methods:
- 15 women with anismus and sexual abuse history participated.
- Patients initially chose biofeedback; 8 later accepted psychotherapy (group or individual).
- Treatment outcomes were assessed after completion, with 13 patients finishing the study.
Main Results:
- Eight out of thirteen patients recovered completely from anismus symptoms.
- Only two patients who received biofeedback alone achieved full recovery.
- The majority of recovered patients (6/8) had undergone biofeedback combined with psychotherapy.
Conclusions:
- Biofeedback alone is often insufficient for treating anismus in sexually abused patients.
- Biofeedback can serve as an initial, less intimidating step towards psychotherapy.
- Combining biofeedback with psychotherapy enhances treatment success for this patient group.