Department of Internal Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Neurogastroenterol Motil. 2013 Feb;25(2):169-e86. doi: 10.1111/nmo.12022. Epub 2012 Oct 11.
Gut-directed hypnotherapy is an effective treatment option for irritable bowel syndrome (IBS). However, clinical observations suggest that patient satisfaction with hypnotherapy is not always associated with improvement in IBS symptoms.
We evaluated 83 patients with IBS treated with gut-directed hypnotherapy (1 h week(-1), 12 weeks). After the treatment period, patients reported their satisfaction with the treatment (ranging from 1 = not at all satisfied, to 5 = very satisfied) and completed questionnaires to assess IBS symptom severity, quality of life, cognitive function, sense of coherence, depression, and anxiety before and after treatment.
After hypnotherapy improved IBS symptom severity, quality of life, cognitive function, and anxiety were seen. Thirty patients (36%) were very satisfied with the treatment and 57 (69%) patients scored 4 or 5 on the patient satisfaction scale. Patient satisfaction was associated with less severe IBS symptoms and better quality of life after the treatment. In a multiple linear regression analysis, only the quality of life domain sexual relations was independently associated with patient satisfaction after hypnotherapy, explaining 22% of the variance. Using 25% reduction of IBS symptom severity to define an IBS symptom responder, 52% of the responders were very satisfied with hypnotherapy, but this was also true for 31% in the non-responder group.
CONCLUSIONS & INFERENCES: Patient satisfaction with gut-directed hypnotherapy in IBS is associated with improvement of quality of life and gastrointestinal (GI) symptoms. However, other factors unrelated to GI symptoms also seems to be of importance for patient satisfaction, as a substantial proportion of patients without GI symptom improvement were also very satisfied with this treatment option.
肠道导向催眠疗法是治疗肠易激综合征（IBS）的有效方法。然而，临床观察表明，催眠疗法的患者满意度并不总是与 IBS 症状的改善相关。
我们评估了 83 例接受肠道导向催眠治疗的 IBS 患者（每周 1 小时，共 12 周）。治疗结束后，患者报告对治疗的满意度（1 表示非常不满意，5 表示非常满意），并在治疗前后完成了评估 IBS 症状严重程度、生活质量、认知功能、应对感、抑郁和焦虑的问卷。
催眠治疗后 IBS 症状严重程度改善，生活质量、认知功能和焦虑得到改善。30 例（36%）患者对治疗非常满意，57 例（69%）患者对患者满意度量表评分 4 或 5 分。患者满意度与治疗后 IBS 症状较轻和生活质量较高相关。在多元线性回归分析中，只有生活质量领域的性生活与催眠治疗后的患者满意度独立相关，解释了 22%的方差。以 IBS 症状严重程度减少 25%定义为 IBS 症状缓解者，52%的缓解者对催眠治疗非常满意，但在非缓解者中也有 31%的患者非常满意。
肠道导向催眠治疗 IBS 的患者满意度与生活质量和胃肠道（GI）症状的改善相关。然而，与 GI 症状无关的其他因素似乎对患者满意度也很重要，因为相当一部分 GI 症状无改善的患者对这种治疗选择也非常满意。
