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Development and Current State of Digital Therapeutics for Irritable Bowel Syndrome.

作者信息

Brenner Darren M, Ladewski Amy M, Kinsinger Sarah Wimberly

机构信息

Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.

Department of Digestive Health, Digestive Health Center, Northwestern Memorial Hospital, Chicago, Illinois.

出版信息

Clin Gastroenterol Hepatol. 2024 Feb;22(2):222-234. doi: 10.1016/j.cgh.2023.09.013. Epub 2023 Sep 22.


DOI:10.1016/j.cgh.2023.09.013
PMID:37743035
Abstract

BACKGROUND & AIMS: Irritable bowel syndrome (IBS) is a common, debilitating disorder characterized by abdominal pain and disordered bowel habits. Current pharmacologic treatments often provide incomplete symptom relief and may be poorly tolerated. Furthermore, alleviation of gastrointestinal symptoms does not always translate into improved quality of life for IBS patients. Current treatment guidelines recommend brain-gut behavior therapy (BGBT) in conjunction with other IBS therapies, and, in randomized controlled trials, BGBT has been shown to improve symptoms, patient satisfaction, functioning, and quality of life. Access to BGBT is limited by lack of adequately trained gastrointestinal psychologists, patient time constraints, and cost. Furthermore, clinician knowledge that BGBT is specific, and different from psychotherapy approaches for common mental health disorders, may limit referrals even where available. This review provides an overview of the pathophysiology of IBS, disease burden, unmet therapeutic needs, evidence base of novel digital therapeutics for IBS, and guidance on the introduction and appropriateness of these interventions for patients. METHODS: We searched the literature for available published data relating to the use of novel digital therapeutics to provide cognitive behavioral therapy and gut-directed hypnotherapy in the treatment of irritable bowel syndrome. RESULTS: Clinical trial data support the development and utility of digital therapeutics designed to deliver self-guided cognitive behavioral therapy and hypnotherapy for the treatment of IBS. CONCLUSIONS: BGBTs are effective, guideline-recommended treatments for IBS. Digital therapeutic devices offer accessible, cost-effective treatment options for delivery of adjunctive BGBT for the treatment of IBS. The decision to recommend digital BGBTs should be guided by careful patient assessment that includes mental health screening and risk assessment.

摘要

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引用本文的文献

[1]
Looking Beyond the Barrier for Fecal Incontinence: The Brain-Gut Axis and Central Neurosensory Processes as Treatment Targets.

Dig Dis Sci. 2025-6-12

[2]
The Promise of Digital Therapeutics for Disorders of Gut-Brain Interaction.

Gastroenterol Hepatol (N Y). 2025-5

[3]
From Food Fears to Food Freedom: How Do We Best Manage Restrictive Eating in Inflammatory Bowel Disease?

Crohns Colitis 360. 2025-4-14

[4]
Digital Gut-Directed CBT May Improve Fecal Incontinence in IBS.

Dig Dis Sci. 2025-4

[5]
Digital Therapeutic Combining Hypnosis and Diaphragmatic Breathing Intervention for Functional Abdominal Bloating: A Feasibility Study.

Clin Transl Gastroenterol. 2025-4-1

[6]
Adoption of Digital Therapeutics in Europe.

Ther Clin Risk Manag. 2024-12-27

[7]
Digital Health Interventions for IBS: Ready for Prime Time?

Dig Dis Sci. 2025-2

[8]
The integration of complementary and integrative health and whole person health in gastrointestinal disorders: a narrative review.

Transl Gastroenterol Hepatol. 2024-8-6

[9]
Digital Health Interventions Are Effective for Irritable Bowel Syndrome Self-Management: A Systematic Review.

Dig Dis Sci. 2025-2

[10]
Effect of Tryptophan Restriction in the Therapy of Irritable Bowel Syndrome: a Systematic Review.

Int J Gen Med. 2024-9-16

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