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Psychotherapy for Irritable Bowel Syndrome: A Systematic Review.

作者信息

Slouha Ethan, Patel Bansari, Mohamed Ahmed, Razeq Ziyad, Clunes Lucy A, Kollias Theofanis F

机构信息

Anatomical Sciences, St. George's University School of Medicine, St. George's, GRD.

Pharmacy, St. George's University School of Medicine, St. George's, GRD.

出版信息

Cureus. 2023 Dec 23;15(12):e51003. doi: 10.7759/cureus.51003. eCollection 2023 Dec.


DOI:10.7759/cureus.51003
PMID:38259396
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10802926/
Abstract

Psychotherapy has many forms, such as cognitive behavioral therapy (CBT), mindfulness therapy (MFT), and hypnotherapy, to name a few. Cognitive behavioral therapy is the gold standard in therapy-based treatment and is used for cognitive restructuring to reduce safety-seeking and avoidant behaviors. While the main application of psychotherapy is psychological disorders, recent studies have found that it is beneficial for somatic and physiological symptoms such as chronic pain or even irritable bowel syndrome (IBS). Irritable bowel syndrome is a common but debilitating gastrointestinal condition that has a prevalence of 12% in the United States and costs the average patient $9,776 annually in 2023. Irritatable bowel syndrome is a condition of exclusion but consists of abdominal discomfort or pain and must be associated with altered bowel habits as stated in the Rome IV criteria. At least half of these patients also exhibit extracolonic symptoms, most commonly psychological disorders like anxiety and stress. The true etiology of IBS is not understood, but ideas such as the brain-gut axis, stress response system, and gut microbiota have been evaluated. Treatment of IBS is extensive and heavily relies on the patient-physician interaction, but pharmacologic therapies have been employed and are sometimes unsuccessful. Irritable bowel syndrome impacts an individual as a whole, making them hesitate whether or not they eat a particular food or even go out to do an activity because of the unpredictable bowel pattern. Finding a better solution is essential to improving the patient's quality of life (QoL), especially by addressing how they perceive the illness, how they adjust to it, and even how they determine what foods to consume. This paper aims to evaluate whether or not psychotherapy can be employed to improve all aspects of IBS, as well as if it can reduce the cost of IBS treatment.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b95/10802926/58c6199bcf9a/cureus-0015-00000051003-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b95/10802926/58c6199bcf9a/cureus-0015-00000051003-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b95/10802926/58c6199bcf9a/cureus-0015-00000051003-i01.jpg

相似文献

[1]
Psychotherapy for Irritable Bowel Syndrome: A Systematic Review.

Cureus. 2023-12-23

[2]
The journey between brain and gut: A systematic review of psychological mechanisms of treatment effect in irritable bowel syndrome.

Br J Health Psychol. 2017-6-1

[3]
The Use of Psychotherapy for Refractory Irritable Bowel Syndrome: A Systematic Review.

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[4]
Cognitive behavioral therapy for irritable bowel syndrome: the effects on state and trait anxiety and the autonomic nervous system during induced rectal distensions - An uncontrolled trial.

Scand J Pain. 2018-1-26

[5]
Development and Current State of Digital Therapeutics for Irritable Bowel Syndrome.

Clin Gastroenterol Hepatol. 2024-2

[6]
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[7]
Efficacy of Zemedy, a Mobile Digital Therapeutic for the Self-management of Irritable Bowel Syndrome: Crossover Randomized Controlled Trial.

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[8]
Are bowel symptoms and psychosocial features different in irritable bowel syndrome patients with abdominal discomfort compared to abdominal pain?

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[9]
Comparison of the Effect of Dialectical Behavior Therapy, Mindfulness Based Cognitive Therapy and Positive Psychotherapy on Perceived Stress and Quality of Life in Patients with Irritable Bowel Syndrome: a Pilot Randomized Controlled Trial.

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[10]
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本文引用的文献

[1]
Pain Catastrophizing and Clinical Outcomes Among Patients Receiving a Novel Cognitive-Behavioral Therapy for Irritable Bowel Syndrome: An Experimental Therapeutics Approach.

Behav Ther. 2023-7

[2]
The Socioeconomic Impact of Irritable Bowel Syndrome: An Analysis of Direct and Indirect Health Care Costs.

Clin Gastroenterol Hepatol. 2023-9

[3]
Randomised clinical trial: individual versus group hypnotherapy for irritable bowel syndrome.

Aliment Pharmacol Ther. 2022-6

[4]
Do I really have to do my homework? The role of homework compliance in cognitive behavioral therapy for irritable bowel syndrome.

Behav Res Ther. 2022-5

[5]
Psychotherapy in Psychiatry.

Can J Psychiatry. 2021-11

[6]
Cognitive behavioral therapy for irritable bowel syndrome induces bidirectional alterations in the brain-gut-microbiome axis associated with gastrointestinal symptom improvement.

Microbiome. 2021-11-30

[7]
Effect of Hypnotism on the Severity of Gastrointestinal Symptoms and Quality of Life in Individuals With Irritable Bowel Syndrome.

J Psychosoc Nurs Ment Health Serv. 2022-5

[8]
Cognitive-behavioral therapy for management of mental health and stress-related disorders: Recent advances in techniques and technologies.

Biopsychosoc Med. 2021-10-3

[9]
Return on investment of internet delivered exposure therapy for irritable bowel syndrome: a randomized controlled trial.

BMC Gastroenterol. 2021-7-13

[10]
Efficacy of Zemedy, a Mobile Digital Therapeutic for the Self-management of Irritable Bowel Syndrome: Crossover Randomized Controlled Trial.

JMIR Mhealth Uhealth. 2021-5-20

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