14 July 2008

Behaviour therapy for IBS

A new study hints that a self-taught behaviour therapy program may effectively help people who suffer from IBS manage their symptoms.

A new study hints that a self-taught behaviour therapy program may effectively help people who suffer from irritable bowel syndrome (IBS) manage their symptoms, which may include cramping, bloating, diarrhoea and constipation.

Even IBS patients who have not responded to medications or dietary changes, and have difficulty attending therapist-driven behaviour programs, "should not get discouraged that they have to live like prisoners in their houses," Dr Jeffrey M. Lackner told Reuters Health.

A growing body of literature indicates that IBS sufferers can learn very structured skills to manage bowel problems, added Lackner, of the University at Buffalo in New York.

The simple, self-care strategies learned through a home-based program - such as jotting down "trigger foods," keeping a diary of symptoms and managing stress - may be as effective as more traditional, therapist-directed behaviour therapy, he and colleagues have found.

Tests show programme effective
People living with the altered bowel habits, abdominal pain, and discomfort of IBS are prime candidates for disease-management behaviour therapy, especially since few medications are available to effectively treat IBS. However, traditional cognitive behaviour therapy (CBT) programs are usually time-consuming and require multiple visits to therapists - an aspect that makes participation difficult for many IBS patients.

Lackner's team compared the efficacy of a longer and a shorter CBT program, and no intervention, among 75 patients who had IBS for more than 16 years on average.

A third of the participants followed a 10-week therapist-administered program, another third followed a four-week self-administered but therapist-managed program, and a third was wait-listed for behaviour therapy (the control group), the researchers report.

Their analysis, conducted two weeks after the end of the longer intervention, showed the self-administered program was equally effective at relieving abdominal pain and bowel symptoms as the longer therapist-driven program. Both programs were superior to no intervention.

The investigators hope to "expand and replicate" these findings in a multi-site trial in a larger and more diverse patient population, Lackner said. – (Reuters Health)

July 2008

Read more:
Treating mind eases IBS


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