Are self-administered or minimal therapist contact psychotherapies an effective treatment for irritable bowel syndrome (IBS): a systematic review.

Ahl, Alyce, Mikocka-Walus, Antonina, Gordon, Andrea and Andrews, Jane M 2013, Are self-administered or minimal therapist contact psychotherapies an effective treatment for irritable bowel syndrome (IBS): a systematic review., Journal of psychosomatic research, vol. 75, no. 2, pp. 113-120, doi: 10.1016/j.jpsychores.2013.04.008.

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Title Are self-administered or minimal therapist contact psychotherapies an effective treatment for irritable bowel syndrome (IBS): a systematic review.
Author(s) Ahl, Alyce
Mikocka-Walus, AntoninaORCID iD for Mikocka-Walus, Antonina orcid.org/0000-0003-4864-3956
Gordon, Andrea
Andrews, Jane M
Journal name Journal of psychosomatic research
Volume number 75
Issue number 2
Start page 113
End page 120
Total pages 8
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2013-08
ISSN 1879-1360
Keyword(s) Functional gastrointestinal disorders
Irritable bowel syndrome
Psychotherapy
Self-administered
Self-help
Summary OBJECTIVE: Irritable bowel syndrome is a highly prevalent gastrointestinal condition that is known to be associated with maladaptive psychological coping and is extremely costly to the health-care system. Psychotherapy has been found to improve both physical and psychological symptoms in IBS. However, it is unknown whether 'no therapist' or 'minimal therapist' contact self-help psychotherapy programs are effective treatments for IBS. Thus, this paper aims to determine whether 'no therapist' or 'minimal therapist' contact self-help psychotherapy programs are effective treatments for IBS. METHODS: A search of PubMed, SCOPUS, Cochrane Library, and Ebscohost research databases was conducted without language or date restriction in July 2012. RESULTS: Nine relevant publications were included in the final review, all of which were randomized controlled trials (RCTs) and included an intervention that was primarily self-administered. It was found that 'no therapist' contact self-help programs are likely to have poor results due to lack of engagement in the program, whilst 'minimal therapist' contact programs appear to produce positive results in terms of symptom relief. Trends towards 'minimal therapist' contact self-help programs having a positive impact on quality of life (QOL) and psychological outcomes were evident. CONCLUSION: 'Minimal therapist' contact psychotherapy programs have the potential to reduce healthcare seeking behaviour and potentially reduce healthcare costs. However, further studies need to be conducted to confirm this effect as there is poor standardisation in the measurements of the available studies.
Language eng
DOI 10.1016/j.jpsychores.2013.04.008
Field of Research 110307 Gastroenterology and Hepatology
110319 Psychiatry (incl Psychotherapy)
170106 Health, Clinical and Counselling Psychology
Socio Economic Objective 920105 Digestive System Disorders
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2013, Elsevier
Persistent URL http://hdl.handle.net/10536/DRO/DU:30089710

Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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