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Cognitive Behavioral Therapy-Based Comprehensive Self-Management Program Improves Presenteeism in Persons with Irritable Bowel Syndrome

A Secondary Data Analysis

Bibliographic Data

ID15499676
AuthorsPei-Lin Yang (0000-0002-2500-2411, National Defense Medical Center, corresponding author), S Matthews (0000-0003-3556-962X, University of Washington), Sarah W Matthews (University of Washington), Robert L Burr (0000-0001-7869-8857, University of Washington), Kevin C Cain (0000-0002-5665-6952, University of Washington), Pamela Barney (0000-0003-3914-4303, University of Washington), Pamela G Barney (University of Washington), Jasmine Zia (0000-0002-8251-7438, Swedish Medical Center), Jasmine K Zia (Swedish Medical Center), Margaret H Heitkemper (University of Washington), Kendra Kamp (0000-0002-7753-3564, University of Washington)
Year2022
Volume19
Issue5
Pages3003-3003
Publication date2022-03-04
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19053003
PMID35270695
OpenAlexW4220782971
LanguageEN
Citations received3
References cited30

Individuals with irritable bowel syndrome (IBS) are more likely to miss work (absenteeism), have reduced work effectiveness (presenteeism) and experience activity impairment. This study compared the effect of a comprehensive self-management (CSM) intervention program (incorporating cognitive behavioral therapy, diet education and relaxation) versus usual care on work- and activity-impairments in adults with IBS. This secondary data analysis used daily diaries and Work Productivity and Activity Impairment in Irritable Bowel Syndrome (WPAI-IBS) questionnaire data collected at baseline, 3, 6 and 12 months post-randomization from 160 adults with IBS. Mixed-effects modeling was used to compare the effect of CSM versus usual care on work- and activity-related outcomes. The effect of CSM was shown to be superior to usual care in improving WPAI-IBS and diary-measured presenteeism, overall work productivity loss and activity impairment with sustained effects up to 12 months post-randomization (all p < 0.05). Moreover, the CSM intervention was found to be particularly beneficial for IBS patients with greater baseline work and activity impairments (all p < 0.05). The CSM intervention may bring benefits to individuals and society through improving symptoms and reducing presenteeism associated with IBS

Absenteeism · Cognition · Cognitive behavioral therapy · Irritable bowel syndrome · Physical therapy · Presenteeism · Psychiatry · Self-management · Child Nutrition and Feeding Issues · Clinical Psychology · Computer Science · Congenital gastrointestinal and neural anomalies · Gastrointestinal motility and disorders · Medicine · Psychology

  • Work-related problems and the psychosocial characteristics of individuals with irritable bowel syndrome

    Open Access•Nagisa Sugaya•BioPsychoSocial Medicine•2024

  • Effects of irritable bowel syndrome and related cognitive-behavioral and occupational stress factors on the productivity and abdominal symptoms of Japanese workers

    Open Access•Nagisa Sugaya, Shuhei Izawa et al.•BioPsychoSocial Medicine•2026

  • Psychosocial Factors and Cognitive Distortions Contributing to Self-Reported Quality of Life in Female University Students with Irritable Bowel Syndrome

    Open Access•D Walaa Badawy Mohamed Badawy•MIGRATION LETTERS•2023

  • Using Effect Size—or Why the P Value Is Not Enough

    Gail M Sullivan, Richard Feinn•Journal of Graduate Medical…•2012

  • Diary Methods

    Niall Bolger, Angelina Davis et al.•Annual Review of Psychology•2003

  • Cost-effectiveness of internet-based cognitive behavior therapy for irritable bowel syndrome

    Open Access•Erik Andersson, Brjánn Ljótsson et al.•BMC Public Health•2011

Unique citing works3
Citations per year1
Citation span2023 - 2026 (4)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 3

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