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Cognitive-Behavioral Group Therapy for Irritable Bowel Syndrome

Effects and Long-Term Follow-Up

Bibliographic Data

ID19308573
AuthorsSandra Van Dulmen (0000-0002-1651-7544, Radboud University Nijmegen), A M Van Dulmen, J F M Fennis, Gijs Bleijenberg (0000-0002-3822-1162)
Year1996
Volume58
Issue5
Pages508-514
Publication date1996-01-01
Open AccessNo
TypeARTICLE
VenuePsychosomatic Medicine (JOURNAL)
Journal identifiersISSN: 0033-3174 • E-ISSN: 1534-7796
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00006842-199609000-00013
PMID8902902
OpenAlexW2167678504
LanguageEN
Citations received9
References cited26

Little is known about the effectiveness of cognitive behavioral treatment for patients with irritable bowel syndrome on a group basis. Previous studies have used only small samples, and studies with long term follow-up are lacking. The arm of the present study was to investigate: a) the effectiveness of a cognitive-behavioral group treatment compared with a waiting list control condition in alleviating abdominal complaints and b) the long term effectiveness of cognitive-behavioral group treatment. In study 1, we performed a controlled study with 25 patients in the group treatment condition and 20 patients in the waiting list control condition. Treatment consisted of eight 2-hour group sessions over a period of 3 months. In study 2, all patients were treated and followed up for an average of 2.25 years (range 6 months-4 years) after the completion of the group treatment. The abdominal complaints of the patients who underwent treatment were found to improve significantly more than the complaints of the patients awaiting treatment. Moreover, in agreement with the purpose of the therapy, the number of successful coping strategies was found to increase more and patients' avoidance behavior was found to decrease more in the treatment group than in the waiting list control group. The positive changes appeared to persist during follow-up. Cognitive-behavioral group treatment is effective in alleviating irritable bowel syndrome, in stimulating coping strategies, and in reducing avoidance behavior. At long term follow-up, the abdominal complaints, the number of successful coping strategies, and the avoidance behavior were still improved compared with the pretreatment assessment

Abdominal pain · Cognition · Cognitive behavioral therapy · Cognitive therapy · Coping (psychology) · Group psychotherapy · Irritable bowel syndrome · Physical therapy · Psychiatry · Treatment and control groups · Clinical Psychology · Gastrointestinal motility and disorders · Infant Health and Development · Internal Medicine · Medicine · Music Therapy and Health

  • Changing Face of Pain

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    Larry A Allen•Psychosomatic Medicine•2002

  • Gastrointestinal Diseases

    Open Access•Laurie Keefer, Tiffany H Taft et al.•Handbook of Psychology, Second…•2012

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    Open Access•Arthur J Barsky, Jonathan F Borus•Annals of Internal Medicine•1999

  • Changing Face of Pain

    Francis J Keefe, Mark A Lumley et al.•Psychosomatic Medicine•2002

  • Effects of Coping on Health Outcome Among Women With Gastrointestinal Disorders

    Sandra Marisa Carli, Douglas A Drossman et al.•Psychosomatic Medicine•2000

  • Psychosocial Treatments for Multiple Unexplained Physical Symptoms

    Lesley A Allen, Javier I Escobar et al.•Psychosomatic Medicine•2002

  • Patients with medically unexplained symptoms

    Open Access•Sara Peters, Sarah Peters et al.•Social Science & Medicine•1998

  • Perfectionism, psychosocial impact and coping with irritable bowel disease

    Open Access•Gordon L Flett, Christine Baricza et al.•Journal of Health Psychology•2011

Citations per year0.32
Citation span1998 - 2012 (15)
Highly citedNo

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