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Perspective

Skills over pills? A clinical gastroenterologist’s primer in cognitive behavioral therapy for irritable bowel syndrome

Pages 601-618 | Received 10 Feb 2020, Accepted 05 Jun 2020, Published online: 30 Jun 2020

References

  • American College of Gastroenterology IBS Task Force. An evidence-based systematic review on the management of irritable bowel syndrome. Am J Gastroenterol. 2009;104(Supplement 1):S1–S35.
  • National Institute of for Health and Clinical Excellence. Irritable bowel syndrome in adults: diagnosis and management; 2017. (Clinical guideline [CG61]). www.nice.org/guidance/cg61
  • Society of Clinical Psychology (Divsion 12). Empirically-supported psychological treatments; 2020 American Psychological Association. www.div12.org/diagnosis/irritable-bowel-syndrome
  • Lackner JM, Jaccard J, Krasner SS, et al. Self-administered cognitive behavior therapy for moderate to severe irritable bowel syndrome: clinical efficacy, tolerability, feasibility. Clin Gastroenterol Hepatol. 2008;15(8):899–906.
  • Lackner JM, Jaccard J, Keefer L, et al., Improvement in gastrointestinal symptoms after cognitive behavior therapy for refractory irritable bowel syndrome. Gastroenterology. 155(1):47–57. 2018.
  • Lackner JM. Controlling IBS the drug-free way: A 10-step plan for symptom relief. New York: Stewart, Tabori, & Chang; 2007.
  • Barney P, Weisman P, Jarrrett MJ, et al. Master Your IBS. Bethesdaa, MD: AGA Institute Press; 2011.Gastroenterology. 2019;156(6):S196.
  • Lackner JM, Jaccard J, Keefer L, et al. Improvement in gastrointestinal symptoms after cognitive behavior therapy for refractory irritable bowel syndrome. Gastroenterology. 2018;155(1):47–57.
  • Everitt HA, Landau S, O’Reilly G, et al. Assessing telephone-delivered cognitive–behavioural therapy (CBT) and web-delivered CBT versus treatment as usual in irritable bowel syndrome (ACTIB): a multicentre randomised trial. Gut. 2019. DOI:10.1136/gutjnl-2018-317805
  • Mayer EA, Savidge T, Shulman RJ. Brain-gut microbiome interactions and functional bowel disorders. Gastroenterology. 2014;146(6):1500–1512.
  • Fonagy P, Roth A, Higgitt A. Psychodynamic psychotherapies: evidence-based practice and clinical wisdom. Bull Menninger Clin. 2005;69(1):1–58.
  • Svedlund J. Psychotherapy in irritable bowel syndrome. Acta Psychiatr Scand. 1983;67(s306):1–86.
  • Drossman DA, Talley TN, Leserman J, et al. Sexual and physical abuse and gastrointestinal illness: review and recommendations. Ann Intern Med. 1995;123:782–789.
  • Guthrie E, Creed F, Dawson D, et al. A controlled trial of psychological treatment for the irritable bowel syndrome. Gastroenterology. 1991;100:450–457.
  • Svedlund J, Sjodin I, Ottosson JO, et al. Controlled study of psychotherapy in irritable bowel syndrome. Lancet. 1983;2(8350):589–592.
  • Guthrie E, Creed F, Dawson D, et al. A randomised controlled trial of psychotherapy in patients with refractory irritable bowel syndrome. Br J Psychiatry. 1993;163:315–321.
  • Creed F, Fernandes L, Guthrie E, et al. The cost-effectiveness of psychotherapy and paroxetine for severe irritable bowel syndrome. Gastroenterology. 2003;124(2):303–317.
  • Palsson OS, Whitehead WE. Psychological treatments in functional gastrointestinal disorders: a primer for the gastroenterologist. Clin Gastroenterol Hepatol. 2013;11(3):208–216; quiz e222–203.
  • Greenberg S. The supportive approach to therapy. Clin social work j. 1986;14(1):6–13.
  • Dewald PA. Principles of supportive psychotherapy. Am J Psychother. 1994;48(4):505–518.
  • Lackner JM, Jaccard J, Radziwon CD, et al. Durability and decay of treatment benefit of cognitive behavioral therapy for irritable bowel syndrome: 12-month follow-up. Am J Gastroenterol. 2019;114(2):330–338.
  • Chorpita BF. Modular cognitive-behavioral therapy for childhood anxiety disorders. New York,: Guilford; 2006.
  • National Cancer Institute. Theory at a glance: A guide for health promotion practice. Bethesda: MD: U.S. Department of Health and Human Services, NIoH, Public Health Service; 2005.
  • Lackner JM, Jaccard J. Factors associated with efficacy of cognitive behavior therapy vs education for patients with irritable bowel syndrome. Clin Gastroenterol Hepatol. 17(8):1500–1508.
  • Black CJ, Thakur ER, Houghton LA, et al. Efficacy of psychological therapies for irritable bowel syndrome: systematic review and network meta-analysis. Gut. 2020. DOI:10.1136/gutjnl-2020-321191
  • Drossman DA, Corazziari E, Talley NJ, et al. Rome III. The functional gastrointestinal disorders: diagnosis, pathophysiology and treatment: A multinational consensus. McLean, VA:: Degnon Associates; 2006.
  • Taft TH, Bedell A, Naftaly J, et al. Stigmatization toward irritable bowel syndrome and inflammatory bowel disease in an online cohort. Neurogastroenterol Motil. 2017;29(2):e12921.
  • Lackner JM, Quigley B, Radziwon C, et al. IBS patients’ treatment expectancy and motivation impacts quality of the therapeutic alliance with provider: results of the IBS outcome study. J Clin Gastroenterolgy. in press.
  • Chorpita BF, Barlow DH. The development of anxiety: the role of control in the early environment. Psychol Bull. 1998;124(1):3–21.
  • LaFreniere LS, Newman MG. Exposing worry’s deceit: percentage of untrue worries in generalized anxiety disorder treatment. Behav Ther. 2019;51(3):413–423.
  • Mayer EA, Tillisch K. The brain-gut axis in abdominal pain syndromes. Annu Rev Med. 2011;62(1):381–396.
  • Radziwon C, Lackner JM. Coping flexibility, GI symptoms, and functional GI disorders: how translational behavioral medicine research can inform GI practice. Clin Transl Gastroenterol. 2015;6:e117.
  • D’Zurilla TJ, Nezu AM. Problem-solving therapies. New York: Guilford Press; 2001.
  • Payne A, Blanchard EB. A controlled comparison of cognitive therapy and self-help support groups in the treatment of irritable bowel syndrome. J Consult Clin Psych. 1995;63:779–786.
  • van den Hout JH, Vlaeyen JW, Heuts PH, et al. Secondary prevention of work-related disability in nonspecific low back pain: does problem-solving therapy help? A randomized clinical trial. Clin J Pain. 2003;19(2):87–96.
  • Chang L, Munakata J, Mayer EA, et al. Perceptual responses in patients with inflammatory and functional bowel disease. Gut. 2000;47(4):497–505.
  • Cheng C, Hui W, Lam S. Perceptual style and behavioral pattern of individuals with functional gastrointestinal disorders. Health Psychol. 2000;19:146–154.
  • Cheng C, Lau H-PB, Chan M-PS. Coping flexibility and psychological adjustment to stressful life changes: A meta-analytic review. Psychol Bull. 2014;140(6):1582–1607.
  • Watanabe S, Iwanaga M, Ozeki Y. Effects of controllability and desire for control on coping and stress responses. [Effects of controllability and desire for control on coping and stress responses]. Jpn J Health Psychol. 2002;15(1):32–40.
  • Carver CS, Connor-Smith J. Personality and coping. Annu Rev Psychol. 2010;61(1):679–704.
  • Keefer L, Blanchard EB. The effects of relaxation response meditation on the symptoms of irritable bowel syndrome: results of a controlled treatment study. Behav Res Ther. 2001;39:801–811.
  • Jacobson E. Progressive relaxation: A physiological and clinical investigation of muscular states and their significance in psychology and medical practice. J Am Med Assoc. 1938;111(12):1129–1130.
  • Bernstein DA, Borkovec TD. Progressive relaxation training: a manual for the helping professions. Champaign, Illinois: Research Press; 1973.
  • Keefer L, Blanchard EB. A one year follow-up of relaxation response meditation as a treatment for irritable bowel syndrome. Behav Res Ther. 2002;40:541–546.
  • Flik CE, Laan W, Zuithoff NPA, et al. Efficacy of individual and group hypnotherapy in irritable bowel syndrome (IMAGINE): a multicentre randomised controlled trial. Lancet Gastroenterol Hepatol. 2019;4(1):20–31.
  • Webb AN, Kukuruzovic RH, Catto-Smith AG, et al. Hypnotherapy for treatment of irritable bowel syndrome. Cochrane Database Syst Rev. 2007;4:Cd005110.
  • Simren M, Ringstrom G, Bjornsson ES, et al. Treatment with hypnotherapy reduces the sensory and motor component of the gastrocolonic response in irritable bowel syndrome. Psychosom Med. 2004;66(2):233–238.
  • Rainville P, Duncan GH, Price DD, et al. Pain affect encoded in human anterior cingulate but not somatosensory cortex. Science. 1997;277(5328):968–971.
  • Ljotsson B, Hesser H, Andersson E, et al. Provoking symptoms to relieve symptoms: a randomized controlled dismantling study of exposure therapy in irritable bowel syndrome. Behav Res Ther. 2014;55:27–39.
  • Ljotsson B, Hedman E, Andersson E, et al. Internet-delivered exposure-based treatment vs. stress management for irritable bowel syndrome: a randomized trial. Am J Gastroenterol. 2011;106(8):1481–1491.
  • Craske MG, Wolitzky-Taylor KB, Labus J, et al. A cognitive-behavioral treatment for irritable bowel syndrome using interoceptive exposure to visceral sensations. Behav Res Ther. 2011;49(6–7):413–421.
  • Lackner Psy DJ, Gudleski PDG, Ma PDC, et al. Fear of GI symptoms has an important impact on quality of life in patients with moderate-to-severe IBS. Am J Gastroenterol. 2014. DOI:10.1038/ajg.2014.241
  • Wilson GT. Rapid response to cognitive behavior therapy. Clin Psychol Sci Pract. 1999;6:289–292.
  • Lackner JM, Gudleski GD, Keefer L, et al. Rapid response to cognitive behavior therapy for irritable bowel syndrome. Clin Gastroenterol Hepatol. 2010;8(5):426–432.
  • Ford AC, Talley NJ, Schoenfeld PS, et al. Efficacy of antidepressants and psychological therapies in irritable bowel syndrome: systematic review and meta-analysis. Gut. 2009;58(3):367–378.
  • Lackner JM, Mesmer C, Morley S. Psychological treatments for irritable bowel syndrome: a systematic review and meta-analysis. J Consult Clin Psychol. 2004;72:1100–1113.
  • Lackner JM, Holroyd KA. Breaking the bonds of IBS: A step-by-step guide. Buffalo, NY: University at Buffalo, SUNY; 2010.
  • Pimentel M, Park S, Mirocha J, et al. The effect of a nonabsorbed oral antibiotic (Rifaximin) on the symptoms of the irritable bowel syndrome. Ann Intern Med. 2006;145(8):557–563.
  • Drossman DA, Chey WD, Johanson JF, et al. Clinical trial: lubiprostone in patients with constipation-associated irritable bowel syndrome–results of two randomized, placebo-controlled studies. Aliment Pharmacol Ther. 2009;29(3):329–341.
  • Moss-Morris R, Sibelli A, Windgassen S, et al., Eds. Regul8: A self-management programme for IBS: manual for ACTIB trial.
  • Laird KT, Tanner-Smith EE, Russell AC, et al. Short-term and long-term efficacy of psychological therapies for irritable bowel syndrome: a systematic review and meta-analysis. Clin Gastroenterol Hepatol. 2016;14(7):937–947.e934.
  • Lackner JM, Jaccard J, Radziwon CD, et al. Durability and decay of treatment benefit of cognitive behavioral therapy for irritable bowel syndrome: 12-month follow-up. Am J Gastroenterol. 2018;114(2):330–338.
  • Everitt HA, Landau S, O’Reilly G, et al. Cognitive behavioural therapy for irritable bowel syndrome: 24-month follow-up of participants in the ACTIB randomised trial. Lancet Gastroenterol Hepatol. 2019;4(11):863–872.
  • Ljotsson B, Hedman E, Lindfors P, et al. Long-term follow-up of internet-delivered exposure and mindfulness based treatment for irritable bowel syndrome. Behav Res Ther. 2011;49(1):58–61.
  • Ljotsson B, Andersson G, Andersson E, et al. Acceptability, effectiveness, and cost-effectiveness of internet-based exposure treatment for irritable bowel syndrome in a clinical sample: a randomized controlled trial. BMC Gastroenterol. 2011;11:110.
  • Quitkin FM, Rabkin JG, Ross D, et al. Identification of true drug response to antidepressants. Use of pattern analysis. Arch Gen Psychiatry. 1984;41(8):782–786.
  • Spiller RC. Problems and challenges in the design of irritable bowel syndrome clinical trials: experience from published trials. Am J Med. 1999;107(5a):91s–97s.
  • Dunlap LJ, Lackner JM, Jaccard J, et al. Clinical and cost effectiveness of minimal-contact versus standard cognitive behavior therapy for irritable bowel syndrome: results of the IBS outcome study (IBSOS). Gastroenterology. 2018;154(6):S-497-S-498.
  • Drossman DA, Toner BB, Whitehead WE. Cognitive-behavioral therapy versus education and desipramine versus placebo for moderate to severe functional bowel disorders. Gastroenterology. 2003;125:19–31.
  • Hunt MG, Moshier S, Milonova M. Brief cognitive-behavioral internet therapy for irritable bowel syndrome. Behav Res Ther. 2009;47(9):797–802.
  • Heitkemper M, Jarrett M, Levy R. Self-management for women with irritable bowel syndrome. Clin Gastroenterol Hepatol. 2004;2:585–596.
  • Lackner JM, Gudleski GD, Keefer L, et al. Rapid response to cognitive behavior therapy predicts treatment outcome in patients with irritable bowel syndrome. Clin Gastroenterol Hepatol. 2010;8(5):426–432.
  • Areán PA, Kraemer HC. High-quality psychotherapy research: from conception to piloting to national trials. New York: Oxford University Press; 2013.
  • Sanders KA, Blanchard EB, Sykes MA. Preliminary study of a self-administered treatment for irritable bowel syndrome: comparison to a wait list control group. Appl Psychophysiol Biofeedback. 2007;32(2):111–119.
  • Mohr DC, Cuijpers P, Lehman K. Supportive accountability: a model for providing human support to enhance adherence to eHealth interventions. J Med Internet Res. 2011;13(1):e30.
  • Everitt H, Landau S, Little P, et al. Therapist telephone-delivered CBT and web-based CBT compared with treatment as usual in refractory irritable bowel syndrome: the ACTIB three-arm RCT. Health Technol Assess. 2019;23(17). DOI:10.3310/hta23120
  • Higgins KS, Tutelman PR, Chambers CT, et al. Availability of researcher-led eHealth tools for pain assessment and management: barriers, facilitators, costs, and design. Pain Rep. 2018;3(Suppl 1):e686–e686.
  • Choi NG, Dinitto DM. The digital divide among low-income homebound older adults: internet use patterns, eHealth literacy, and attitudes toward computer/internet use. J Med Internet Res. 2013;15(5):e93–e93.
  • DeMonte CM, DeMonte WD, Thorn BE. Future implications of eHealth interventions for chronic pain management in underserved populations. Pain Manag. 2015;5(3):207–214.
  • Lackner JM, Mesmer C, Morley S, et al. Psychological treatments for irritable bowel syndrome: a systematic review and meta-analysis. J Consult Clin Psychol. 2004;72(6):1100–1113.
  • Lackner JM, Jaccard J, Krasner SS, et al. How does cognitive behavior therapy for irritable bowel syndrome work? A mediational analysis of a randomized clinical trial. Gastroenterology. 2007;133(2):433–444.
  • Windgassen S, Moss-Morris R, Goldsmith K, et al. Key mechanisms of cognitive behavioural therapy in irritable bowel syndrome: the importance of gastrointestinal related cognitions, behaviours and general anxiety. J Psychosom Res. 2019;118:73–82.
  • Ljotsson B, Hesser H, Andersson E, et al. Mechanisms of change in an exposure-based treatment for irritable bowel syndrome. J Consult Clin Psychol. 2013;81(6):1113–1126..
  • Lackner JM, Jaccard J. Cognitive-behavioural therapy for IBS comes home: mapping a route for efficacy and efficiency in the digital age. Gut. 2019;68(9):1541–1542.
  • Lackner JM, Jaccard J, Firth R, et al. Factors associated with efficacy of cognitive behavior therapy vs education for patients with irritable bowel syndrome. Clin Gastroenterol Hepatol. 2019;17(8):1500–1508.e1503.
  • Keefer L, Palsson OS, Pandolfino JE. Best practice update: incorporating psychogastroenterology into management of digestive disorders. Gastroenterology. 2018;154(5):1249–1257.

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