A CONTROLLED TRIAL OF PSYCHOLOGICAL TREATMENT FOR THE IRRITABLE-BOWEL-SYNDROME

被引:310
作者
GUTHRIE, E [1 ]
CREED, F [1 ]
DAWSON, D [1 ]
TOMENSON, B [1 ]
机构
[1] MANCHESTER ROYAL INFIRM, DEPT GASTROENTEROL, MANCHESTER M13 9WL, LANCS, ENGLAND
关键词
D O I
10.1016/0016-5085(91)90215-7
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
One hundred two patients with irritable bowel syndrome were studied in a controlled trial of psychological treatment involving psychotherapy, relaxation, and standard medical treatment compared with standard medical treatment alone. Patients were only selected if their symptoms had not improved with standard medical treatment over the previous 6 months. At 3 months, the treatment group showed significantly greater improvement than the controls on both gastroenterologists' and patients' ratings of diarrhea and abdominal pain, but constipation changed little. Good prognostic factors included overt psychiatric symptoms and intermittent pain exacerbated by stress, whereas those with constant abdominal pain were helped little by this treatment. This study has demonstrated that psychological treatment is feasible and effective in two thirds of those patients with irritable bowel syndrome who do not respond to standard medical treatment. © 1991.
引用
收藏
页码:450 / 457
页数:8
相关论文
共 27 条
  • [1] SYMPTOM COMPLAINTS, PSYCHIATRIC-DISORDER AND ABNORMAL ILLNESS BEHAVIOR IN PATIENTS WITH UPPER ABDOMINAL-PAIN
    COLGAN, S
    CREED, F
    KLASS, H
    [J]. PSYCHOLOGICAL MEDICINE, 1988, 18 (04) : 887 - 892
  • [2] GOAL FRUSTRATION AND LIFE EVENTS IN THE ETIOLOGY OF PAINFUL GASTROINTESTINAL DISORDER
    CRAIG, TKJ
    BROWN, GW
    [J]. JOURNAL OF PSYCHOSOMATIC RESEARCH, 1984, 28 (05) : 411 - 421
  • [3] PSYCHOLOGICAL-FACTORS IN THE IRRITABLE-BOWEL-SYNDROME
    CREED, F
    GUTHRIE, E
    [J]. GUT, 1987, 28 (10) : 1307 - 1318
  • [4] PSYCHOLOGICAL TREATMENTS OF THE IRRITABLE BOWEL SYNDROME - A REVIEW
    CREED, F
    GUTHRIE, E
    [J]. GUT, 1989, 30 (11) : 1601 - 1609
  • [5] FUNCTIONAL ABDOMINAL-PAIN, PSYCHIATRIC-ILLNESS, AND LIFE EVENTS
    CREED, F
    CRAIG, T
    FARMER, R
    [J]. GUT, 1988, 29 (02) : 235 - 242
  • [6] COMPARISON OF RESEARCH DIAGNOSTIC SYSTEMS IN AN EDINBURGH COMMUNITY SAMPLE
    DEAN, C
    SURTEES, PG
    SASHIDHARAN, SP
    [J]. BRITISH JOURNAL OF PSYCHIATRY, 1983, 142 (MAR) : 247 - 256
  • [7] LIFE EVENTS, PSYCHIATRIC-ILLNESS AND THE IRRITABLE-BOWEL-SYNDROME
    FORD, MJ
    MCCMILLER, P
    EASTWOOD, J
    EASTWOOD, MA
    [J]. GUT, 1987, 28 (02) : 160 - 165
  • [8] EFFECTS OF DESIPRAMINE ON IRRITABLE-BOWEL-SYNDROME COMPARED WITH ATROPINE AND PLACEBO
    GREENBAUM, DS
    MAYLE, JE
    VANEGEREN, LE
    JEROME, JA
    MAYOR, JW
    GREENBAUM, RB
    MATSON, RW
    STEIN, GE
    DEAN, HA
    HALVORSEN, NA
    ROSEN, LW
    [J]. DIGESTIVE DISEASES AND SCIENCES, 1987, 32 (03) : 257 - 266
  • [9] Hamilton M., 1967, BRIT J SOC CLIN PSYC, V6, P278, DOI [10.1111/j.2044-8260.1967, 10.1111/j.2044-8260.1967.tb00530.x, DOI 10.1111/J.2044-8260.1967.TB00530.X]
  • [10] HARVEY RF, 1989, LANCET, V1, P424