Effect of autogenic training on general improvement in patients with irritable bowel syndrome: a randomized controlled trial
Abstract
Autogenic training (AT) is a useful and comprehensive relaxation technique. However, no studies have investigated the effects of AT on irritable bowel syndrome (IBS). In this study we tested the hypothesis that AT improves symptoms of IBS. Twenty-one patients with IBS were randomly assigned to AT (n = 11, 5 male, 6 female) or control therapy (n = 10, 5 male, 5 female). AT patients were trained intensively, while the control therapy consisted of discussions about patients' meal habits and life styles. All patients answered a question related to adequate relief (AR) of IBS symptoms and four questionnaires: Self-induced IBS Questionnaire (SIBSQ), Self-reported Depression Scale (SDS), State-Trait Anxiety Inventory (STAI), and Medical Outcome Short Form 36 Health Survey (SF-36). The proportion of AR in the last AT session in the AT group (9/11, 81.8%) was significantly higher than that in the controls (3/10, 30.0%, Chi-square test, p = 0.048). Two subscales of the SF-36, i.e., social functioning and bodily pain, were significantly improved in the AT group (p < 0.05) as compared to the control group. Role emotional (p = 0.051) and general health (p = 0.068) showed a tendency for improvement in the AT group. AT may be useful in the treatment of IBS by enhancing self-control.
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The majority of studies were conducted in Western populations, with only one RCT conducted in Japan and one trial from Israel, so the findings cannot be extrapolated to other populations.
“As the majority of studies were conducted in Western populations, with only one RCT conducted in Japan and one trial from Israel, [62, 63] our findings cannot be extrapolated to other populations.”
From Efficacy of psychological therapies for irritable bowel syndrome: systematic review and network meta-analysis (2020) · cites this paper as [62]
Three trials provided effect sizes indicating greater improvement in the control group.
“Three trials provided effect sizes indicating greater improvement in the control group.56,57,59”
From Short-term and long-term efficacy of psychological therapies for irritable bowel syndrome: a systematic review and meta-analysis (2016) · cites this paper as [57]
In 2 of these trials, the treatment group improved more than the control group on a dichotomous outcome measure identified by the authors as the primary outcome.
“In 2 of these trials, the treatment group improved more than the control group on a dichotomous outcome measure identified by the authors as the primary outcome.57,59”
From Short-term and long-term efficacy of psychological therapies for irritable bowel syndrome: a systematic review and meta-analysis (2016) · cites this paper as [57]
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- Authors
- Shinozaki, M., Kanazawa, M., Kano, M., Endo, Y., Nakaya, N., Hongo, M., & Fukudo, S.
- Affiliations
- Tohoku University (JP)
- Tohoku University Hospital (JP)
- Corresponding author
- Fukudo, Shin
- Venue
- Applied Psychophysiology and Biofeedback
- Published
- 2009-12-08
- Volume
- 35
- Issue
- 3
- Pages
- 189-198
- ISSN
- 0363-3586 (ISSN-L)
- 1090-0586
- 1573-3270
- OpenAlex
- W2020409490
- Cited by
- 67
- References
- 60
- Citations by year
- 2025: 3 · 2024: 5 · 2023: 1 · 2021: 8 · 2020: 9 · 2019: 2 · 2018: 4 · 2017: 4 · 2016: 5 · 2015: 5 · 2014: 9 · 2013: 7 · 2012: 1
- FWCI
- 1.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Applied Psychophysiology and Biofeedback (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Gastroenterological Association
- Japan Society for the Promotion of Science (20590693, 22590646)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Health Professions › Pharmacy › Infant Health and Development
- Keywords
- autogenic training, irritable bowel syndrome, relaxation training, symptom relief, depression, anxiety, quality of life, self-control, psychosomatic treatment
- MeSH terms
- Adult, Analysis of Variance, Anxiety, Autogenic Training, Depression, Female, Humans, Male, Middle Aged, Pain Measurement, Quality of Life, Surveys and Questionnaires, Chi-Square Distribution, Treatment Outcome, Irritable Bowel Syndrome
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