Brief cognitive-behavioral internet therapy for irritable bowel syndrome
Abstract
While cognitive-behavioral therapy for IBS is quite effective, the limited availability of competent therapists and lack of access to treatment remain problematic. This paper reports on a small, randomized, controlled trial of a five week internet based cognitive-behavioral intervention for IBS with limited therapist feedback via e-mail. Fifty-four IBS patients were recruited via the internet and randomly assigned to either immediate treatment or a wait-list control group. Thirty-one subjects completed the post-treatment assessment. 77% of treatment completers also completed a 3-month follow-up assessment. Treatment completers experienced statistically and clinically significant declines in IBS symptoms and improvements in quality of life. Those gains were substantially maintained at follow-up. Treatment efficacy was partially mediated by reductions in the tendency to catastrophize the social and occupational implications of symptoms, suggesting that catastrophizing may be an important target for treatment.
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The generalizability of studies investigating CBT for IBS with reduced therapist time is limited by the fact that study participants have mostly been recruited by referral and self-referral.
“However, the generalizability of our studies and other studies investigating CBT for IBS with reduced therapist time [19-22] is limited by the fact that study participants have mostly been recruited by referral and self-referral.”
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- Authors
- Hunt, M. G., Moshier, S., & Milonova, M.
- Affiliations
- University of Pennsylvania (US)
- Corresponding author
- Hunt, Melissa G.
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2009-09
- Volume
- 47
- Issue
- 9
- Pages
- 797-802
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2039669408
- Cited by
- 139
- References
- 31
- Citations by year
- 2026: 7 · 2025: 4 · 2024: 3 · 2023: 5 · 2022: 8 · 2021: 9 · 2020: 10 · 2019: 11 · 2018: 14 · 2017: 8 · 2016: 6 · 2015: 11 · 2014: 19 · 2013: 9 · 2012: 6
- FWCI
- 5.67
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- irritable bowel syndrome, internet-based cognitive behavioral therapy, brief psychotherapy, quality of life, treatment efficacy, maintenance of treatment effects, access to mental health care
- MeSH terms
- Adult, Female, Humans, Male, Middle Aged, Psychotherapy, Brief, Quality of Life, Therapy, Computer-Assisted, Cognitive Behavioral Therapy, Internet, Irritable Bowel Syndrome, Catastrophization
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