Intervening on cognitions and behavior in irritable bowel syndrome: A feasibility trial using PDAs

Oerlemans, Simone; van Cranenburgh, Oda; Herremans, Pieter-Jan; Spreeuwenberg, Peter; van Dulmen, Sandra

doi:10.1016/j.jpsychores.2010.09.018

Cited by 67Gastrointestinal motility and disordersDigital Mental Health InterventionsMobile Health and mHealth Applications

Intervening on cognitions and behavior in irritable bowel syndrome: A feasibility trial using PDAs

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Oerlemans, Simone, van Cranenburgh, Oda, Herremans, Pieter-Jan, Spreeuwenberg, Peter, van Dulmen, Sandra·2011·Journal of Psychosomatic Research

DOI 10.1016/j.jpsychores.2010.09.018

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Abstract

Objective Irritable bowel syndrome (IBS) is a common, chronic, and often disabling disorder. Cognitive-behavioral therapy (CBT) has been shown to be effective in alleviating IBS symptoms. The aim of this study was to establish the feasibility and the efficacy of a cognitive-behavioral e-intervention using personal digital assistants (PDAs) on the self-management of IBS patients.Methods A feasibility trial was conducted with 38 control group patients receiving standard care and 37 intervention group patients receiving standard care supplemented with a 4-week CBT intervention on PDAs. All patients fulfilled the diagnostic Rome III criteria for IBS. At baseline, 4-week, and 3-month follow-up, patients' abdominal pain, dysfunctional cognitions, IBS quality of life, and pain catastrophizing thoughts were assessed using written questionnaires.Results Between-group comparisons between baseline and 4 weeks showed more overall quality of life improvement, more improvement in catastrophizing thoughts, and more pain improvement in the intervention group. Only improvement in catastrophizing thoughts persisted in the long-term. No significant differences between groups were found for dysfunctional cognitions. As all 37 intervention group patients completed the intervention and completed diaries three times a day for 4 weeks, the e-health intervention seems feasible.Conclusions A cognitive-behavioral intervention on pocket-type computers appears feasible and efficacious for improving IBS-related complaints and cognitions in the short-term. The intervention group improved on several aspects, but most on catastrophizing thoughts, and these improvements even persisted after 3 months. Future studies should focus on unravelling the effective components of this innovative e-health intervention.

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Two randomized trials provide evidence for positive short-term effects (3-month/5-month follow-up) of daily communication iCBT.
“Two randomized trials provide evidence for positive short-term effects (3-month/5-month follow-up) [20,24].”
From A Smartphone-Based Intervention With Diaries and Therapist Feedback to Reduce Catastrophizing and Increase Functioning in Women With Chronic Widespread Pain. Part 2: 11-month Follow-up Results of a Randomized Trial (2013) · cites this paper as [24]
A few studies have investigated a different approach to iCBT with daily communication with a therapist over a few weeks, using a personal digital assistant or smartphone.
“A few studies have investigated a different approach to iCBT with daily communication with a therapist over a few weeks, using a personal digital assistant (PDA) or smartphone [20-24].”
From A Smartphone-Based Intervention With Diaries and Therapist Feedback to Reduce Catastrophizing and Increase Functioning in Women With Chronic Widespread Pain. Part 2: 11-month Follow-up Results of a Randomized Trial (2013) · cites this paper as [24]
A mobile phone-delivered intervention with diaries and daily CBT-based feedback has been found to reduce catastrophizing thoughts in patients with irritable bowel syndrome and these effects were maintained at a 3-month follow-up.
“A mobile phone-delivered intervention with diaries and daily CBT-based feedback has been found to reduce catastrophizing thoughts in patients with irritable bowel syndrome and these effects were maintained at a 3-month follow-up [18].”
From A Smartphone-Based Intervention With Diaries and Therapist-Feedback to Reduce Catastrophizing and Increase Functioning in Women With Chronic Widespread Pain: Randomized Controlled Trial (2013) · cites this paper as [18]
Our results are consistent with the findings of a study that tested the efficacy of a similar mobile phone-delivered intervention with diaries and daily CBT-based feedback for patients with irritable bowel syndrome. The intervention reduced catastrophizing thoughts and the effects were maintained at a 3-month follow-up.
“Our results are consistent with the findings of a study that tested the efficacy of a similar mobile phone-delivered intervention with diaries and daily CBT-based feedback for patients with irritable bowel syndrome. The intervention reduced catastrophizing thoughts and the effects were maintained at a 3-month follow-up [18].”
From A Smartphone-Based Intervention With Diaries and Therapist-Feedback to Reduce Catastrophizing and Increase Functioning in Women With Chronic Widespread Pain: Randomized Controlled Trial (2013) · cites this paper as [18]

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Authors: Oerlemans, S., van Cranenburgh, O., Herremans, P.-J., Spreeuwenberg, P., & van Dulmen, S.
Affiliations: Netherlands Institute for Health Services Research (NL)
ORCID: Oerlemans, Simone
Venue: Journal of Psychosomatic Research
Publisher: Elsevier BV
Published: 2011-03
Volume: 70
Issue: 3
Pages: 267-277
ISSN: 0022-3999 (ISSN-L)
DOI: 10.1016/j.jpsychores.2010.09.018
OpenAlex: W2043755040
Cited by: 67
References: 55
Citations by year: 2026: 2 · 2025: 1 · 2024: 3 · 2023: 2 · 2022: 4 · 2021: 2 · 2020: 1 · 2019: 3 · 2018: 5 · 2017: 3 · 2016: 2 · 2015: 8 · 2014: 6 · 2013: 13 · 2012: 8
FWCI: 7.91
Type: journal article
Language: en
Open access: green
www.nivel.nl
Licence: other-oa
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Psychosomatic Research (publishedVersion)
PubMed (publishedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
Topics: Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Keywords: irritable bowel syndrome, cognitive behavioral therapy, digital health interventions, personal digital assistants, self-management, pain catastrophizing, dysfunctional cognitions, abdominal pain, quality of life, feasibility, mobile health
MeSH terms: Adult, Analysis of Variance, Behavior Therapy, Feasibility Studies, Female, Humans, Male, Middle Aged, Pain, Pain Measurement, Quality of Life, Surveys and Questionnaires, Self Care, Severity of Illness Index, Treatment Outcome, Computers, Handheld, Irritable Bowel Syndrome, Catastrophization, Pain Management

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Intervening on cognitions and behavior in irritable bowel syndrome: A feasibility trial using PDAs

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