Are self-administered or minimal therapist contact psychotherapies an effective treatment for irritable bowel syndrome (IBS): a systematic review

Ahl, Alyce; Mikocka-Walus, Antonina; Gordon, Andrea; Andrews, Jane M.

doi:10.1016/j.jpsychores.2013.04.008

Cited by 29Gastrointestinal motility and disordersDigital Mental Health InterventionsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Are self-administered or minimal therapist contact psychotherapies an effective treatment for irritable bowel syndrome (IBS): a systematic review

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Ahl, Alyce, Mikocka-Walus, Antonina, Gordon, Andrea, Andrews, Jane M.·2013·Journal of Psychosomatic Research

DOI 10.1016/j.jpsychores.2013.04.008

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Abstract

Objective Irritable bowel syndrome is a highly prevalent gastrointestinal condition that is known to be associated with maladaptive psychological coping and is extremely costly to the health-care system. Psychotherapy has been found to improve both physical and psychological symptoms in IBS. However, it is unknown whether 'no therapist' or 'minimal therapist' contact self-help psychotherapy programs are effective treatments for IBS. Thus, this paper aims to determine whether 'no therapist' or 'minimal therapist' contact self-help psychotherapy programs are effective treatments for IBS.Methods A search of PubMed, SCOPUS, Cochrane Library, and Ebscohost research databases was conducted without language or date restriction in July 2012.Results Nine relevant publications were included in the final review, all of which were randomized controlled trials (RCTs) and included an intervention that was primarily self-administered. It was found that 'no therapist' contact self-help programs are likely to have poor results due to lack of engagement in the program, whilst 'minimal therapist' contact programs appear to produce positive results in terms of symptom relief. Trends towards 'minimal therapist' contact self-help programs having a positive impact on quality of life (QOL) and psychological outcomes were evident.Conclusion 'Minimal therapist' contact psychotherapy programs have the potential to reduce healthcare seeking behaviour and potentially reduce healthcare costs. However, further studies need to be conducted to confirm this effect as there is poor standardisation in the measurements of the available studies.

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Minimal contact therapies have not received adequate attention in gastroenterology, although preliminary evidence is promising in terms of reducing healthcare seeking behaviour.
“Minimal contact therapies have not received adequate attention in gastroenterology, although the preliminary evidence is promising in terms of reducing healthcare seeking behaviour.48”
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Additional file 2 of Supported online self-management versus care as usual for symptoms of fatigue, pain and urgency/incontinence in adults with inflammatory bowel disease (IBD-BOOST): study protocol for a randomised controlled trial
Norton, C. S., Syred, J., Kerry, S., Artom, M., Sweeney, L., Hart, A., Czuber‐Dochan, W., Taylor, S. J., Mihaylova, B., Roukas, C., et al. (2021) · Figshare · doi:10.6084/m9.figshare.15103024
Additional file 3 of Supported online self-management versus care as usual for symptoms of fatigue, pain and urgency/incontinence in adults with inflammatory bowel disease (IBD-BOOST): study protocol for a randomised controlled trial
Norton, C. S., Syred, J., Kerry, S., Artom, M., Sweeney, L., Hart, A., Czuber‐Dochan, W., Taylor, S. J., Mihaylova, B., Roukas, C., et al. (2021) · Figshare · doi:10.6084/m9.figshare.15103027
Additional file 5 of Supported online self-management versus care as usual for symptoms of fatigue, pain and urgency/incontinence in adults with inflammatory bowel disease (IBD-BOOST): study protocol for a randomised controlled trial
Norton, C. S., Syred, J., Kerry, S., Artom, M., Sweeney, L., Hart, A., Czuber‐Dochan, W., Taylor, S. J., Mihaylova, B., Roukas, C., et al. (2021) · Figshare · doi:10.6084/m9.figshare.15103033
Additional file 1 of Supported online self-management versus care as usual for symptoms of fatigue, pain and urgency/incontinence in adults with inflammatory bowel disease (IBD-BOOST): study protocol for a randomised controlled trial
Norton, C. S., Syred, J., Kerry, S., Artom, M., Sweeney, L., Hart, A., Czuber‐Dochan, W., Taylor, S. J. C., Mihaylova, B., Roukas, C., et al. (2021) · Figshare · doi:10.6084/m9.figshare.15103021
Additional file 4 of Supported online self-management versus care as usual for symptoms of fatigue, pain and urgency/incontinence in adults with inflammatory bowel disease (IBD-BOOST): study protocol for a randomised controlled trial
Norton, C. S., Syred, J., Kerry, S., Artom, M., Sweeney, L., Hart, A., Czuber‐Dochan, W., Taylor, S. J. C., Mihaylova, B., Roukas, C., et al. (2021) · Figshare · doi:10.6084/m9.figshare.15103030
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Authors: Ahl, A., Mikocka-Walus, A., Gordon, A., & Andrews, J. M.
Affiliations: University of South Australia (AU)
Royal Adelaide Hospital (AU)
ORCID: Gordon, Andrea
Andrews, Jane M.
Venue: Journal of Psychosomatic Research
Publisher: Elsevier BV
Published: 2013-08
Volume: 75
Issue: 2
Pages: 113-120
ISSN: 0022-3999 (ISSN-L)
DOI: 10.1016/j.jpsychores.2013.04.008
OpenAlex: W2059273665
Cited by: 29
References: 22
Citations by year: 2026: 1 · 2025: 2 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 9 · 2020: 2 · 2017: 2 · 2016: 2 · 2015: 4 · 2014: 2
FWCI: 0.42
Type: journal article
Language: en
Open access: green
figshare.com
Licence: cc-by
Locations: Journal of Psychosomatic Research (publishedVersion)
PubMed (publishedVersion)
Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
Figshare (submittedVersion, cc-by)
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, psychotherapy effectiveness, coping, symptom relief, quality of life, health care costs, health-seeking behavior
MeSH terms: Humans, Psychotherapy, Self Care, Treatment Outcome, Irritable Bowel Syndrome

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Are self-administered or minimal therapist contact psychotherapies an effective treatment for irritable bowel syndrome (IBS): a systematic review

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