Cited by 187Gastrointestinal motility and disordersAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychosomatic Disorders and Their Treatments

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A controlled comparison of cognitive therapy and self-help support groups in the treatment of irritable bowel syndrome.

Payne, Annette, Blanchard, Edward B.·1995·Journal of Consulting and Clinical Psychology

DOI 10.1037/0022-006x.63.5.779

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Abstract

Thirty-four patients with irritable bowel syndrome were randomly assigned to 1 of 3 treatment conditions: individualized cognitive treatment (CT), self-help support group (SG), or symptom-monitoring waiting-list control (WL). Each of the 3 conditions lasted approximately 8 weeks. Pre- to posttreatment analyses revealed significantly greater reductions in both individual gastrointestinal (GI) symptoms and in a composite index for GI symptom change for the CT condition than for the SG or WL conditions. When compared with the SG and WL conditions, the CT condition also showed significant improvement on psychological measures of depression and anxiety. At 3-month follow-up, the results for the CT condition were maintained and revealed further numerical improvements.

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Self-citation
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Self-citation
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BackgroundMethod
Sampling of empirically supported psychological treatments from health psychology: Smoking, chronic pain, cancer, and bulimia nervosa.
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Background
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BackgroundMethod
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Self-citation
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“Attempts at specifying change mechanisms of behaviorally oriented treatments have focused on psychological variables (e.g., negative cognitions) that correspond weakly, if at all, with IBS symptoms at posttreatment (e.g., Payne & Blanchard, 1995).”
BackgroundMethod
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BackgroundMethod
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Keefer, L., & Blanchard, E. B. (2001) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(00)00078-4 · Cited by 104
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BackgroundSelf-citation
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BackgroundResult
Sex‐based differences in gastrointestinal pain
Mayer, E. A., Berman, S. M., Chang, L., & Naliboff, B. D. (2004) · European Journal of Pain · doi:10.1016/j.ejpain.2004.01.006 · Cited by 98
“In two small studies cognitive therapy resulted in a very high success rate and was superior than that for a support group condition with equal expectations for efficacy (Greene and Blanchard, 1994; Payne and Blanchard, 1995).”
Result
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M., M., U., B., N., N., R., O., & V., S. M. (2003) · Scandinavian Journal of Gastroenterology · doi:10.1080/00365520310003110 · Cited by 94
“A delayed change in outcome measures of cognitive therapy is consistent with the literature stating that effects of cognitive therapy may need a period of time after posttreatment before the positive effect of treatment is fully integrated and measurable on outcome variables (21, 32).”
Result
Bacterial Overgrowth and Irritable Bowel Syndrome: Unifying Hypothesis or a Spurious Consequence of Proton Pump Inhibitors?
Spiegel, B. M. R., Chey, W. D., & Chang, L. (2008) · The American Journal of Gastroenterology · doi:10.1111/j.1572-0241.2008.01992.x · Cited by 95
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“Within the last 12 years, there have been nine controlled studies involving cognitive and/or behavioral therapy packages (22-30).”
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Folks, D. G. (2004) · Current Psychiatry Reports · doi:10.1007/s11920-004-0066-0 · Cited by 94
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“CBT has been compared with standard medical care using both an individual presentation (”
Method
Cognitive behavioural therapy in addition to antispasmodic therapy for irritable bowel syndrome in primary care: randomised controlled trial
Kennedy, T., Chalder, T., McCrone, P., Darnley, S., Knapp, M., Jones, R., & Wessely, S. (2006) · Health Technology Assessment · doi:10.3310/hta10190 · Cited by 92
Cognitive-Behavioral Group Therapy for Patients with Irritable Bowel Syndrome
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Self-citation
Irritable bowel syndrome: Psychosocial assessment and treatment.
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Self-citation
Cognitive–behavioral therapy for irritable bowel syndrome: A meta-analysis
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Paré, P., Bridges, R. J., Champion, M. C., Ganguli, S. C., Gray, J. R., Irvine, E. J., Plourde, V., Poitras, P., Turnbull, G. K., Moayyedi, P., et al. (2007) · Canadian Journal of Gastroenterology and Hepatology · doi:10.1155/2007/848706 · Cited by 80
“CBT CBT has been reported to be effective in individual and group treatment of IBS (235-248).”
BackgroundMethod
Cognitive-Behaviour Therapy as a Treatment for Irritable Bowel Syndrome: A Pilot Study
Boyce, P. M., Gilchrist, J., Talley, N. J., & Rose, D. T. (2000) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/j.1440-1614.2000.00731.x · Cited by 80
“Finally, in a randomised controlled study of 34 IBS sufferers, Payne and Blanchard [24] compared individualised cognitive treatment, self-help support and a wait list control.”
BackgroundInfluential
Measuring Health-Related Quality of Life in Patients With Irritable Bowel Syndrome: Can Less Be More?
Lackner, J. M., Gudleski, G. D., Zack, M. M., Katz, L. A., Powell, C., Krasner, S. S., Holmes, E., & Dorscheimer, K. (2006) · Psychosomatic Medicine · doi:10.1097/01.psy.0000204897.25745.7c · Cited by 71
Intervening on cognitions and behavior in irritable bowel syndrome: A feasibility trial using PDAs
Oerlemans, S., van Cranenburgh, O., Herremans, P.-J., Spreeuwenberg, P., & van Dulmen, S. (2011) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2010.09.018 · Cited by 67
“Diaries have been used with patients with different complaints, such as migraine [22], low back pain [23], and IBS [19], [24] and [25].”
Method
Reports of "Satisfactory Relief" by IBS Patients Receiving Usual Medical Care Are Confounded by Baseline Symptom Severity and Do Not Accurately Reflect Symptom Improvement
Whitehead, W. E., Palsson, O. S., Levy, R. L., Feld, A. D., VonKorff, M., & Turner, M. (2006) · The American Journal of Gastroenterology · doi:10.1111/j.1572-0241.2006.00535.x · Cited by 64
“This is an approach that has been used in several behavioral trials”
Method
Psychosocial aspects of functional gastrointestinal disorders
Budavari, A. I., & Olden, K. W. (2003) · Gastroenterology Clinics of North America · doi:10.1016/s0889-8553(03)00030-x · Cited by 63
“Trials using CBT compared with a symptom-monitoring control group [153] or a self-help support group as controls [154] in IBS patients reported greater reduction in GI symptoms [153,154] and in depression and anxiety [154].”
BackgroundMethod
Somatization
Allen, L. A., Gara, M. A., Escobar, J. I., Waitzkin, H. B., & Silver, R. C. (2001) · Psychosomatics · doi:10.1176/appi.psy.42.1.63 · Cited by 62
Symptom Management for Irritable Bowel Syndrome
Anastasi, J. K., McMahon, D. J., & Kim, G. H. (2009) · Gastroenterology Nursing · doi:10.1097/sga.0b013e3181b2c920 · Cited by 59
“…therapy (Blanchard et al., 1992; Boyce, Gilchrist, Talley, & Rose, 2000), cognitive therapy (Greene & Blanchard, 244 Gastroenterology Nursing 1994; Payne & Blanchard, 1995), psychotherapy (Guthrie, Creed, Dawson, & Tomenson, 1991; Svedlund, Sjodin, Ottosson, & Dotevall, 1983), hypnotherapy…”
Psychosocial factors in peptic ulcer and inflammatory bowel disease.
Levenstein, S. (2002) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.70.3.739 · Cited by 58
Control groups appropriate for behavioral interventions
Whitehead, W. E. (2003) · Gastroenterology · doi:10.1053/j.gastro.2003.10.038 · Cited by 58
Complementary and alternative medicine for IBS in adults: mind-body interventions.
Kearney, D. J., & Brown-Chang, J. (2008) · Nature Clinical Practice Gastroenterology & Hepatology · doi:10.1038/ncpgasthep1257 · Cited by 57
“Thirty-four patients with IBS according to the Rome criteria were randomly assigned to CBT, a self-help support group, or a waiting list”
Method
Controlled comparison of individual versus group cognitive therapy for irritable bowel syndrome
Vollmer, A., & Blanchard, E. B. (1998) · Behavior Therapy · doi:10.1016/s0005-7894(98)80016-6 · Cited by 68
Self-citation
Update on Irritable Bowel Syndrome and Gender Differences
Heitkemper, M. M., & Jarrett, M. E. (2008) · Nutrition in Clinical Practice · doi:10.1177/0884533608318672 · Cited by 56
Systematic review: The placebo effect of psychological interventions in the treatment of irritable bowel syndrome
Flik, C. E., Bakker, L., Laan, W., van Rood, Y. R., Smout, A. J. P. M., & de Wit, N. J. (2017) · World Journal of Gastroenterology · doi:10.3748/wjg.v23.i12.2223 · Cited by 56
Cognitive-Behavioral Treatment of Irritable Bowel Syndrome
Toner, B. B. (2005) · CNS Spectrums · doi:10.1017/s1092852900019854 · Cited by 54
Mindfulness for irritable bowel syndrome: protocol development for a controlled clinical trial
Gaylord, S. A., Whitehead, W. E., Coble, R. S., Faurot, K. R., Palsson, O. S., Garland, E. L., Frey, W., & Mann, J. D. (2009) · BMC Complementary and Alternative Medicine · doi:10.1186/1472-6882-9-24 · Cited by 53
Social learning contributions to the etiology and treatment of functional abdominal pain and inflammatory bowel disease in children and adults
Levy, R. L. (2007) · World Journal of Gastroenterology · doi:10.3748/wjg.v13.i17.2397 · Cited by 52
“Two studies [ 65 ,66] , both from the same group, compared CBT to a self-help support group, which has a high degree of credibility for IBS patients.”
BackgroundMethodResultInfluential
Cognitive behavior therapy for chronic fatigue syndrome: efficacy and implications
Sharpe, M. (1998) · The American Journal of Medicine · doi:10.1016/s0002-9343(98)00170-3 · Cited by 49
Pathways connecting cognitive behavioral therapy and change in bowel symptoms of IBS
Jones, M., Koloski, N., Boyce, P., & Talley, N. J. (2011) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2010.10.004 · Cited by 47
“The empirical evidence generally favors the efficacy of CBT in relieving symptoms and improving the quality of life (QoL) of patients with IBS [9–17].”
Background
Hypnosis Home Treatment for Irritable Bowel Syndrome:A Pilot Study
Palsson, O. S., Turner, M. J., & Whitehead, W. E. (2006) · International Journal of Clinical and Experimental Hypnosis · doi:10.1080/00207140500328666 · Cited by 54
“in a number of studies, including randomized controlled trials (Drossman et al., 2003; Palsson, Turner, Johnson, Burnett, & Whitehead, 2002; Payne & Blanchard, 1995; Whorwell, Prior, & Faragher, 1984), to substantially benefit the majority of treated IBS patients.”
Background
Centrally Acting Therapies for Irritable Bowel Syndrome
Grover, M., & Drossman, D. A. (2011) · Gastroenterology Clinics of North America · doi:10.1016/j.gtc.2010.12.003 · Cited by 52
The Irritable Bowel Syndrome Outcome Study (IBSOS): Rationale and design of a randomized, placebo-controlled trial with 12month follow up of self- versus clinician-administered CBT for moderate to severe irritable bowel syndrome
Lackner, J. M., Keefer, L., Jaccard, J. J., Firth, R. S., Brenner, D. M., Bratten, J. R., Dunlap, L. J., Ma, C., & Byroads, M. (2012) · Contemporary Clinical Trials · doi:10.1016/j.cct.2012.07.013 · Cited by 50
“Attention-control is closely adapted from the psychological placebo intervention used by various psychosocial researchers [75–77] to control for nonspecific therapeutic influences inherent in CBT.”
Background
Selective Recall of Gastrointestinal-Sensation Words: Evidence for A Cognitive-Behavioral Contribution To Irritable Bowel Syndrome
Gibbs-Gallagher, N., Palsson, O., Levy, R. L., Meyer, K., Drossman, D. A., & Whitehead, W. E. (2001) · The American Journal of Gastroenterology · doi:10.1111/j.1572-0241.2001.03759.x · Cited by 46
Specific and Nonspecific Treatment Factors in the Experimental Analysis of Behavioral Treatment Efficacy
Lohr, J. M., DeMaio, C. M., & McGlynn, F. D. (2003) · Behavior Modification · doi:10.1177/0145445503027003005 · Cited by 43
“In the treatment of irritable bowel syndrome (IBS), the evidence suggests that the behavioral components are no more effective than a credible placebo but that the cognitive components are probably more efficacious than just nonspecific factors (Green & Blanchard, 1994; Payne & Blanchard, 1995).”
Background
Cognitive behaviour therapy for irritable bowel syndrome
Hutton, J. (2005) · European Journal of Gastroenterology & Hepatology · doi:10.1097/00042737-200501000-00003 · Cited by 45
Preliminary Study of a Self-Administered Treatment for Irritable Bowel Syndrome: Comparison to a Wait List Control Group
Sanders, K. A., Blanchard, E. B., & Sykes, M. A. (2007) · Applied Psychophysiology and Biofeedback · doi:10.1007/s10484-007-9037-7 · Cited by 43
“investigating therapist-administered individual cognitivebehavioral therapy for IBS (Vollmer and Blanchard 1998; Payne and Blanchard 1995; Greene and Blanchard 1994).”
BackgroundSelf-citation
Mediators of change in cognitive behaviour therapy and mebeverine for irritable bowel syndrome
Rème, S. E., Stahl, D. R., Kennedy, T. M., Jones, R. H., Darnley, S., & Chalder, T. (2011) · Psychological Medicine · doi:10.1017/s0033291711000328 · Cited by 43
“(Email : silje.reme@uib.no) Psychological Medicine (2011), 41, 2669–2679. f Cambridge University Press 2011 doi:10.1017/S0033291711000328 ORIGINAL ARTICLE 1994) and waiting list control and a self-help support group in another (Payne & Blanchard, 1995).”
BackgroundResultInfluential
Irritable bowel syndrome treatment: Cognitive behavioral therapy versus medical treatment
Mahvi-Shirazi, M., Fathi-Ashtiani, A., Rasoolzade-Tabatabaei, S.-K., & Amini, M. (2012) · Archives of Medical Science · doi:10.5114/aoms.2012.27292 · Cited by 40
“In addition, the advantages of cognitive therapy remain for a longer time after the treatment [16].”
Background
Improving Health Care Utilization, Improving Chronic Disease Utilization, Health Status, and Adjustment in Adolescents and Young Adults with Cystic Fibrosis: A Preliminary Report
Taylor, L. A., Wallander, J. L., Anderson, D. L., Beasley, P. J., & Brown, R. T. (2003) · Journal of Clinical Psychology in Medical Settings · doi:10.1023/a:1022897512137 · Cited by 40
“Patients with illnesses such as pediatric Crohns disease and irritable bowel syndrome appear to be good candidates for further investigation because of their variable symptom display and the psychological and coping factors that exacerbate these diseases (Payne & Blanchard, 1995).”
Background
A One-Hour Active Coping Stressor Reduces Small Bowel Transit Time in Healthy Young Adults
Ditto, B., Miller, S. B., & Barr, R. G. (1998) · Psychosomatic Medicine · doi:10.1097/00006842-199801000-00002 · Cited by 39
“The results of a recent controlled trial of cognitive therapy suggest that stress management procedures can significantly alleviate symptoms of irritable bowel syndrome, including diarrhea (17).”
BackgroundMethod
Identifying effective techniques within psychological treatments for irritable bowel syndrome: A meta-analysis
Henrich, J. F., Knittle, K. P., Gucht, V. D., Warren, S., Dombrowski, S. U., & Maes, S. (2014) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2014.12.009 · Cited by 40
“02; Payne et al [58] excluded as outlier)].”
BackgroundMethodInfluential
Interpersonal Psychotherapy for Somatizing Patients
Stuart, S. P., & Noyes, R. (2006) · Psychotherapy and Psychosomatics · doi:10.1159/000092891 · Cited by 38
Cognitive-behavioral therapy for the management of irritable bowel syndrome
Tang, Q.-L. (2013) · World Journal of Gastroenterology · doi:10.3748/wjg.v19.i46.8605 · Cited by 37
Psychotherapeutic Interventions in Irritable Bowel Syndrome
Hetterich, L., & Stengel, A. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.00286 · Cited by 46
“(33) 22 (82% female) Individual GI symptoms Composite index for GI symptoms 2 weeks: 2x 1 h intervention/week, 6 weeks: 1x1 h intervention/ week vs.”
BackgroundResult
Update on empirically validated therapies, II: (619622010-001)
Chambless, D. L., Baker, M. J., Baucom, D. H., Beutler, L. E., Calhoun, K. S., Crits-Christoph, P., Daiuto, A., DeRubeis, R., Detweiler, J., Haaga, D. A. F., et al. (1997) · PsycEXTRA Dataset · doi:10.1037/e619622010-001 · Cited by 1,488
“…therapy for bulimia Fairburn et al. (1993) *Multi-component cognitive therapy for Lynch & Zamble (1989) irritable bowel syndrome Payne & Blanchard (1995) *Multi-component cognitive-behavior therapy Gil et al. (1996) for pain of sickle cell disease *Multi-component…”
Background
PSYCHOLOGICAL ASPECTS AND PSYCHOTHERAPY OF INFLAMMATORY BOWEL DISEASES AND IRRITABLE BOWEL SYNDROME IN CHILDREN
Praško, J. P., Jelenova, D., & Mihál, V. (2010) · Biomedical Papers · doi:10.5507/bp.2010.046 · Cited by 34

Authors: Payne, A., & Blanchard, E. B.
Affiliations: Veterans Health Administration (US)
ORCID: Payne, Annette
Venue: Journal of Consulting and Clinical Psychology
Publisher: American Psychological Association (APA)
Published: 1995-10
Volume: 63
Issue: 5
Pages: 779-786
ISSN: 0022-006X (ISSN-L)
1939-2117
DOI: 10.1037/0022-006x.63.5.779
OpenAlex: W1986568892
Cited by: 186
References: 21
Citations by year: 2026: 2 · 2025: 2 · 2024: 1 · 2022: 1 · 2021: 2 · 2020: 4 · 2019: 3 · 2018: 3 · 2017: 2 · 2016: 3 · 2015: 1 · 2014: 9 · 2013: 5 · 2012: 9
FWCI: 7.51
Type: journal article
Language: en
Open access: closed
Locations: Journal of Consulting and Clinical Psychology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Keywords: irritable bowel syndrome, cognitive therapy, gastrointestinal symptoms, depression, anxiety, waitlist control, treatment comparison, symptom monitoring
MeSH terms: Adult, Aged, Colonic Diseases, Functional, Female, Follow-Up Studies, Humans, Male, Middle Aged, Self-Help Groups, Sick Role, Somatoform Disorders, Cognitive Behavioral Therapy, Treatment Outcome

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A controlled comparison of cognitive therapy and self-help support groups in the treatment of irritable bowel syndrome.

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