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Psychological treatments for irritable bowel syndrome: a systematic review and meta-analysis
Abstract
This study conducted a systematic review to assess the quality of existing literature on psychological treatments for irritable bowel syndrome and to quantify the evidence for their efficacy. Three independent reviewers (2 from England, 1 from the United States) coded the quality of 32 studies, 17 of which provided data suitable for meta-analysis. Meta-analysis of efficacy data (50% reduction of symptoms) gave an odds ratio of 12 (95% confidence interval = 5.56-25.96) and a number needed to treat of 2. Psychological treatments are, as a class of interventions, effective in reducing symptoms compared with a pooled group of control conditions. Questions regarding the relative superiority of specific psychological treatments and influence of active versus nonspecific treatment effects remain unanswered.
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“The average effect on GI symptoms after treatment (d ¼ 0.69) in our analysis was similar to that reported previously for bowel dysfunction (d ¼ 0.57) and considerably higher than that reported previously for abdominal pain (d ¼ 0.27) in the only previously published meta-analysis on this topic using continuous outcomes.7”
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 [7]
In the citing paper
“Meta-analyses suggest that psychological therapies are as effective as antidepressants in reducing GI symptoms in IBS immediately after treatment, with a number needed to treat between 2 and 4. [5][6][7]”
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 [7]
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Metadata
- Authors
- Lackner, J. M., Mesmer, C., Morley, S., Dowzer, C., & Hamilton, S.
- Affiliations
- Erie County Medical Center (US)
- University at Buffalo, State University of New York (US)
- University of Leeds (GB)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2004
- Volume
- 72
- Issue
- 6
- Pages
- 1100-1113
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2043126698
- Cited by
- 295
- References
- 97
- Citations by year
- 2025: 5 · 2024: 11 · 2023: 4 · 2022: 9 · 2021: 2 · 2020: 9 · 2019: 12 · 2018: 9 · 2017: 10 · 2016: 7 · 2015: 14 · 2014: 21 · 2013: 20 · 2012: 19
- FWCI
- 3.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK054211, DK-54211)
- 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, psychological intervention, symptom relief, treatment efficacy, psychotherapy, number needed to treat
- MeSH terms
- Humans, Psychotherapy, Irritable Bowel Syndrome
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