The DOI matches its Crossref record; 141 of the 142 references it cites were found in a registry or an index.
Behavioral and Diet Therapies in Integrated Care for Patients With Irritable Bowel Syndrome
Abstract
Irritable bowel syndrome (IBS) is a common, symptom-based condition that has negative effects on quality of life and costs health care systems billions of dollars each year. Until recently, management of IBS has focused on over-the-counter and prescription medications that reduce symptoms in fewer than one-half of patients. Patients have increasingly sought natural solutions for their IBS symptoms. However, behavioral techniques and dietary modifications can be effective in treatment of IBS. Behavioral interventions include gastrointestinal-focused cognitive behavioral therapy and gut-directed hypnotherapy to modify interactions between the gut and the brain. In this pathway, benign sensations from the gut induce maladaptive cognitive or affective processes that amplify symptom perception. Symptoms occur in response to cognitive and affective factors that trigger fear of symptoms or lack of acceptance of disease, or from stressors in the external environment. Among the many dietary interventions used to treat patients with IBS, a diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols is the most commonly recommended by health care providers and has the most evidence for efficacy. Patient with IBS who choose to follow a diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols should be aware of its 3 phases: restriction, reintroduction, and personalization. Management of IBS should include an integrated care model in which behavioral interventions, dietary modification, and medications are considered as equal partners. This approach offers the greatest likelihood for success in management of patients with IBS.
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“While evidence for timely, collaborative care is limited in the HSD/hEDS population, integrated care of patients with irritable bowel syndrome and other DGBI have been shown to improve health‐related quality of life, patient psychological wellbeing and other outcomes. 84 , 85”
From Hypermobile Ehlers–Danlos syndrome and disorders of the gastrointestinal tract: What the gastroenterologist needs to know (2022) · cites this paper as [85]
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Self-citationDiets that differ in their FODMAP content alter the colonic luminal microenvironment
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Research works printed but not linked: 2
- McNamara, 2019, A nursing and allied health-led functional gastrointestinal disorders clinic is well received by patients, highly efficient, cost-effective, and reduces the need for medical intervention, J Gastroenterol Hepatol, 34, 169
- Scarlata, 2020, From a dietitian’s perspective, diets for IBS are not one size fits all, Clin Gastroenterol Hepatol, 18543
Cited by
Sorted by citations
Gut liver brain axis in diseases: the implications for therapeutic interventions
Yan, M., Man, S., Sun, B., Ma, L., Guo, L., Huang, L., & Gao, W. (2023) · Signal Transduction and Targeted Therapy · doi:10.1038/s41392-023-01673-4 · Cited by 314
Irritable bowel syndrome and mental health comorbidity — approach to multidisciplinary management
Staudacher, H. M., Black, C. J., Teasdale, S. B., Mikocka‐Walus, A. A., & Keefer, L. (2023) · Nature Reviews Gastroenterology & Hepatology · doi:10.1038/s41575-023-00794-z · Cited by 292
Self-citationA Rome Working Team Report on Brain-Gut Behavior Therapies for Disorders of Gut-Brain Interaction
Keefer, L., Ballou, S. K., Drossman, D. A., Ringstrom, G., Elsenbruch, S., & Ljótsson, B. (2022) · Gastroenterology · doi:10.1053/j.gastro.2021.09.015 · Cited by 213
Self-citationAGA Clinical Practice Update on the Role of Diet in Irritable Bowel Syndrome: Expert Review
Chey, W. D., Hashash, J. G., Manning, L., & Chang, L. (2022) · Gastroenterology · doi:10.1053/j.gastro.2021.12.248 · Cited by 166
Self-citationDietary management of adults with IBD — the emerging role of dietary therapy
Fitzpatrick, J. A., Melton, S. L., Yao, C. K., Gibson, P. R., & Halmos, E. P. (2022) · Nature Reviews Gastroenterology & Hepatology · doi:10.1038/s41575-022-00619-5 · Cited by 142
Self-citation
Metadata
- Authors
- Chey, W. D., Keefer, L., Whelan, K., & Gibson, P. R.
- Affiliations
- University of Michigan (US)
- King's College London (GB)
- Monash University (AU)
- Corresponding author
- Chey, William D.
- Venue
- Gastroenterology
- Publisher
- Elsevier BV
- Published
- 2021-01
- Volume
- 160
- Issue
- 1
- Pages
- 47-62
- ISSN
- 0016-5085 (ISSN-L)
- OpenAlex
- W3093338182
- Cited by
- 154
- References
- 142
- Citations by year
- 2026: 29 · 2025: 21 · 2024: 22 · 2023: 20 · 2022: 35 · 2021: 25
- FWCI
- 3.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Gastroenterology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Almond Board of California
- Meso Scale Diagnostics
- International Nut and Dried Fruit Council
- Takeda Pharmaceuticals U.S.A.
- Pfizer
- Allergan
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Health and Development
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Keywords
- irritable bowel syndrome, behavior therapy, dietary therapy, gut-directed hypnotherapy, cognitive behavioral therapy, FODMAP diet, integrated care, symptom perception, stress, personalized nutrition
- MeSH terms
- Behavior Therapy, Humans, Delivery of Health Care, Integrated, Irritable Bowel Syndrome
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