Behavioral treatment of irritable bowel syndrome: a 1-year follow-up study.
Sixteen clients afflicted with irritable bowel syndrome (IBS) were reassessed 1 year following completion of a multicomponent treatment package incorporating progressive muscle relaxation, thermal biofeedback, cognitive therapy, and IBS education. For the 14 patients who kept a 2-week symptom diary, significant reductions in ratings of abdominal pain and tenderness, diarrhea, and flatulence were obtained comparing pretreatment and follow-up symptom-diary ratings. Eleven of 14 clients were improved over pretreatment levels, 57% met the criteria for clinical improvement of at least a 50% reduction in major symptom scores, and all but 1 of 16 rated themselves as subjectively improved.
Schwarz
S P
SP
Blanchard
E B
EB
Neff
D F
DF
D000328:Adult; D001521:Behavior Therapy / Q000379:methods; D001676:Biofeedback, Psychology; D003071:Cognition; D003109:Colonic Diseases, Functional / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D012064:Relaxation Therapy