title: Gut-directed guided affective imagery as an adjunct to dietary modification in irritable bowel syndrome.
abstract: This work aimed to study the effect of guided affective imagery on the irritable bowel syndrome. A total of 15 irritable bowel syndrome patients received guided affective imagery and 19 patients served as controls. Symptom severity and irritable bowel syndrome quality of life were measured at baseline and 8 weeks. Symptom severity decreased following guided affective imagery compared to controls (-1.5 ± 1.9 vs 0.1 ± 1.6, p = 0.04). Irritable bowel syndrome quality of life increased following guided affective imagery compared to controls (12.1 ± 12.5 vs -0.7 ± 16.2, p < 0.01). Guided affective imagery predicted reduced symptom severity (odds ratio = 5.71, p = 0.02) and increased irritable bowel syndrome quality of life (odds ratio = 17.88, p = 0.01). Guided affective imagery combined with dietary modification may be beneficial in the management of irritable bowel syndrome, however larger studies are required.
authors.affiliation: Division of Gastroenterology, Rabin Medical Center, Beilinson Campus and Sackler Faculty of Medicine, Tel Aviv University, Israel dboltin@gmail.com.
authors.forename: Doron
authors.initials: D
authors.lastname: Boltin
authors.affiliation: Division of Gastroenterology, Rabin Medical Center, Beilinson Campus and Sackler Faculty of Medicine, Tel Aviv University, Israel.
authors.forename: Nadav
authors.initials: N
authors.lastname: Sahar
authors.affiliation: Division of Gastroenterology, Rabin Medical Center, Beilinson Campus and Sackler Faculty of Medicine, Tel Aviv University, Israel.
authors.forename: Efi
authors.initials: E
authors.lastname: Gil
authors.affiliation: Division of Gastroenterology, Rabin Medical Center, Beilinson Campus and Sackler Faculty of Medicine, Tel Aviv University, Israel.
authors.forename: Shoshana
authors.initials: S
authors.lastname: Aizic
authors.affiliation: Division of Gastroenterology, Rabin Medical Center, Beilinson Campus and Sackler Faculty of Medicine, Tel Aviv University, Israel.
authors.forename: Keren
authors.initials: K
authors.lastname: Hod
authors.affiliation: Department of Biostatistics, Bar-Ilan University, Israel.
authors.forename: Rachel
authors.initials: R
authors.lastname: Levi-Drummer
authors.affiliation: Division of Gastroenterology, Rabin Medical Center, Beilinson Campus and Sackler Faculty of Medicine, Tel Aviv University, Israel.
authors.forename: Yaron
authors.initials: Y
authors.lastname: Niv
authors.affiliation: Division of Gastroenterology, Rabin Medical Center, Beilinson Campus and Sackler Faculty of Medicine, Tel Aviv University, Israel.
authors.forename: Ram
authors.initials: R
authors.lastname: Dickman
mesh_terms: D000328:Adult; D000339:Affect; D000368:Aged; D003131:Combined Modality Therapy; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D019018:Imagery, Psychotherapy / Q000379:methods*; D043183:Irritable Bowel Syndrome / Q000178:diet therapy / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D011788:Quality of Life; D012720:Severity of Illness Index; D016896:Treatment Outcome
keywords: acute illness; affect; cognitive behavior therapy; health psychology; physical symptoms