Article
Clinical trial: short- and long-term benefit of relaxation training for irritable bowel syndrome.
Department of Gastroenterology, Leiden University Medical Centre, Leiden, The Netherlands.
Alimentary Pharmacology & Therapeutics (impact factor:
3.77).
10/2007;
26(6):943-52.
DOI:10.1111/j.1365-2036.2007.03437.x
pp.943-52
Source: PubMed
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Citations (0)
- Cited In (4)
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Article: [The effect of alternative therapies on symptoms of patients with functional chest pain--pilot study with Johrei healing technique].
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ABSTRACT: was to determine the efficacy of Johrei as compared to wait-list in improving symptoms of FCP patients. Patients with chest pain of noncardiac origin for at least 3 months were enrolled into the study. All patients had to have negative upper endoscopy, pH testing and oesophageal manometry prior to randomization. Subsequently, patients were randomized to either Johrei or wait-list control. Patients received 18 Johrei sessions from a Johrei practitioner for 6 weeks. A total of 21 FCP patients enrolled into the Johrei group and 18 into the wait-list group. There was no difference in symptom intensity score between Johrei group and wait-list group at baseline (20.28 vs. 23.06, P = N.S.). However, there was a significant pre- and post-treatment reduction in symptom intensity in the Johrei group (20.28 vs. 7.0, P = 0.0023). There was no significant reduction in symptom intensity score between baseline and at the end of the study in the wait-list group (23.06 vs. 20.69, P = N.S.). This pilot study shows that Johrei may have a role in improving FCP symptoms; however, future studies are needed to compare Johrei treatment with sham Johrei or supportive care.Polski merkuriusz lekarski: organ Polskiego Towarzystwa Lekarskiego 06/2009; 26(155):425-9. -
Article: Functional relaxation as complementary therapy in irritable bowel syndrome: a randomized, controlled clinical trial.
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ABSTRACT: Irritable bowel syndrome (IBS) is a frequently disabling and almost invariably distressing disease with a high overall prevalence. Numerous trials identified the importance of psychogenic and emotional etiological factors, and this is obvious in clinical practice. Although relaxation techniques are frequently recommended, there is still a lack of evidence for their efficacy in the management of IBS. This study therefore aims to determine the efficacy of functional relaxation (FR) in IBS. The subjects were 80 patients with IBS. Participants were randomly allocated either to FR or to enhanced medical care (EMC: treatment as usual plus two counseling interviews) as control intervention with 2 weekly sessions over the 5-week trial each. Thirty-nine (39) patients completed FR and 39 received EMC. An impairment-severity score (IS) was employed as the primary outcome parameter with assessment at baseline, after treatment, and again after 3-month follow-up. FR was significantly superior to EMC with a standardized effect size of 0.85. The achieved effects through FR remained stable in terms of psychic and bodily impairment after 3-month follow-up. The results of our trial suggest a positive effect of FR training on subjective functional impairment in the IS, if provided in addition to treatment as usual (TAU). There appears to be a clinically relevant long-term benefit of FR as a nonpharmacological and complementary therapy approach in IBS.Journal of alternative and complementary medicine (New York, N.Y.) 01/2010; 16(1):47-52. · 1.69 Impact Factor -
Article: Management of irritable bowel syndrome (IBS) in adults: conventional and complementary/alternative approaches.
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ABSTRACT: Irritable bowel syndrome (IBS) is a chronic gastrointestinal disorder with a range of symptoms that significantly affect quality of life for patients. The difficulty of differential diagnosis and its treatment may significantly delay initiation of optimal therapy. Hence, persons with IBS often self-treat symptoms with non-prescribed pharmacological regimens and/or complementary and alternative medicines (CAM) and by modifying diet and daily activities. In addition, most common pharmacological approaches target IBS symptom management rather than treatment, and prescribed medications often result in significant side effects. The purposes of this review article are to: (1) address current issues related to IBS, including symptom presentation, diagnosis, and current treatment options; (2) summarize benefits and side effects of currently available pharmacological regimens and other symptom management strategies, with an emphasis on commonly used CAM therapies and diet modification; and (3) outline recommendations and future directions of IBS management based on systematic reviews, meta-analyses, and research findings.Alternative medicine review: a journal of clinical therapeutic 06/2011; 16(2):134-51. · 3.55 Impact Factor
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Keywords
12 months
38 healthy controls
90-min sessions
brief group intervention
brief psychological group intervention
doctor visits
efficacy
general health
general health perception
health change
irritable bowel syndrome
irritable bowel syndrome patients
Irritable bowel syndrome symptom severity
large cohort
long-term improvement
relaxation training
relaxation training group
small groups
standard medical care
time-by-treatment interaction
