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Provoking symptoms ...
Provoking symptoms to relieve symptoms : A randomized controlled dismantling study of exposure therapy in irritable bowel syndrome
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- Ljótsson, B. (author)
- Karolinska Institutet,Karolinska Institute, Sweden
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- Hesser, Hugo, 1982- (author)
- Linköpings universitet,Psykologi,Filosofiska fakulteten
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- Andersson, E. (author)
- Karolinska Institutet,Karolinska University of Sjukhuset Huddinge, Sweden
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- Lackner, J. M. (author)
- Department of Medicine, University at Buffalo School of Medicine and Biomedical Science, Buffalo NY, USA,SUNY Buffalo, NY 14215 USA
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- El Alaoui, S. (author)
- Karolinska Institutet,Karolinska University of Sjukhuset Huddinge, Sweden
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- Falk, L. (author)
- Department of Gastroenterology, Sabbatsbergs hospital, Stockholm, Sweden
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- Aspvall, K. (author)
- Karolinska Institutet,Karolinska Institute, Sweden
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- Fransson, J. (author)
- Department of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, Stockholm, Sweden
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- Hammarlund, K. (author)
- Department of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, Stockholm, Sweden
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- Löfström, A. (author)
- Department of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, Stockholm, Sweden
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- Nowinski, S. (author)
- Department of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, Stockholm, Sweden
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- Lindfors, P. (author)
- Karolinska Institutet,Sabbatsbergs Hospital, Sweden Karolinska University of Sjukhuset Huddinge, Sweden
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- Hedman, E. (author)
- Karolinska Institutet,Karolinska Institute, Sweden Karolinska Institute, Sweden
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(creator_code:org_t)
- Elsevier, 2014
- 2014
- English.
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In: Behaviour Research and Therapy. - : Elsevier. - 0005-7967 .- 1873-622X. ; 55:1, s. 27-39
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Abstract
Subject headings
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- An internet-delivered cognitive behavioral treatment (ICBT) based on systematic exposure exercises has previously shown beneficial effects for patients with irritable bowel syndrome (IBS). Exposure exercises may be perceived as difficult for patients to perform because of the elicited short-term distress and clinicians may be reluctant to use these interventions. The aim of this study was to compare ICBT with the same protocol without systematic exposure (ICBT-WE) to assess if exposure had any incremental value. This randomized controlled dismantling study included 309 participants diagnosed with IBS. The treatment interventions lasted for 10 weeks and included online therapist contact. ICBT-WE comprised mindfulness, work with life values, acceptance, and encouraged reduced avoidance behaviors, while ICBT also included systematic exposure to IBS symptoms and related situations. Severity of IBS symptoms was measured with the Gastrointestinal Symptom Rating Scale-IBS version (GSRS-IBS). The between-group Cohen's don GSRS-IBS was 0.47(95% CI: 0.23-0.70) at post-treatment and 0.48 (95% CI: 0.20-0.76) at 6-month follow-up, favoring ICBT. We conclude that the systematic exposure included in the ICBT protocol has incremental effects over the other components in the protocol. This study provides evidence for the utility of exposure exercises in psychological treatments for IBS.
Subject headings
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
Keyword
- Irritable bowel syndrome
- Dismantling study
- Exposure
- Internet
- Randomized controlled trial
- SOCIAL SCIENCES
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Ljótsson, B.
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Hesser, Hugo, 19 ...
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Andersson, E.
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Lackner, J. M.
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El Alaoui, S.
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Falk, L.
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show more...
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Aspvall, K.
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Fransson, J.
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Hammarlund, K.
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Löfström, A.
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Nowinski, S.
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Lindfors, P.
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Hedman, E.
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- About the subject
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- SOCIAL SCIENCES
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SOCIAL SCIENCES
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and Psychology
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and Applied Psycholo ...
- Articles in the publication
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Behaviour Resear ...
- By the university
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Örebro University
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Karolinska Institutet
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Linköping University