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  • Axelsson, ErlandKarolinska Institutet (author)

Psychological treatments for irritable bowel syndrome : a comprehensive systematic review and meta-analysis

  • Article/chapterEnglish2023

Publisher, publication year, extent ...

  • Routledge,2023
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:su-221273
  • https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-221273URI
  • https://doi.org/10.1080/16506073.2023.2225745DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-106576URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-196785URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:153365580URI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:for swepub-publicationtype

Notes

  • This study was supported by Region Stockholm [ALF project], The Swedish Research Council [521-2013-2846], Jane and Dan Olsson foundation [4-1559/2013], and The Swedish Research Council for Health, Working life and Welfare [2014-4052].
  • Funding Agencies|Region Stockholm [ALF project]; Swedish Research Council [521-2013-2846]; Jane and Dan Olsson foundation [4-1559/2013]; Swedish Research Council for Health, Working life and Welfare [2014-4052]
  • A wide range of psychological treatments have been found to reduce the symptoms of irritable bowel syndrome (IBS) but their relative effects are unclear. In this systematic review and meta-analysis, we determined the effects of psychological treatments for IBS, including subtypes of cognitive behavior therapy, versus attention controls. We searched 11 databases (March 2022) for studies of psychological treatments for IBS, reported in journal articles, books, dissertations, and conference abstracts. The resulting database comprised 9 outcome domains from 118 studies published in 1983–2022. Using data from 62 studies and 6496 participants, we estimated the effect of treatment type on improvement in composite IBS severity using random-effects meta-regression. In comparison with the attention controls, there was a significant added effect of exposure therapy (g = 0.52, 95% CI = 0.17–0.88) and hypnotherapy (g = 0.36, 95% CI = 0.06–0.67) when controlling for the pre- to post-assessment duration. When additional potential confounders were included, exposure therapy but not hypnotherapy retained a significant added effect. Effects were also larger with a longer duration, individual treatment, questionnaire (non-diary) outcomes, and recruitment outside of routine care. Heterogeneity was substantial. Tentatively, exposure therapy appears to be a particularly promising treatment for IBS. More direct comparisons in randomized controlled trials are needed. OSF.io identifier: 5yh9a.

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  • Kern, DorianKarolinska Institutet (author)
  • Hedman-Lagerlöf, ErikKarolinska Institutet (author)
  • Lindfors, PerjohanKarolinska Institutet (author)
  • Palmgren, JosefinDivision of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden,Karolinska Inst, Sweden (author)
  • Hesser, Hugo,1982-Linköpings universitet,Örebro universitet,Institutionen för beteende-, social- och rättsvetenskap,Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden,Center for Health and Medical Psychology,Psykologi,Filosofiska fakulteten,Region Östergötland, Öron- näsa- och halskliniken,Orebro Univ, Sweden(Swepub:liu)hughe47 (author)
  • Andersson, ErikDivision of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden,Karolinska Inst, Sweden (author)
  • Johansson, Robert,1978-Stockholms universitet,Biologisk psykologi,Department of Psychology, Stockholm University, Stockholm, Sweden,Stockholm Univ, Sweden(Swepub:su)rojo4696 (author)
  • Olen, OlaKarolinska Institutet (author)
  • Bonnert, MarianneKarolinska Institutet (author)
  • Lalouni, MariaKarolinska Institutet (author)
  • Ljotsson, BrjannKarolinska Institutet (author)
  • Karolinska InstitutetDivision of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden (creator_code:org_t)

Related titles

  • In:Cognitive Behaviour Therapy: Routledge52:6, s. 565-5841650-60731651-2316

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