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Cognitive Behavioral Therapy With Our Without Exposure Therapy for Irritable Bowel Syndrome

Not Applicable
Completed
Conditions
Irritable Bowel Syndrome
Interventions
Behavioral: Cognitive Behavioral Therapy without exposure
Behavioral: Cognitive Behavioral Therapy with exposure
Registration Number
NCT01529567
Lead Sponsor
Karolinska Institutet
Brief Summary

Patients with a diagnosis of irritable bowel syndrome (IBS) are recruited by self-referral. They are randomized to two 10 weeks of internet-delivered cognitive behavioral programs. Both programs include mindfulness training, education about how excessive avoidant and control behaviors maintain IBS symptoms, and changing of these behaviors to live a richer life. One of the programs also includes instructions on how to perform systematic exposure. The hypothesis of the study is while both groups will show improvement in terms of IBS symptom severity and quality of life, the addition of systematic exposure will lead to more improvement in symptoms.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
311
Inclusion Criteria
  • Fluency in Swedish
  • IBS-diagnosis established by physician
  • Fulfillment of Rome III criteria for IBS
Exclusion Criteria
  • Diarrhea predominance with no colonoscopy performed
  • Blood in stool without benign medical explanation
  • Rapid weight loss without benign medical explanation
  • Ongoing alcohol or drug abuse
  • Suicidal ideation

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
CBT without exposureCognitive Behavioral Therapy without exposure-
CBT with exposureCognitive Behavioral Therapy with exposure-
Primary Outcome Measures
NameTimeMethod
Gastrointestinal symptom rating scale36 weeks after randomization (i.e. 6 months after conclusion of treatment)
Secondary Outcome Measures
NameTimeMethod
Irritable Bowel Syndrome Quality of Life Instrument (IBS-QOL)36 weeks after randomization (i.e. 6 months after conclusion of treatment)
Visceral Sensitivity Index (VSI)36 weeks after randomization (i.e. 6 months after conclusion of treatment)
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