An Evaluation of the Efficacy of Cognitive Behavioral Therapy Administered in Conjunction With Pelvic Floor Exercises in Patients With Dyssynergic Defecation
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 26
- 试验地点
- 1
- 主要终点
- Wexner Constipation Score
研究概览
简要总结
The aim of this study is to evaluate the effectiveness of cognitive-behavioral therapy when used in conjunction with lifestyle modifications and pelvic floor rehabilitation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 55 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •A history of constipation lasting longer than one year
- •Chronic constipation as defined by the Rome IV criteria
- •Being between the ages of 18 and 55
- •Findings consistent with dyssynergic defecation on anorectal manometry and balloon defecography
- •Exclusion of organic and metabolic causes of chronic constipation
排除标准
- •Active bowel disease
- •Presence of an active anal fissure
- •History of major abdominal surgery
- •Presence of a neurological disorder
- •Presence of a serious psychiatric disorder
- •Use of medications that cause constipation
研究组 & 干预措施
Pelvic floor rehabilitation
Patients in the first group will receive education on lifestyle changes, and a rehabilitation program consisting of 15 sessions of relaxation and Kegel exercises-held three days a week at the pelvic floor unit-will be planned.
干预措施: Pelvic floor rehabilitation (Other)
Pelvic floor rehabilitation+cognitive behavioral therapy
In addition to these treatments, patients in the second group will receive a total of five sessions of cognitive-behavioral therapy from a certified psychologist specializing in the field, focusing on their current gastrointestinal issues rather than their personal histories.
干预措施: Pelvic floor rehabilitation+cognitive behavioral therapy (Behavioral)
结局指标
主要结局
Wexner Constipation Score
时间窗: first day of treatment and 5th week of treatment
Constipation Severity Scale
时间窗: first day of treatment and 5th week of treatment
次要结局
- Bristol Stool Chart(first day of treatment and 5th week of treatment)
- Beck Depression Scale(first day of treatment and 5th week of treatment)
研究者
Ayse Naz Kalem
PM&R Specialist
Ankara Etlik City Hospital