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Stress Management for Irritable Bowel Syndrome

Not Applicable
Completed
Conditions
Irritable Bowel Syndrome
Interventions
Behavioral: Emotional Awareness and Expression Training
Behavioral: Relaxation Training
Registration Number
NCT01886027
Lead Sponsor
Wayne State University
Brief Summary

The primary goal of this study is to test the efficacy of emotional awareness and expression training (EAET), a novel emotional processing intervention that the investigators have developed, for people with IBS. In this randomized, controlled trial, the investigators will compare EAET to a standard intervention that teaches the conceptually opposite approach-relaxation training (RT)-and test how both of these interventions compare to a wait-list control condition. The investigators hypothesize that individuals in the EAET group will demonstrate greater improvement in their IBS symptom severity, psychological functioning, quality of life, and health care utilization at 4 and 12-week follow-up time points, compared to individuals in the wait-list control group. It is also expected that both of the active interventions (EAET and RT) will be more efficacious than the wait-list control condition.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
106
Inclusion Criteria

To be eligible to participate, individuals must meet the Rome III criteria for IBS. That is, they must report that they have had:

  • recurrent abdominal pain or discomfort, or
  • a change in stool frequency or form,
  • at least three days per month, in the last three months, and
  • that they have been given this diagnosis by a physician. They must also report having pain and discomfort of at least two days per week at time of screening.
Exclusion Criteria
  • Individuals who report having post-infectious IBS,
  • organic gastrointestinal diseases (e.g., inflammatory bowel disease), immunodeficiency,
  • a current psychotic disorder,
  • drug or alcohol dependence within the past two years, and
  • those who are unable to communicate in English will be excluded.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Emotional Awareness and ExpressionEmotional Awareness and Expression TrainingEmotional awareness and expression training (EAET) is an emotional processing intervention.
RelaxationRelaxation TrainingRelaxation training will teach patients different relaxation training skills.
Primary Outcome Measures
NameTimeMethod
IBS symptom severity scale (IBS-SSS)Change from baseline symptom severity at 1 month and 3 months
Secondary Outcome Measures
NameTimeMethod
Impact of Events Scale - Revised (IES-R)Change from baseline impact of events at 1 month and 3 months
Toronto Alexithymia Scale -20 (TAS-20)Change from baseline alexithymia at 1 month and 3 months
Bristol Stool Form Scale (BSFS)Change from baseline stool form at 1 month and 3 months
Positive and Negative Affect Scale (PANAS)Change from baseline positive affect and negative affect at 1 month and 3 months
Health care Utilization ScaleChange in health care utilization from baseline to 1-month and 3-month follow-ups
Brief Symptom InventoryChange in psychological symptoms from baseline to 1-month and 3-month follow-ups
Experiences in Close Relationships QuestionnaireChange in attachment from baseline to 1-month and3-month follow-ups
General Social Constraints ScaleChange in social constraints from baseline to 1-month and 3-month follow-ups
McGill Pain Questionnaire, Short Form (SF-MPQ-2)Change from baseline pain at 1 month and 3 months
Irritable Bowel Syndrome, Quality of Life (IBS-QOL)Change from baseline quality of life at 1 month and 3 months
Rathus Assertiveness Schedule (RAS)Change from baseline assertiveness at 1 month and 3 months
Ambivalence over Emotional Expression Scale (AEQ)Change from baseline ambivalence over emotional expression at 1 month and 3 months
Clinical Global Impressions (CGI) Improvement Scale - IBS versionChange from baseline IBS symptoms at 1 month and 3 months
Communicating Thoughts and Feelings QuestionnaireChange from baseline ability to communicate thoughts and feelings at 1 month and 3 months
Medication useChange in medication use from baseline to 1-month and 3-month follow-ups
IBS self-efficacy questionnaireChange from baseline self-efficacy at 1 month and 3 months
Emotional Approach Coping Scale (EAC)Change from baseline emotional approach coping at 1 month and 3 months
Early Trauma Inventory Self-Report Short FormChange in Trauma reports from baseline to 1-month and 3-month follow-ups

Trial Locations

Locations (1)

Wayne State University

🇺🇸

Detroit, Michigan, United States

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