The effect of cognitive behavioral therapy and biofeedback on physical-psychological symptoms of patients with dyssynergic defecatio

Not Applicable

• Conditions: Patients with dysfunctional defecation (dyssynergic defecation).; Other constipation; K59.09

• Registration Number: IRCT20141115019957N2
• Lead Sponsor: Iran University of Medical Sciences

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Last Update Posted: 7 October 2019

Recruitment & Eligibility

• Status: Complete
• Sex: All
• Target Recruitment: 45

Inclusion Criteria

The patients with functional chronic constipation and strain for defecation
The patients who had hard stools, incomplete evacuation and digital manipulation in more than 1/4 of bowel movements
The patients with diagnosis of paradoxical contraction of the puborectalis muscle during straining established by digital rectal examination (DRE) and also diagnostic test such as anorectal manometry or defecography or balloon expulsion test

Exclusion Criteria

History of anorectal surgery
Anorectal tumors
Structural anorectal disorders leaded to surgery
Constipation because of endocrine diseases
Severe cardiovascular problems
Severe respiratory problems
Severe neurologic problems
Severe psychological problems
Constipation because of metabolic diseases

Study & Design

• Study Type: interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Anxiety. Timepoint: before and after intervention. Method of measurement: Spielberger Inventory.;Depression. Timepoint: before and after intervention. Method of measurement: Beck Inventory.;Constipation. Timepoint: Before and after intervention. Method of measurement: The symptoms of constipation were checked by the Constipation Scoring System (CSS) before and after the treatment, with a 30-point questionnaire, which points to more severity of constipation.;Quality of life. Timepoint: Before and after intervention. Method of measurement: Quality of life questionnaire SF36.;Paradoxical contraction of Puborectalis muscle. Timepoint: Before and after treatment. Method of measurement: Digital rectal examination.