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Randomised clinical trial: individual versus group hypnotherapy for irritable bowel syndrome

BACKGROUND: Gut‐directed hypnotherapy improves symptoms for patients with irritable bowel syndrome (IBS). Group hypnotherapy, as well as hypnotherapy administered by nurses, can increase treatment availability, but there are few comparisons between individual and group‐based hypnotherapy. AIM: We ai...

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Main Authors: Lövdahl, Jenny, Törnblom, Hans, Ringström, Gisela, Palsson, Olafur S., Simrén, Magnus
Format: Online Article Text
Language:English
Published: John Wiley and Sons Inc. 2022
Subjects:
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9324196/
https://www.ncbi.nlm.nih.gov/pubmed/35505463
http://dx.doi.org/10.1111/apt.16934
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author Lövdahl, Jenny
Törnblom, Hans
Ringström, Gisela
Palsson, Olafur S.
Simrén, Magnus
author_facet Lövdahl, Jenny
Törnblom, Hans
Ringström, Gisela
Palsson, Olafur S.
Simrén, Magnus
author_sort Lövdahl, Jenny
collection PubMed
description BACKGROUND: Gut‐directed hypnotherapy improves symptoms for patients with irritable bowel syndrome (IBS). Group hypnotherapy, as well as hypnotherapy administered by nurses, can increase treatment availability, but there are few comparisons between individual and group‐based hypnotherapy. AIM: We aimed to evaluate and compare the effectiveness of nurse‐administered hypnotherapy for IBS delivered individually or in groups. METHODS: IBS patients were randomised to individual or group hypnotherapy (8 sessions, 12 weeks). The primary endpoint was changes in severity of IBS symptoms. A responder was defined as reduction of IBS severity scoring system (IBS‐SSS) ≥50 points at the end of treatment compared to baseline. The effects on extracolonic and psychological symptoms, and quality of life were also assessed. Symptoms were also followed up 6 months after treatment start. RESULTS: A total of 119 patients were randomised (61 individual, 58 group hypnotherapy). Patients reported improvements in IBS symptoms (IBS‐SSS) (individual: 332 (273–401) (median, IQR), versus 216 (140–308), (p < 0.0001), group: 315 (239–382), versus 217 (149–314), (p < 0.0001)), with no differences between the groups (p = 0.16). Extracolonic symptoms, psychological symptoms and quality of life also improved, without clear differences between the groups. Sixty‐nine percent of the individual hypnotherapy patients were responders after treatment versus 57% of the group hypnotherapy patients (p = 0.25). Symptom improvements were also seen at follow‐up. CONCLUSIONS: Nurse‐administered gut‐directed hypnotherapy, delivered individually or in groups, relieves IBS symptoms, improves psychological symptoms and quality of life. Group hypnotherapy can be an efficacious alternative, enabling more patients to benefit from the treatment (ClinicalTrials.gov ID no of study: NCT03432078).
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spelling pubmed-93241962022-07-30 Randomised clinical trial: individual versus group hypnotherapy for irritable bowel syndrome Lövdahl, Jenny Törnblom, Hans Ringström, Gisela Palsson, Olafur S. Simrén, Magnus Aliment Pharmacol Ther Clinical Trials BACKGROUND: Gut‐directed hypnotherapy improves symptoms for patients with irritable bowel syndrome (IBS). Group hypnotherapy, as well as hypnotherapy administered by nurses, can increase treatment availability, but there are few comparisons between individual and group‐based hypnotherapy. AIM: We aimed to evaluate and compare the effectiveness of nurse‐administered hypnotherapy for IBS delivered individually or in groups. METHODS: IBS patients were randomised to individual or group hypnotherapy (8 sessions, 12 weeks). The primary endpoint was changes in severity of IBS symptoms. A responder was defined as reduction of IBS severity scoring system (IBS‐SSS) ≥50 points at the end of treatment compared to baseline. The effects on extracolonic and psychological symptoms, and quality of life were also assessed. Symptoms were also followed up 6 months after treatment start. RESULTS: A total of 119 patients were randomised (61 individual, 58 group hypnotherapy). Patients reported improvements in IBS symptoms (IBS‐SSS) (individual: 332 (273–401) (median, IQR), versus 216 (140–308), (p < 0.0001), group: 315 (239–382), versus 217 (149–314), (p < 0.0001)), with no differences between the groups (p = 0.16). Extracolonic symptoms, psychological symptoms and quality of life also improved, without clear differences between the groups. Sixty‐nine percent of the individual hypnotherapy patients were responders after treatment versus 57% of the group hypnotherapy patients (p = 0.25). Symptom improvements were also seen at follow‐up. CONCLUSIONS: Nurse‐administered gut‐directed hypnotherapy, delivered individually or in groups, relieves IBS symptoms, improves psychological symptoms and quality of life. Group hypnotherapy can be an efficacious alternative, enabling more patients to benefit from the treatment (ClinicalTrials.gov ID no of study: NCT03432078). John Wiley and Sons Inc. 2022-05-03 2022-06 /pmc/articles/PMC9324196/ /pubmed/35505463 http://dx.doi.org/10.1111/apt.16934 Text en © 2022 The Authors. Alimentary Pharmacology & Therapeutics published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Clinical Trials
Lövdahl, Jenny
Törnblom, Hans
Ringström, Gisela
Palsson, Olafur S.
Simrén, Magnus
Randomised clinical trial: individual versus group hypnotherapy for irritable bowel syndrome
title Randomised clinical trial: individual versus group hypnotherapy for irritable bowel syndrome
title_full Randomised clinical trial: individual versus group hypnotherapy for irritable bowel syndrome
title_fullStr Randomised clinical trial: individual versus group hypnotherapy for irritable bowel syndrome
title_full_unstemmed Randomised clinical trial: individual versus group hypnotherapy for irritable bowel syndrome
title_short Randomised clinical trial: individual versus group hypnotherapy for irritable bowel syndrome
title_sort randomised clinical trial: individual versus group hypnotherapy for irritable bowel syndrome
topic Clinical Trials
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9324196/
https://www.ncbi.nlm.nih.gov/pubmed/35505463
http://dx.doi.org/10.1111/apt.16934
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