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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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Format: | Online Article Text |
Language: | English |
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John Wiley and Sons Inc.
2022
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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). |
format | Online Article Text |
id | pubmed-9324196 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
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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