Some patients with irritable bowel syndrome
(IBS) may experience fast-acting symptom relief from cognitive behavioral
therapy (CBT), with benefits lasting several weeks, researchers report in the
journal Clinical Gastroenterology and Hepatology.
IBS is considered a functional bowel disorder because
the gastrointestinal tract is healthy but does not function normally. Lower
abdominal pain and bloating associated with constipation and/or diarrhea are
the most frequent symptoms. It is unclear what causes IBS, although it has been
suggested that diet, neurotransmitter imbalances and/or infections may play a
role.
Earlier research suggests that CBT may help
alleviate IBS symptoms. During CBT, patients evaluate the relationship between
their thoughts and symptoms and learn different strategies to help cope with
their conditions.
The recent study included 71 adults (aged
17-70) with moderate-to-severe IBS. They were randomly assigned to 10 weekly
sessions of CBT or four sessions spread out over 10 weeks. Each session lasted
one hour. A third group received no treatment and served as the control.
About 30 percent of people in the CBT groups
were considered "rapid responders" because they reported
"adequate relief" of pain and bowel symptoms and a decrease in total
IBS severity scores after four weeks of therapy. The number of rapid responders
was comparable in both CBT groups.
The researchers found that 95.2 percent of the
rapid responders continued to experience beneficial effects for three months
after therapy was complete. Even though their symptoms were more severe at the
start of the study, rapid responders had much milder symptoms compared to
non-rapid responders after 12 weeks.
However, additional research with a larger
sample is needed before conclusions can be reached.
Nutritional and lifestyle choices may also help
prevent or relieve symptoms of IBS. For instance, eating a diet low in alcohol,
caffeine, dairy products, refined sugars and fatty foods may reduce symptoms.
Also, some food allergies may aggravate IBS or trigger episodes. Some common food
triggers include dairy products, corn, peanuts, citrus, soy, eggs, fish, rye,
barley, tomatoes and wheat products (including gluten). Eating sufficient
amounts of fiber may alleviate constipation, improve diarrhea and prevent
muscle spasms. Soluble and insoluble fiber can be found in foods such as
whole-grain cereals and breads, fruits, vegetables and legumes.
Regular exercise (especially abdominal muscle
exercises) and brisk walking are recommended according to the age and physical
condition of the individual. Regular exercise may help reduce stress and
decrease constipation.
For more information about integrative
therapies for IBS, please visit Natural
Standard's Comparative Effectiveness database.