Long-term follow-up of internet-delivered exposure and mindfulness based treatment for irritable bowel syndrome
Autor: | Christian Rück, Perjohan Lindfors, Brjánn Ljótsson, Timo Hursti, Erik Hedman, Gerhard Andersson, Nils Lindefors |
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Rok vydání: | 2011 |
Předmět: |
Adult
Male medicine.medical_specialty Mindfulness medicine.medical_treatment Exposure therapy Implosive Therapy Experimental and Cognitive Psychology Anxiety law.invention Irritable Bowel Syndrome Treatment and control groups Quality of life Randomized controlled trial law medicine Humans Psychiatry Irritable bowel syndrome Cognitive Behavioral Therapy medicine.disease Psychiatry and Mental health Clinical Psychology Meditation Therapy Computer-Assisted Quality of Life Cognitive therapy Physical therapy Female medicine.symptom Psychology Follow-Up Studies |
Zdroj: | Behaviour Research and Therapy. 49:58-61 |
ISSN: | 0005-7967 |
Popis: | We conducted a follow-up of a previously reported study of internet-delivered cognitive behavior therapy (CBT) for IBS, based on exposure and mindfulness exercises (Ljotsson et al. (2010). Internet-delivered exposure and mindfulness based therapy for irritable bowel syndrome – a randomized controlled trial. Behaviour Research and Therapy, 48 , 531–539). Seventy-five participants from the original sample of 85 (88%) reported follow-up data at 15–18 months (mean 16.4 months) after completing treatment. The follow-up sample included participants from both the original study’s treatment group and waiting list after it had been crossed over to treatment. Intention-to-treat analysis showed that treatment gains were maintained on all outcome measures, including IBS symptoms, quality of life, and anxiety related to gastrointestinal symptoms, with mainly large effect sizes (within-group Cohen’s d = 0.78–1.11). A total of fifty participants (59% of the total original sample; 52% of the original treatment group participants and 65% of the original waiting list participants) reported adequate relief of symptoms. Improvements at follow-up were more pronounced for the participants that had completed the full treatment and maintenance of improvement did not seem to be dependent on further treatment seeking. This study suggests that internet-delivered CBT based on exposure and mindfulness has long-term beneficial effects for IBS-patients. |
Databáze: | OpenAIRE |
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