Telephone or web-based psychotherapy has been suggested to be as effective as face-to-face psychotherapy while lowering access restrictions and improving patient acceptability. A large new study in patients with IBS shows the superiority of such an approach in comparison with treatment as usual.
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References
Goebel-Stengel, M., Holtmann, G. & Enck, P. Opportunities of twin research in gastroenterology. Nat. Rev. Gastroenterol. Hepatol. 15, 325–326 (2018).
Wynne, B. et al. Acceptance and commitment therapy reduces psychological stress in patients with inflammatory bowel diseases. Gastroenterology 156, 935–945 (2019).
Hood, M. M. & Jedel, S. Mindfulness-based interventions in inflammatory bowel disease. Gastroenterol. Clin. North Am. 46, 859–874 (2017).
Klag, T. et al. High demand for psychotherapy in patients with inflammatory bowel disease. Inflamm. Bowel Dis. 23, 1796–1802 (2017).
Everitt, H. A. et al. Assessing telephone-delivered cognitive–behavioural therapy (CBT) and web-delivered CBT versus treatment as usual in irritable bowel syndrome (ACTIB): a multicentre randomised trial. Gut. https://doi.org/10.1136/gutjnl-2018-317805 (2019).
Lackner, J. M. et al. Psychological treatments for irritable bowel syndrome: a systematic review and meta-analysis. J. Consult. Clin. Psychol. 72, 1100–1113 (2004).
Weimer, K. & Enck, P. Traditional and innovative experimental and clinical trial designs and their advantages and pitfalls. Handb. Exp. Pharmacol. 225, 237–272 (2014).
Elsenbruch, S. & Enck, P. Placebo effects and their determinants in gastrointestinal disorders. Nat. Rev. Gastroenterol. Hepatol. 12, 472–485 (2015).
Gold, S. M. et al. Control conditions for randomised trials of behavioural interventions in psychiatry: a decision framework. Lancet Psychiatry 4, 725–732 (2017).
Lackner, J. M. et al. Improvement in gastrointestinal symptoms after cognitive behavior therapy for refractory irritable bowel syndrome. Gastroenterology 155, 47–57 (2018).
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Enck, P., Lackner, J.M. Cognitive behavioural therapy for IBS: results or treatment as usual?. Nat Rev Gastroenterol Hepatol 16, 515–516 (2019). https://doi.org/10.1038/s41575-019-0174-2
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DOI: https://doi.org/10.1038/s41575-019-0174-2