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| Id | 604 | |
| Author | Gillanders D., Ferreira N.B., Angioni E., Carvalho S.A., Eugenicos M.P. | |
| Title | An implementation trial of ACT-based bibliotherapy for irritable bowel syndrome | |
| Reference | Gillanders D., Ferreira N.B., Angioni E., Carvalho S.A., Eugenicos M.P.; An implementation trial of ACT-based bibliotherapy for irritable bowel syndrome ;Journal of Contextual Behavioral Science vol:6 issue: 2.0 page:172.0 |
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| Link to article | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85017141829&doi=10.1016%2fj.jcbs.2017.04.006&partnerID=40&md5=8eda3c42755fab8f07a25b4c324a3746 |
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| Abstract | Background Irritable Bowel Syndrome is a gastrointestinal disorder that is associated with pain, discomfort, constipation and diarrhoea. It affects around 20% of adults in Western countries. Reports of distress and self-consciousness, as well as experiential and situational avoidance are common. Previous studies have shown that ACT may be effective for people with IBS. Methods An uncontrolled trial of ACT based bibliotherapy was undertaken in a specialist motility clinic. Outcomes were measured with standardised self-report questionnaires pre-treatment, and at two and six months. Missing data was handled using maximum likelihood imputation. Data was analysed using repeated measures ANOVA. Results 45 participants enrolled in the study, with 36 providing data at two months, and 24 at six months. Participants were predominantly female, with an average ten-year history of IBS, and 71% of the sample had moderate or severe symptoms. At six months,participants had improved on symptom severity (ηp2=.09, 90% CI=.01−.18), GI specific anxiety (ηp2=.07, 90% CI=.01−.16) and IBS willingness (ηp2=.14, 90% CI=.04−.24), but had not shown behavioural changes towards greater activity, (ηp2=.01, 90% CI=.0−.05) or to reduce IBS avoidance behaviours (ηp2=.05, 90% CI=.0=.13). Contrary to hypothesis, intervention did not reduce the impact of IBS on quality of life(ηp2=.04, 90% CI=.0−.09). Discussion Bibliotherapy interventions may be useful for people with refractory IBS, though greater contact and structured exposure may be necessary to change behaviour. The study was limited by problems with attrition, though these data suggest future research in this area would be worthwhile. © 2017 |
People with IBS often report embarrassment and shame and stop socialising withdraw from intimacy reduce working hours and reduce participation in normal community activities. CBT has been used to design self-help interventions for IBS. Intervention The intervention consisted of giving participants the self-help book Better Living with IBS and the accompanying audio exercises on CD. The book contained information about IBS stress and symptoms exercises to reflect on use of control strategies values exercises and exercises to develop skills in mindfulness defusion and willingness. Participants were encouraged to engage in the book by their consultant in gastroenterology and by the research assistant.
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