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Colon Irritable Sindrome de Intestino
Irritable INVESTIGACION
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International Journal of Colorectal Disease Hypnotherapy and therapeutic audiotape:
Fffective
in previously unsuccessfully treated irritable bowel syndrome
ibs?
Abstract.
Irritable
bowel syndrome (IBS) is not always readily responsive
to conventional therapy. Hypnotherapy is effective
but time consuming and labour intensive. Preliminary data
suggested equivalent value from a specially devised audiotape.
Tape use is now compared with gut-directed hypnotherapy
in a randomised controlled trial. Consenting patients (n
=52; 37 women) with established IBS were recruited to
a 12-week study. All had failed dietary and pharmacological
therapy. The median age was 37 years (range 19-71); median
symptom duration was 60 months (8-480). Randomization was
to six sessions of individual hypnotherapy, or to
the tape, with stratification according to predominant symptom.
Symptom scores and validated psychological questionnaires
were utilized. Twenty-five patients (18 women) received
hypnotherapy, 27 the tape. Successful trance was
induced in all hypnotherapy patients. By intention
to treat, symptom scores improved in 76% of hypnotherapy
patients and in 59% of tape patients (not significant).
Amongst 45 patients providing a full set of symptom scores
there was advantage to hypnotherapy, with a reduction
in median score from 14 to 8.5 compared to an unchanged
score of 13 in audiotape patients (P <0.05). The
assessor considered 52% in each group to have improved.
Those with greater initial anxiety tended to be more compliant
and more likely to respond. Gut-directed hypnotherapy
and audiotapes appear valuable in resistant IBS. Although
probably inferior to hypnotherapy, the ease and economy
of tape use may be considered sufficient to recommend it
as a second-line option in IBS, reserving hypnotherapy
for failures.
Keywords:Alternative
medicine · Behavior therapy · Colonic diseases
· Functional disorders · Hypnosis
Alastair Forbes (1), Susan MacAuley (2), Efterpi Chiotakakou-Faliakou
(1)
(1) St Mark's Hospital, Watford Road, Harrow HA1 3UJ, UK
e-mail: alastair.forbes@ic.ac.uk Tel.: +44-20-82354016 Fax:
+44-20-82354039
(2) Institute of Psychiatry, De Crespigny Park, London SE5
8AF, UK
Accepted: 25 August 2000 / Published online: 11 October
2000
ISSN:
0179-1958 (printed version)
Abstract Volume 15 Issue
5/6 (2000) pp 328-334
DOI 10.1007/s003840000248
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