A pilot feasibility study of an unguided, internet‐delivered cognitive behavioral therapy program for irritable bowel syndrome

Background Irritable bowel syndrome (IBS) is linked with lower health‐related quality of life. Cognitive behavioral therapy (CBT) designed for IBS management can improve outcomes but further research of more accessible implementations of this treatment approach for IBS is needed. This study assessed...

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Bibliographic Details
Published in:Neurogastroenterology and motility 2021-11, Vol.33 (11), p.e14108-n/a
Main Authors: Owusu, Jocelynn T., Sibelli, Alice, Moss‐Morris, Rona, Tilburg, Miranda A.L., Levy, Rona L., Oser, Megan
Format: Article
Language:English
Subjects:
Adult
Anxiety
Anxiety disorders
Behavior modification
Cognitive ability
Cognitive Behavioral Therapy
Feasibility Studies
Female
Humans
Internet-Based Intervention
Intestine
Irritable bowel syndrome
Irritable Bowel Syndrome - psychology
Irritable Bowel Syndrome - therapy
Male
Middle Aged
Pilot Projects
Quality of Life
Symptom management
Treatment Outcome
web‐based intervention
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Summary:Background Irritable bowel syndrome (IBS) is linked with lower health‐related quality of life. Cognitive behavioral therapy (CBT) designed for IBS management can improve outcomes but further research of more accessible implementations of this treatment approach for IBS is needed. This study assessed the feasibility of a web‐delivered CBT program among adults with IBS to apply to a future clinical trial. Methods Twenty‐five participants were randomized to receive an unguided web‐based, CBT program for IBS. The primary outcome was changes in IBS symptom severity (IBS Symptom Severity Scale [IBS‐SSS]). Secondary outcomes included IBS‐specific CBT therapeutic mechanisms of change (GI‐specific anxiety, unhelpful IBS behaviors, and GI‐focused cognitions) and changes in depressive (Patient Health Questionnaire‐9 [PHQ‐9]) and anxiety (Generalized Anxiety Disorder‐7 scale [GAD‐7]) symptom severity. Key Results Among participants randomized to receive web‐based CBT, the average baseline IBS‐SSS score was 296.3 (SD=100.9). IBS symptom severity significantly improved at 2‐month (p 
ISSN:1350-1925
1365-2982
DOI:10.1111/nmo.14108