Functional Relaxation as Complementary Therapy in Irritable Bowel Syndrome: A Randomized, Controlled Clinical Trial

Lahmann, Claas and Roehricht, Frank and Sauer, Nina and Noll-Hussong, Michael and Ronel, Joram and Henrich, Gerhard and von Arnim, Angela and Loew, Thomas (2010) Functional Relaxation as Complementary Therapy in Irritable Bowel Syndrome: A Randomized, Controlled Clinical Trial. JOURNAL OF ALTERNATIVE AND COMPLEMENTARY MEDICINE, 16 (1). pp. 47-52. ISSN 1075-5535,

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Abstract

Objectives: Irritable bowel syndrome (IBS) is a frequently disabling and almost invariably distressing disease with a high overall prevalence. Numerous trials identified the importance of psychogenic and emotional etiological factors, and this is obvious in clinical practice. Although relaxation techniques are frequently recommended, there is still a lack of evidence for their efficacy in the management of IBS. This study therefore aims to determine the efficacy of functional relaxation (FR) in IBS. Subjects: The subjects were 80 patients with IBS. Interventions: Participants were randomly allocated either to FR or to enhanced medical care (EMC: treatment as usual plus two counseling interviews) as control intervention with 2 weekly sessions over the 5-week trial each. Thirty-nine (39) patients completed FR and 39 received EMC. Outcome measures: An impairment-severity score (IS) was employed as the primary outcome parameter with assessment at baseline, after treatment, and again after 3-month follow-up. Results: FR was significantly superior to EMC with a standardized effect size of 0.85. The achieved effects through FR remained stable in terms of psychic and bodily impairment after 3-month follow-up. Conclusions: The results of our trial suggest a positive effect of FR training on subjective functional impairment in the IS, if provided in addition to treatment as usual (TAU). There appears to be a clinically relevant long-term benefit of FR as a nonpharmacological and complementary therapy approach in IBS.

Item Type: Article
Uncontrolled Keywords: QUALITY-OF-LIFE; DISORDERS; CARE; PSYCHOTHERAPY; IMPAIRMENT; PREVALENCE; MANAGEMENT; EDUCATION; EFFICACY; PLACEBO;
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Abteilung für Psychosomatische Medizin
Depositing User: Dr. Gernot Deinzer
Date Deposited: 17 Aug 2020 09:50
Last Modified: 17 Aug 2020 09:50
URI: https://pred.uni-regensburg.de/id/eprint/25496

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