Research: HEFNER and COLLEAGUES,

Listed in Issue 187

Abstract

HEFNER and COLLEAGUES, Abteilung Innere Medizin VI, Psychosomatische Medizin und Psychotherapie, Universitat Tubingen. jochen.hefner@t-online.de review [References: 53] previous studies on hypnotherapy in IBS patients with a focus on symptom relief and mechanisms of action.

Background

The Irritable bowel syndrome (IBS) is a highly prevalent functional disorder with a remarkable clinical and economic impact.

Methodology

Several pathogenetic factors of IBS are discussed and summarized within a bio-psycho-social model.

Results

Data from published hypnotherapeutic interventions with approximately 800 patients show long-lasting symptom relief. The underlying mechanisms of action are not well understood. Nine mechanism studies show influences of hypnosis on colorectal sensitivity, colorectal motility and mental strain (anxiety, depression, maladaptive cognitions). Results are often contradictory and effects of hypnosis on several of the proposed pathogenetic factors are not examined at all.

Conclusion

This paper reviews previous studies on hypnotherapy in IBS patients with a focus on symptom relief and mechanisms of action. [References: 53]

References

Hefner J, Rilk A, Herbert BM, Zipfel S, Enck P, Martens U. [Hypnotherapy for irritable bowel syndrome--a systematic review]. [Review] [53 refs] [German] Zeitschrift fur Gastroenterologie. 47(11): 1153-9. Nov 2009.

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