Cognitive flexibility improves in cognitive behavioral therapy for irritable bowel syndrome but not nonspecific education/support

This study tested the novel hypothesis that CBT-treated IBS patients who learn to self-manage painful GI symptoms by targeting rigid cognitive style show improvement in cognitive flexibility, GI symptoms (e.g., abdominal pain), and quality of life. Participants included 130 Rome-III diagnosed IBS pa...

Celý popis

Uloženo v:
Podrobná bibliografie
Vydáno v:Behaviour research and therapy Ročník 154; s. 104033
Hlavní autoři: Lackner, Jeffrey M., Gudleski, Gregory D., Radziwon, Christopher D., Krasner, Susan S., Firth, Rebecca S., Naliboff, Bruce D., Vargovich, Alison M., Borden, Ashlye B., Mayer, Emeran A.
Médium: Journal Article
Jazyk:angličtina
Vydáno: England Elsevier Ltd 01.07.2022
Elsevier Science Ltd
Témata:
Abdominal pain
Behavior modification
Brain-gut interactions
Changes
Chronic pain
Cognition
Cognitive ability
Cognitive behavioral therapy
Cognitive change
Cognitive flexibility
Cognitive style
Cognitive-behavioral factors
Context sensitivity
Coping
Education
Emotion regulation
Emotional regulation
Emotions
Flexibility
Irritable bowel syndrome
Medical treatment
Pain
Patients
Psychological distress
Psychological flexibility
Psychotherapy
Quality of life
Questionnaires
Resilience
Severity
Stress
Symptoms
Transdiagnostic
Treatment methods
Context sensitivity
Transdiagnostic
Coping
Flexibility
Emotion regulation
Chronic pain
Stress
Brain-gut interactions
Resilience
Quality of life
ISSN:0005-7967, 1873-622X, 1873-622X
On-line přístup:Získat plný text
Tagy: Přidat tag
Žádné tagy, Buďte první, kdo vytvoří štítek k tomuto záznamu!
Popis
Shrnutí:This study tested the novel hypothesis that CBT-treated IBS patients who learn to self-manage painful GI symptoms by targeting rigid cognitive style show improvement in cognitive flexibility, GI symptoms (e.g., abdominal pain), and quality of life. Participants included 130 Rome-III diagnosed IBS patients (M age = 40.3, F = 83%) with moderate-to-severe symptoms randomly assigned to either cognitive behavioral therapy (CBT; N = 86) or a nonspecific education/support (EDU) comparator (N = 44). Participants completed an assessment battery at baseline and post-treatment 2 weeks after 10-week acute treatment phase. Measures included cognitive flexibility, psychological flexibility, emotion regulation strategies, IBS symptom severity, quality of life (QOL), and distress. CBT but not EDU patients showed significant GI sympton improvement from baseline to post-treatment in cognitive flexibility. For CBT patients, changes in cognitive flexibility were significantly associated with changes in IBS symptom severity, abdominal pain, and IBS QOL. Neither condition showed significant changes in psychological flexibility (Acceptance and Action Questionnaire-II) or use of emotion regulation strategies (Emotion Regulation Questionnaire). The ability to self-manage painful IBS symptoms refractory to conventional medical and dietary treatments is related to the ability to respond flexibly across shifting contexts using cognitive change procedures featured in CBT for IBS. •Cognitive flexibility reliably changed in IBS patients undergoing CBT targeting rigid cognitive style (but not EDU patients).•Psychological flexibility did not change over time.•Cognitive flexibility changes corresponded with changes in IBS quality of life, pain, and IBS symptom severity.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 14
content type line 23
ObjectType-Undefined-3
ISSN:0005-7967
1873-622X
1873-622X
DOI:10.1016/j.brat.2022.104033