Gut-directed hypnotherapy in individual sessions is highly effective in the treatment of irritable bowel syndrome (IBS).
Dr Gabriele Moser and colleagues from Austria assessed the long-term effect of gut-directed hypnotherapy in group sessions for refractory irritable bowel syndrome.
The research team screened 164 patients with irritable bowel syndrome.
The team randomized 100 patients refractory to usual treatment 1:1 either to supportive talks with medical treatment or to supportive talks with medical treatment with gut-directed hypnotherapy.
The primary end point was a clinically important improvement on several dimensions of daily life after treatment and 12-month follow-up.
The research team's secondary end point was improvement in general quality of life, psychological status and reduction of single irritable bowel syndrome symptoms.
Analysis was by intention to treat.
A total of 90 patients received allocated intervention.
|54% of gut-directed hypnotherapy patients improved|
|American Journal of Gastroenterology|
The doctors found that after treatment, 28 out of 46 gut-directed hypnotherapy patients, and 18 out of 44 supportive talks with medical treatment improved.
Over 15 months, 54% of gut-directed hypnotherapy patients, and 25% of controls improved.
Gut-directed hypnotherapy with supportive talks with medical treatment improved physical and psychological well being significantly more than supportive talks with medical treatment alone.
The researchers found that gender, age, disease duration and irritable bowel syndrome type did not have an influence on the long-term success of gut-directed hypnotherapy.
Dr Moser's team concluded, "Gut-directed hypnotherapy improves irritable bowel syndrome-related quality of life, is superior to supportive talks with medical treatment alone, and shows a long-term effect even in refractory irritable bowel syndrome."