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 19 January 2018

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News

Internet-delivered cognitive behavior therapy for adolescents with IBS

A study in January's publication of the American Journal of Gastroenterology evaluates the efficacy of Internet-CBT based on behavioral exposure for adolescents with IBS.

News image

Few treatments have been able to effectively manage pediatric irritable bowel syndrome (IBS). 

Internet-delivered cognitive behavior therapy (Internet-CBT) based on exposure for abdominal symptoms is effective for adult IBS. 

Dr Marianne Bonnert and colleagues from Sweden evaluated the efficacy of Internet-CBT based on behavioral exposure for adolescents with IBS.

Adolescents with IBS fulfilling the Rome III criteria were randomized to either Internet-CBT or a wait-list control. 

The Internet-CBT was a 10-week intervention where the main component was exposure to IBS symptoms by reduction of avoidance of abdominal symptoms and instead stepwise provocation of symptoms. 

After 6 months, the results were stable or significantly improved
American Journal of Gastroenterology
The team's primary outcome was total score on Gastrointestinal Symptoms Rating Scale for IBS (GSRS-IBS). 

The research team's secondary outcomes included adolescent- and parent-rated quality of life and parent-rated gastrointestinal symptoms. 

Difference between groups was assessed from pretreatment to posttreatment, and the Internet-CBT group was also evaluated at 6 months after treatment completion.

The researchers included a total of 101 adolescents with IBS in this study.

Dropout rates were low, and all randomized patients were included in intent-to-treat analyses based on mixed effects models. 

The research team showed a significant larger pretreatment to posttreatment change on the primary outcome GSRS-IBS, and on almost all secondary outcomes for the Internet-CBT group compared with the control group. 

After 6 months, the results were stable or significantly improved.

Dr Bonnert's team comments, "Internet-CBT based on exposure exercises for adolescents with IBS can effectively improve gastrointestinal symptoms and quality of life."

Am J Gastroenterol 2017; 112:152–162
12 January 2017

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