Effectiveness of biofeedback therapy on irritable bowel syndrome symptoms and mind rumination: Biofeedback therapy on IBS and mind rumination

Hassan Ashayeri; Mitra Talebi; Kianoosh Hashemian

doi:10.22122/cdj.v11i3.596

Authors

Hassan Ashayeri Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran https://orcid.org/0000-0002-2348-6213
Mitra Talebi Department of Psychology, School of Psychology, Roudehen Branch, Islamic Azad University, Tehran, Iran https://orcid.org/0000-0001-5743-1547
Kianoosh Hashemian Department of Psychology, School of Psychology, Roudehen Branch, Islamic Azad University, Tehran, Iran https://orcid.org/0000-0003-2303-0053

DOI:

https://doi.org/10.22122/cdj.v11i3.596

Keywords:

Biofeedback Therapy, Irritable Bowel Syndrome, Patients

Abstract

BACKGROUND: Patients with irritable bowel syndrome (IBS) are prone to certain physical and mental problems. This study was conducted with the aim to determine the effectiveness of biofeedback on the severity of IBS symptoms and mind rumination in people with IBS.

METHODS: The present research was conducted with a pretest-posttest design, a control group, and one-month budget follow-up. The population of this study included all people with IBS who were referred to specialized gastrointestinal clinics in Tehran, Iran, in 2019. Considering the inclusion and exclusion criteria, 30 volunteers were selected and 15 of them were randomly placed in experimental group 1 (biofeedback) and 15 in the control group. A standardized questionnaire for assessing the severity of IBS symptoms and a rumination questionnaire were used in the pretest, posttest, and follow-up stages. In this study, participants in the experimental group received 8 sessions of biofeedback or biofeedback relaxation. For data analysis, SPSS software was used.

RESULTS: Intervention in the biofeedback group reduced the severity of IBS symptoms and rumination in patients with IBS and this improvement continued until the follow-up stage (P < 0.05).

CONCLUSION: To better and more effectively improve patients with IBS, psychological therapies are required. These therapies require the cooperation of gastroenterologists, psychologists, and psychiatrists.

References

Shafaei H. Evaluating the effectiveness of neurofeedback treatment on depression, anxiety, stress and abdominal pain in patients with chronic psychosomatic abdominal pains. Pakistan Journal of Medical and Health Sciences. 2022; 16(02): 395-401.

Longstreth GF, Thompson WG, Chey WD, Houghton LA, Mearin F, Spiller RC. Functional bowel disorders. Gastroenterology. 2006; 130(5): 1480-91.

Canavan C, West J, Card T. The epidemiology of irritable bowel syndrome. Clin Epidemiol. 2014; 6: 71-80.

Drossman DA. functional gastrointestinal disorders: history, pathophysiology, clinical features and Rome IV. Gastroenterology. 2016; 150(6): 1262–79.

Khoshsorour S. Investigating the effect of neurofeedback in decreasing anxiety and symptom severity of patients with irritable bowel syndrome (IBS). Studies in Medical Sciences. 2018; 28(10): 647-58.

Zotev V, Phillips R, Young KD, Drevets WC, Bodurka J. Prefrontal control of the amygdala during real-time fMRI neurofeedback training of emotion regulation. PloS one. 2013; 8(11): e79184.

Roshandel D, Rezailashkajani M, Shafaee S, Zali MR. A cost analysis of functional bowel disorders in Iran. Int J Colorectal Dis. 2007; 22(7): 791-9.

Johnsen PH, Hilpusch F, Valle PC, Goll R. The effect of fecal microbiota transplantation on IBS related quality of life and fatigue in moderate to severe non-constipated irritable bowel: Secondary endpoints of a double blind, randomized, placebo-controlled trial. EBioMedicine. 2020; 51: 102562.

Braunwald E, Fauci AS, Kasper DL, Hauser SL, Longo DL, Jameson JL. Harrison's principles of internal medicine. 15th ed. New York, NY: McGraw-Hill; 2001.

Dong Y, Baumeister D, Berens S, Eich W, Tesarz J. High rates of non-response across treatment attempts in chronic irritable bowel syndrome: results from a follow-up study in tertiary care. Front Psychiatry. 2019; 10: 714.

Cowdrey FA, Park RJ. The role of experiential avoidance, rumination and mindfulness in eating disorders. Eat Behav. 2012; 13(2): 100-5.

Kalmbach DA, Cheng P, Drake CL. A pathogenic cycle between insomnia and cognitive arousal fuels perinatal depression: exploring the roles of nocturnal cognitive arousal and perinatal-focused rumination. Sleep. 2021; 44(6).

Moss-Morris R, McAlpine L, Didsbury LP, Spence MJ. A randomized controlled trial of a cognitive behavioural therapy-based self-management intervention for irritable bowel syndrome in primary care. Psychol Med. 2010; 40(1): 85-94.

Lackner JM, Gudleski GD, Keefer L, Krasner SS, Powell C, Katz LA. Rapid response to cognitive behavior therapy predicts treatment outcome in patients with irritable bowel syndrome. Clin Gastroenterol Hepatol. 2010; 8(5): 426-32.

Drossman D, Morris CB, Hu Y, Toner BB, Diamant N, Whitehead WE, et al. Characterization of health related quality of life (HRQOL) for patients with functional bowel disorder (FBD) and its response to treatment. Am J Gastroenterol. 2007; 102(7): 1442-53.

Turner RP. Biofeedback and health evidence-based biofeedback and neurofeedback for people with epilepsy and seiz. Policy Insights Behav Brain Sci. 2022; 9(2): 147-55.

Chiu C, Chang S, Li H, Wang C, Kao L, Chien T, et al. High uniformity normally-OFF p-GaN Gate HEMT using self-terminated digital etching technique. IEEE Transactions on Electron Devices. 2018; 65(11): 4820-5.

Sowder E, Gevirtz R, Shapiro W, Ebert C. Restoration of vagal tone: A possible mechanism for functional abdominal pain. Appl Psychophysiol Biofeedback. 2010; 35(3): 199-206.

Patrick DL, Drossman DA, Frederick IO, DiCesare J, Puder KL. Quality of life in persons with irritable bowel syndrome: Development and validation of a new measure. Dig Dis Sci. 1998; 43(2): 400-11.

Manavipour D, Shahhosieni A. Investigation of psychometric properties of Rumination-Reflection Scale. Neurosci J Shefaye Khatam. 2016; 4(1): 7-16.

Alneyadi M, Drissi N, Almeqbaali M, Ouhbi S. Biofeedback-based connected mental health interventions for anxiety: Systematic literature review. JMIR Mhealth Uhealth. 2021; 9(4): e26038.

Ashoori J. The effect of neurofeedback training on anxiety and depression in students with attention deficit/hyperactivity disorders. J Educ Community Health. 2016; 2(4): 41-7.

Altayar O, Sharma V, Prokop LJ, Sood A, Murad MH. Psychological therapies in patients with irritable bowel syndrome: A systematic review and meta-analysis of randomized controlled trials. Gastroenterol Res Pract. 2015; 2015: 549308.

Bohn L, Storsrud S, Simren M. Nutrient intake in

patients with irritable bowel syndrome compared with the general population. Neurogastroenterol Motil. 2013; 25(1): 23-30.

Goessl VC, Curtiss JE, Hofmann SG. The effect of heart rate variability biofeedback training on stress and anxiety: A meta-analysis. Psychol Med. 2017; 47(15): 2578-86.

Effectiveness of biofeedback therapy on irritable bowel syndrome symptoms and mind rumination

Biofeedback therapy on IBS and mind rumination

Authors

DOI:

Keywords:

Abstract

References

Downloads

Published

How to Cite

Issue

Section

License

Editor-in-Chief

logos

isc.sid

cope

cabi

ethic

irisweb