期刊
SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY
卷 47, 期 4, 页码 414-421出版社
INFORMA HEALTHCARE
DOI: 10.3109/00365521.2012.658858
关键词
hypnotherapy; IBS
资金
- Vastra Gotaland Region (Dagmar funds)
- Swedish Medical Research Council [13409, 21691, 21692]
- Marianne and Marcus Wallenberg Foundation
- University of Gothenburg
- Faculty of Medicine, University of Gothenburg
- Centre for Clinical Research, Gavleborg
- Centre for Person-Centred Care (GPCC), Sahlgrenska Academy, University of Gothenburg
Objective. Gut-directed hypnotherapy is considered to be an effective treatment in irritable bowel syndrome (IBS) but few studies report the long-term effects. This retrospective study aims to evaluate the long-term perceived efficacy of gut-directed hypnotherapy given outside highly specialized hypnotherapy centers. Methods. 208 patients, who all had received gut-directed hypnotherapy, were retrospectively evaluated. The Subjective Assessment Questionnaire (SAQ) was used to measure changes in IBS symptoms, and patients were classified as responders and non-responders. Patients were also asked to report changes in health-care seeking, use of drugs for IBS symptoms, use of alternative non-pharmacological treatments, and if they still actively used hypnotherapy. Results. Immediately after hypnotherapy, 103 of 208 patients (49%) were responders and 75 of these (73%) had improved further at the follow-up 2-7 years after hypnotherapy (mean 4 years). A majority of the responders still used hypnotherapy on a regular basis at follow-up (73%), and the responders reported a greater reduction in health-care seeking than non-responders. A total of 87% of all patients reported that they considered gut-directed hypnotherapy to be worthwhile, and this differed between responders and non-responders (100% vs. 74%; p < 0.0001). Conclusion. This long-term follow-up study indicates that gut-directed hypnotherapy in refractory IBS is an effective treatment option with long-lasting effects, also when given outside highly specialized hypnotherapy centers. Apart from the clinical benefits, the reduction in health-care utilization has the potential to reduce the health-care costs.
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