A Biofeedback-Assisted Stress Management Program for Patients with Irritable Bowel Syndrome: a Randomised Controlled Trial

Authors

  • Konstantina Exarchopoulou Postgraduate Course of Science of Stress and Health Promotion, School of Medicine, National and Kapodistrian University of Athens
  • Anna Papageorgiou University Research Institute of Maternal and Child Health & Precision Medicine and UNESCO Chair on Adolescent Health Care, National and Kapodistrian University of Athens
  • Flora Bacopoulou University Research Institute of Maternal and Child Health & Precision Medicine and UNESCO Chair on Adolescent Health Care, National and Kapodistrian University of Athens
  • Elli Koumantarou Malisiova Postgraduate Course of Science of Stress and Health Promotion, School of Medicine, National and Kapodistrian University of Athens
  • Dimitrios Vlachakis University Research Institute of Maternal and Child Health & Precision Medicine and UNESCO Chair on Adolescent Health Care, National and Kapodistrian University of Athens Laboratory of Genetics, Department of Biotechnology, School of Applied Biology and Biotechnology, Agricultural University of Athens Lab of Molecular Endocrinology, Center of Clinical, Experimental Surgery and Translational Research, Biomedical Research Foundation of the Academy of Athens
  • George P. Chrousos University Research Institute of Maternal and Child Health & Precision Medicine and UNESCO Chair on Adolescent Health Care, National and Kapodistrian University of Athens
  • Christina Darviri Postgraduate Course of Science of Stress and Health Promotion, School of Medicine, National and Kapodistrian University of Athens

DOI:

https://doi.org/10.14806/ej.26.1.980

Keywords:

irritable bowel syndrome, IBS, stress, stress management, biofeedback, abdominal breathing, progressive muscle relaxation

Abstract

Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder that affects the functionality and quality of life of the affected persons. There is a well-established detrimental reciprocal relationship between stress and IBS. In this randomised controlled trial, IBS patients were randomly assigned to an 8-week biofeedback-assisted stress management intervention group (n=24) or a control group (n=22). Psychometric measures were performed at baseline and following intervention to assess perceived stress, health locus of control and depressive symptoms. In patients of the intervention group, perceived stress and symptoms of depression were significantly decreased, while the sense of control over health was increased. The intervention program was beneficial to the health and quality of life of individuals with IBS. Future randomised controlled studies with larger samples and longer follow-up are required to establish the effectiveness of stress-management techniques in functional gastrointestinal disorders.

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Published

2021-10-04