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Long-term effects of hypnotherapy in patients with refractory irritable bowel syndrome.

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Authors
Lindfors, Perjohan
Unge, Peter
Nyhlin, Henry
Ljótsson, Brjánn
Björnsson, Einar S
Abrahamsson, Hasse
Simrén, Magnus
Issue Date
2012-04

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Citation
Scand. J. Gastroenterol. 2012, 47(4):414-20
Abstract
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. 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. 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). 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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Additional Links
http://dx.doi.org/10.3109/00365521.2012.658858
http://informahealthcare.com/doi/abs/10.3109/00365521.2012.658858
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Archived with thanks to Scandinavian journal of gastroenterology
ae974a485f413a2113503eed53cd6c53
10.3109/00365521.2012.658858
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English Journal Articles (Peer Reviewed)

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