Friday, 29 Sep 2023

Talking therapy could cure IBS better than drugs, study reveals

Talking therapy could cure IBS better than drugs, study reveals after patients who had CBT over the phone or online experienced less symptoms

  • Study of more than 500 patients found talking greatly reduced symptoms
  • Irritable bowel syndrome causes diarrhoea, constipation or both
  • But experts say less than half benefit from supplements and laxatives 

A ‘talking cure’ may work better for people suffering from irritable bowel syndrome than medication, research shows.

The study of more than 500 patients found counselling over the phone or online significantly reduced painful symptoms.

Up to one in five people suffer from IBS, which mainly causes abdominal pain, bloating and the embarrassment of having to rush to the toilet.

But experts say less than half benefit from drugs such as laxatives or fibre supplements, which doctors are recommended to prescribe in the first instance.

Irritable bowel syndrome causes serious discomfort as well as diarrhoea and constipation and up to one in five suffer from the condition (stock image)

Researchers led by the University of Southampton looked at IBS sufferers on the standard treatment of medication, comparing them with those also given cognitive behavioural therapy (CBT).

They found patients given the talking therapy, with either a manual or website to work through, saw their symptoms get much better. Professor Hazel Everitt, who led the study, said: ‘This is a really important and exciting discovery.’

IBS is a lifelong problem with no cure which affects women more than men.

Stress and anxiety are believed to make it worse by causing changes to the gut which may contribute to flare-ups.

CBT tailored to the condition has been found to help, but waiting lists for face-to-face therapy are long.

Researchers split 558 patients into three groups. One group received normal treatment including an information sheet on diet and lifestyle, while the second group were given an additional eight hours of counselling on the phone.

The third group got the usual treatment plus eight sessions of CBT online, and two and a half hours of telephone support.

Almost three-quarters of people given CBT over the phone saw a significant improvement in their symptoms.

Researchers found that more than 500 patients involved in their study found talking therapy over the phone and online reduced symptoms (stock image)

Two-thirds saw an improvement if they received web therapy, while 44 per cent benefited from the standard treatment of a health information sheet and medication alone. Some stopped having any symptoms at all, the journal Gut reports.

The CBT included advice on eating healthily, avoiding ‘unhelpful thoughts’ and stress and sleep management.

Pilots of the therapy on the NHS will begin in the next few months.

Professor Rona Moss-Morris, who developed the CBT programmes from King’s College London, said: ‘The most important next step is for these tailored treatments to be made more widely available.’

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