Psychological treatments for irritable bowel syndrome: A systematic review and meta-analysis

被引:191
|
作者
Lackner, JA [1 ]
Morley, S
Dowzer, C
Mesmer, C
Hamilton, S
机构
[1] Univ Leeds, Sch Med, Acad Unit Psychiat & Behav Sci, Leeds LS2 9JT, W Yorkshire, England
[2] Univ Buffalo, Sch Med & Biomed Sci, Buffalo, NY USA
[3] Univ Leeds, Sch Med, Acad Unit Psychiat & Behav Sci, Leeds, W Yorkshire, England
关键词
D O I
10.1037/0022-006X.72.6.1100
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
This study conducted a systematic review to assess the quality of existing literature on psychological treatments for irritable bowel syndrome and to quantify the evidence for their efficacy. Three independent reviewers (2 from England, 1 from the United States) coded the quality of 32 studies, 17 of which provided data suitable for meta-analysis. Meta-analysis of efficacy data (50% reduction of symptoms) gave an odds ratio of 12 (95% confidence interval = 5.56-25.96) and a number needed to treat of 2. Psychological treatments are, as a class of interventions, effective in reducing symptoms compared with a pooled group of control conditions. Questions regarding the relative superiority of specific psychological treatments and influence of active versus nonspecific treatment effects remain unanswered.
引用
收藏
页码:1100 / 1113
页数:14
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