Irritable Bowel Syndrome
Conditions
Keywords
Cognitive behavior therapy, Internet, Cost-effectiveness, Irritable bowel syndrome
Brief summary
The aim of this study is to investigate the efficacy of a 10 week Internet-delivered CBT treatment for patients diagnosed with IBS. The patients' work with the treatment and is supported through online contact with a therapist. Approximately 86 patients will be included in the study and randomized to either condition. All included patients are assessed one week before the treatment starts. After 10 weeks (post treatment). Follow-up assessments are conducted at 3 and 12 months follow-up after treatment. Patients in treatment condition are hypothesized to experience significant reduction IBS symptoms, societal costs and quality of life compared to patients on waiting list.
Interventions
Internet-delivered cognitive behavioral therapy with therapist support.
Weekly therapist support without CBT-interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of IBS given by physician * At screening fulfilling Rome III-criteria for IBS
Exclusion criteria
* Severe depression * Suicidal ideation * Presence of unexplained IBS alarm symptoms
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Gastrointestinal symptoms | One week before the treatment starts | Gastrointestinal Symptom rating scale (GSRS) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Health economic data | One week before the treatment starts | Trimbos and Institute of Medical Technology Assessment Cost Questionnaire for Psychiatry. In this questionnaire, patients register their monthly health care consumption (e.g. GP visits) as well as time spent in informal health enhancing activities (e.g. self-help groups and informal care from friends). In addition, work loss and work cutback both at work and in the domestic realm is measured. |
| Quality of life | One week before the treatment starts | The Irritable Bowel Syndrome Quality of Life Instrument |
| Gastrointestinal symptom-specific anxiety | One week before the treatment starts | Visceral Sensitivity Index |
| Depressive symptoms | One week before the treatment starts | The Montgomery Åsberg Depression Rating Scale |
| Functional impairments in work, social and family life | One week before the treatment starts | Sheenan Disability Scale (DSD) |
Countries
Sweden