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J Consult Clin Psychol. 2004 Dec;72(6):1100-13.

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

Author information

1
Department of Medicine, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Erie County Medical Center, 462 Grider Street, Buffalo, NY 14215, USA. lackner@buffalo.edu

Abstract

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.

PMID:
15612856
DOI:
10.1037/0022-006X.72.6.1100
[Indexed for MEDLINE]

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