Table 1

Outcome measureMeasured at treatment end (weeks)Measured at follow up (weeks)
Global scores
Global IBS symptom score (Bowel symptom severity scale 0–48 scale; high = severe)Boyce 2003 (8)Boyce 2003 (26)
Boyce 2003 (52)
Global IBS symptom score (satisfaction, global wellbeing, diary pain scores, health related quality of life); high score = good; maximum unclearDrossman 2003 (12)
Global IBS symptom score (7 symptoms daily for 2 weeks each scored 0–4 from not a problem to debilitating symptom intensity; high score = bad)Greene 1994 (8)
Global IBS symptom score (20 items over 14 days); high score = badHeymann-Monnikes 2000 (10)
Global IBS symptom score (<75=normal; 75–174 mild; 175–299 moderate; 300–500 severe symptoms)Kennedy 2005 (6)Kennedy 2005 (26)
Kennedy 2005 (52)
Global IBS symptom score (pain, discomfort, diarrhoea, constipation each rated 0=no symptoms to 6=very severe symptoms)Lynch 1989 (8)
Global improvement of IBS symptoms (mean Composite Primary Symptom Reduction [CPSR] score; CPSR represents % reduction in score from baseline); i.e. high = badBlanchard 1993 (8) Greene 1994 (8)
Payne 1995 (8)
Vollmer 1998 (10)
Vollmer 1998 (12)
Global improvement of IBS symptoms (mean score) VAS (1=very much better to 7=very much worse; 4=no change)Heymann-Monnikes 2000 (10)
Global improvement of IBS symptoms (no. patients)Blanchard 1993 (8)
Fernandez 1998 (10)
Gong 2002 (duration of treatment not stated)
Greene 1994 (8)
Lynch 1989 (8)
Payne 1995 (8)
Tkachuk 2003 (9)
Vollmer 1998 (10)
Fernandez 1998 (52)
Pain scores
Pain score (0=not a problem; 4=debilitating symptoms) daily for 4 weeksBlanchard 1993 (8)
Pain score (VAS score); high = bad.Corney 1991 (16)Corney 1991 (40)
Pain score (McGill average daily pain); high score = badDrossman 2003 (12)
Pain score (0=not a problem; 1=mild; 2=moderate; 3=severe; 4=debilitating; scores totalled for 1 week); high score = badFernandez 1998 (10)
Pain score (scored 0–4 daily for 2 weeks); high score = badGreene 1994 (8)
Pain score (0=no pain; 6=very severe pain)Lynch 1989 (8)
Pain score (0=not a problem; 4=intense and incapacitating)Tkachuk 2003 (9)
Vollmer 1998 (10)
Pain score (0=not a problem; 4=debilitating symptoms) daily for 4 weeksBlanchard 1993 (8)
Bloating
Bloating score (0=no symptom; 6=very severe symptom)Greene 1994 (8)
Lynch 1989 (8)
Bloating score (0=not a problem; 4=intense and incapacitating)Tkachuk 2003 (9)
Bloating score (0=not a problem; 4=debilitating symptoms)Vollmer 1998 (10)
Bowel habits
Constipation (VAS score); high = badCorney 1991 (16)Corney 1991 (40)
Constipation (0=not a problem; 4=debilitating symptoms)Greene 1994 (8)
Constipation (0=no symptom; 6=very severe symptom)Lynch 1989 (8)
Diarrhoea (VAS score); high=badCorney 1991 (16)Corney 1991 (40)
Diarrhoea (0=not a problem; 4=debilitating symptoms)Greene 1994 (8)
Diarrhoea (0=no symptoms; 6=very severe symptoms)Lynch 1989 (8)
Mental health
Dysfunctional cognitions (Cognitive Scale for Functional Bowel Disorders); scale 25–175; high=badTkachuk 2003 (9)
Mental health (max = 100)Tkachuk 2003 (9)
Psychological distress (Clinical Interview Schedule); 0–48; high=badCorney 1991 (40)
Overall anxiety and psychological distress (Anxiety, State-Trait Anxiety Inventory [STAI]); Scale range 20–80; high = badGreene 1994 (8)
Heymann-Monnikes 2000 (10)
Payne 1995 (8)
Tkachuk 2003 (9)
Psychological distress (HADS); range 0–56; high=badBoyce 2003 (8)
Kennedy 2005 (8)
Boyce 2003 (26)
Boyce 2003 (52)
Kennedy 2005 (26)
Kennedy 2005 (52)
Beck depression inventory (scale maximum 63; high=bad)Greene 1994 (8)
Heymann-Monnikes 2000 (10)
Lynch 1989 (8)
Payne 1995 (8)
Tkachuk 2003 (9)
Quality of life
Disruption of daily life (0=no symptom; 6=very severe symptom)Lynch 1989 (8)
Physical health (SF-36 Physical Composite Scale); high = bad; scale max 100Tkachuk 2003 (9)
Quality of life (IBS-QOL); high score = good; max 84Drossman 2003 (12)
Quality of life (GLQI score); max score 144; high=goodHeymann-Monnikes 2000 (10)
Work and social adjustment score (handicap in work, home, leisure and relationships; 0=not affected; 8 severely affected for each area; maximum total 40)Kennedy 2005 (6)Kennedy 2005 (26)
Kennedy 2005 (52)
Other
Satisfaction (responder = satisfaction 3 or more on a scale where each of 8 items were rated 1=strongly disagree to 5=strongly agree)Drossman 2003 (12)

From: 9, Psychosocial interventions

Cover of Irritable Bowel Syndrome in Adults
Irritable Bowel Syndrome in Adults: Diagnosis and Management of Irritable Bowel Syndrome in Primary Care [Internet].
NICE Clinical Guidelines, No. 61.
National Collaborating Centre for Nursing and Supportive Care (UK).
Copyright © 2008, Royal College of Nursing.

PubMed Health. A service of the National Library of Medicine, National Institutes of Health.