000061993 001__ 61993
000061993 005__ 20200221144232.0
000061993 0247_ $$2doi$$a10.17235/reed.2017.4660/2016
000061993 0248_ $$2sideral$$a100906
000061993 037__ $$aART-2016-100906
000061993 041__ $$aeng
000061993 100__ $$aSebasián Sánchez, Beatriz
000061993 245__ $$aNew psychological therapies for irritable bowel syndrome: mindfulness, acceptance and commitment therapy (ACT).
000061993 260__ $$c2016
000061993 5060_ $$aAccess copy available to the general public$$fUnrestricted
000061993 5203_ $$aThe current goal of treatment in irritable bowel syndrome (IBS) focuses primarily on symptom management and attempts to improve quality of life. Several treatments are at the disposal of physicians; lifestyle and dietary management, pharmacological treatments and psychological interventions are the most used and recommended. Psychological treatments have been proposed as viable alternatives or compliments to existing care models. Most forms of psychological therapies studied have been shown to be helpful in reducing symptoms and in improving the psychological component of anxiety/depression and health-related quality of life. According to current NICE/NHS guidelines, physicians should consider referral for psychological treatment in patients who do not respond to pharmacotherapy for a period of 12 months and develop a continuing symptom profile (described as refractory irritable bowel syndrome). Cognitive behavioral therapy (CBT) is the best studied treatment and seems to be the most promising therapeutic approach. However, some studies have challenged the effectiveness of this therapy for irritable bowel syndrome. One study concluded that cognitive behavioral therapy is no more effective than placebo attention control condition and another study showed that the beneficial effects wane after six months of follow-up. A review of mind/body approaches to irritable bowel syndrome has therefore suggested that alternate strategies targeting mechanisms other than thought content change might be helpful, specifically mindfulness and acceptance-based approaches. In this article we review these new psychological treatment approaches in an attempt to raise awareness of alternative treatments to gastroenterologists that treat this clinical syndrome.
000061993 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc$$uhttp://creativecommons.org/licenses/by-nc/3.0/es/
000061993 590__ $$a1.401$$b2016
000061993 591__ $$aGASTROENTEROLOGY & HEPATOLOGY$$b69 / 79 = 0.873$$c2016$$dQ4$$eT3
000061993 592__ $$a0.445$$b2016
000061993 593__ $$aMedicine (miscellaneous)$$c2016$$dQ2
000061993 593__ $$aGastroenterology$$c2016$$dQ3
000061993 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000061993 700__ $$aGIl Roales-Nieto, Jesús
000061993 700__ $$aFerreira, Nuno B.
000061993 700__ $$aGil Luciano, Bárbara
000061993 700__ $$aSebastián Domingo, Juan José
000061993 773__ $$g109, 9 (2016), 648-657$$pRev. esp. enferm. dig.$$tRevista española de enfermedades digestivas$$x1130-0108
000061993 8564_ $$s641192$$uhttps://zaguan.unizar.es/record/61993/files/texto_completo.pdf$$yVersión publicada
000061993 8564_ $$s118380$$uhttps://zaguan.unizar.es/record/61993/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000061993 909CO $$ooai:zaguan.unizar.es:61993$$particulos$$pdriver
000061993 951__ $$a2020-02-21-13:19:58
000061993 980__ $$aARTICLE