Evidence map›Paper›PMID 18524691›Full record

Trial reportClinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association2008

Self-administered cognitive behavior therapy for moderate to severe irritable bowel syndrome: clinical efficacy, tolerability, feasibility.

Jeffrey M Lackner, James Jaccard, Susan S Krasner, Leonard A Katz, Gregory D Gudleski, Kenneth Holroyd

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00248586 (Development of Limited Contact CBT Treatment for IBS), which is not on this map. Cited by 74 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 5 pooled it
8.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00248586 nacompletednot on this map

Development of Limited Contact CBT Treatment for IBS

TypeinterventionalSponsorNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)Ran2005 to 2006Enrolled75ConditionsIBSArmsStandard CBT (S-CBT), Minimal contact CBT (MC-CBT)
3 · Its place in the literature

Who cites it

74 citing papers in PubMed, 5 syntheses or guidelines pooled it, 173 citations in OpenAlex.

  1. Pooled it
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  3. Irritable bowel syndrome.BMJ clinical evidence · 2012
    Pooled it
  4. Irritable bowel syndrome.BMJ clinical evidence · 2010
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  7. Factors Associated With Efficacy of Cognitive Behavior Therapy vs Education for Patients With Irritable Bowel Syndrome.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2019
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  20. Rapid response to cognitive behavior therapy predicts treatment outcome in patients with irritable bowel syndrome.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2010
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14 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Jeffrey M LacknerDivision of Gastroenterology, Department of Medicine, University at Buffalo, SUNY, Buffalo, New York, USA. lackner@buffalo.edu
James Jaccard
Susan S Krasner
Leonard A Katz
Gregory D Gudleski
Kenneth Holroyd
University at Buffalo, State University of New York · USFlorida International University · USOhio University · US

Funding

Self-Administered CBT for IBS: A Multicenter TrialU01DK077738 · NIDDK · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI LACKNER, JEFFREY M · 2008 to 2014
$8.1M
Development of limited contact CBT treatment for IBSR03DK067878 · NIDDK · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI LACKNER, JEFFREY M · 2004 to 2005
$314k
NIDDK NIH HHS R03 DK067878NIDDK NIH HHS U01 DK077738PHS HHS 67878
6 · The paper itself

Abstract

BACKGROUND &

aimsGiven the limitations of conventional therapies and restrictions imposed on newer pharmacologic agents, there is an urgent need to develop efficacious and efficient treatments that teach patients behavioral self-management skills for relieving irritable bowel syndrome (IBS) symptoms and associated problems.

methodsSeventy-five Rome II diagnosed IBS patients (86% female) without comorbid gastrointestinal disease were recruited from local physicians and the community and randomized to either 2 versions of cognitive behavior therapy (CBT) (10-session, therapist-administered CBT vs 4-session, patient-administered CBT) or a wait list control (WLC) that controlled for threats to internal validity. Final assessment occurred 2 weeks after the 10-week treatment phase ended. Outcome measures included adequate relief from pain and bowel symptoms, global improvement of IBS symptoms (CGI-Improvement Scale), IBS symptom severity scale (IBS SSS), quality of life (IBSQOL), psychological distress (Brief Symptom Inventory), and patient satisfaction (Client Satisfaction Scale).

resultsAt week 12, both CBT versions were significantly (P < .05) superior to WLC in the percentage of participants reporting adequate relief (eg, minimal contact CBT, 72%; standard CBT, 60.9%; WLC, 7.4%) and improvement of symptoms. CBT-treated patients reported significantly improved quality of life and IBS symptom severity but not psychological distress relative to WLC patients (P < .0001).

conclusionsData from this pilot study lend preliminary empirical support to a brief patient-administered CBT regimen capable of providing short-term relief from IBS symptoms largely unresponsive to conventional therapies.

Indexed as

Cognitive Behavioral TherapyAdolescentAdultAgedFemaleHumansIrritable Bowel SyndromeMaleMiddle AgedPatient SatisfactionPilot ProjectsQuality of LifeRandom AllocationSelf AdministrationSeverity of Illness IndexTreatment Outcome

Identifiers

PMID18524691
PMCPMC2630498
OpenAlexW2155631096

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.