Evidence map›Paper›PMID 25927528›Full record

Trial reportPloS one2015

Genomic and clinical effects associated with a relaxation response mind-body intervention in patients with irritable bowel syndrome and inflammatory bowel disease.

Braden Kuo, Manoj Bhasin, Jolene Jacquart, Matthew A Scult, Lauren Slipp, Eric Isaac Kagan Riklin, Veronique Lepoutre, Nicole Comosa, Beth-Ann Norton, Allison Dassatti and 13 more

Erratum issued Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT02136745 (Genomic and Clinical Effects Associated With a Relaxation Response Mind-Body Intervention in Patients With Irritable Bowel Syndrome and Inflammatory Bowel Disease), which is not on this map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
6.4field-weighted citation impact, top 3% 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.

NCT02136745 nacompletednot on this map

Genomic and Clinical Effects Associated With a Relaxation Response Mind-Body Intervention in Patients With Irritable Bowel Syndrome and Inflammatory Bowel Disease

TypeinterventionalSponsorMassachusetts General HospitalRan2009 to 2011Enrolled48ConditionsIrritable Bowel Syndrome, Inflammatory Bowel DiseaseArmsRelaxation Response Mind-Body Intervention
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 82 citations in OpenAlex.

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  14. Irritable Bowel Syndrome and Resilience.Journal of clinical medicine · 2023
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors at 4 institutions in 1 country.

Braden KuoGastrointestinal Unit, Massachusetts General Hospital, Boston, Massachusetts, United States of America.
Manoj BhasinDivision of Interdisciplinary Medicine & Biotechnology, and Genomics, Proteomics, Bioinformatics and Systems Biology Center, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States of America; Benson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital, Boston, Massachusetts, United States of America.
Jolene JacquartBenson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital, Boston, Massachusetts, United States of America.
Matthew A ScultBenson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital, Boston, Massachusetts, United States of America.
Lauren SlippBenson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital, Boston, Massachusetts, United States of America.
Eric Isaac Kagan RiklinBenson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital, Boston, Massachusetts, United States of America.
Veronique LepoutreDepartment of Medicine, Massachusetts General Hospital, Boston, Massachusetts, United States of America.
Nicole ComosaGastrointestinal Unit, Massachusetts General Hospital, Boston, Massachusetts, United States of America.
Beth-Ann NortonGastrointestinal Unit, Massachusetts General Hospital, Boston, Massachusetts, United States of America.
Allison DassattiGastrointestinal Unit, Massachusetts General Hospital, Boston, Massachusetts, United States of America.
Jessica RosenblumGastrointestinal Unit, Massachusetts General Hospital, Boston, Massachusetts, United States of America.
Andrea H ThurlerGastrointestinal Unit, Massachusetts General Hospital, Boston, Massachusetts, United States of America.
Brian C SurjanhataGastrointestinal Unit, Massachusetts General Hospital, Boston, Massachusetts, United States of America.
Nicole N HasheminejadBenson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital, Boston, Massachusetts, United States of America.
Leslee KaganBenson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital, Boston, Massachusetts, United States of America.
Ellen SlawsbyBenson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital, Boston, Massachusetts, United States of America.
Sowmya R RaoDepartment of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts, United States of America; Center for Healthcare Organization and Implementation Research (CHOIR), Bedford VA Medical Center, Bedford, Massachusetts, United States of America.
Eric A MacklinMGH Biostatistics Center, Massachusetts General Hospital, Boston, MA, and Harvard Medical School, Boston, Massachusetts, United States of America.
Gregory L FricchioneBenson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital, Boston, Massachusetts, United States of America; Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, United States of America.
Herbert BensonBenson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital, Boston, Massachusetts, United States of America; Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, United States of America.
Towia A LibermannDivision of Interdisciplinary Medicine & Biotechnology, and Genomics, Proteomics, Bioinformatics and Systems Biology Center, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States of America; Benson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital, Boston, Massachusetts, United States of America.
Joshua KorzenikGastrointestinal Unit, Massachusetts General Hospital, Boston, Massachusetts, United States of America; Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, United States of America.
John W DenningerBenson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital, Boston, Massachusetts, United States of America; Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, United States of America.
Massachusetts General Hospital · USBenson-Henry Institute · USBeth Israel Deaconess Medical Center · USUniversity of Massachusetts Chan Medical School · US

Funding

Mechanisms &Therapeutic Effects of Relaxation ResponseR01DP000339 · DP · MASSACHUSETTS GENERAL HOSPITAL · PI BENSON, HERBERT · 2005 to 2009
$6.5M
NCCDPHP CDC HHS R01 DP000339NCCDPHP CDC HHS R01DP000339
6 · The paper itself

Abstract

introductionIrritable Bowel Syndrome (IBS) and Inflammatory Bowel Disease (IBD) can profoundly affect quality of life and are influenced by stress and resiliency. The impact of mind-body interventions (MBIs) on IBS and IBD patients has not previously been examined.

methodsNineteen IBS and 29 IBD patients were enrolled in a 9-week relaxation response based mind-body group intervention (RR-MBI), focusing on elicitation of the RR and cognitive skill building. Symptom questionnaires and inflammatory markers were assessed pre- and post-intervention, and at short-term follow-up. Peripheral blood transcriptome analysis was performed to identify genomic correlates of the RR-MBI.

resultsPain Catastrophizing Scale scores improved significantly post-intervention for IBD and at short-term follow-up for IBS and IBD. Trait Anxiety scores, IBS Quality of Life, IBS Symptom Severity Index, and IBD Questionnaire scores improved significantly post-intervention and at short-term follow-up for IBS and IBD, respectively. RR-MBI altered expression of more genes in IBD (1059 genes) than in IBS (119 genes). In IBD, reduced expression of RR-MBI response genes was most significantly linked to inflammatory response, cell growth, proliferation, and oxidative stress-related pathways. In IBS, cell cycle regulation and DNA damage related gene sets were significantly upregulated after RR-MBI. Interactive network analysis of RR-affected pathways identified TNF, AKT and NF-κB as top focus molecules in IBS, while in IBD kinases (e.g. MAPK, P38 MAPK), inflammation (e.g. VEGF-C, NF-κB) and cell cycle and proliferation (e.g. UBC, APP) related genes emerged as top focus molecules.

conclusionsIn this uncontrolled pilot study, participation in an RR-MBI was associated with improvements in disease-specific measures, trait anxiety, and pain catastrophizing in IBS and IBD patients. Moreover, observed gene expression changes suggest that NF-κB is a target focus molecule in both IBS and IBD-and that its regulation may contribute to counteracting the harmful effects of stress in both diseases. Larger, controlled studies are needed to confirm this preliminary finding.

trial registrationClinicalTrials.Gov NCT02136745.

Indexed as

CognitionGene Expression RegulationInflammatory Bowel DiseasesIrritable Bowel SyndromeMind-Body TherapiesTranscriptomeAdolescentAdultAgedFollow-Up StudiesHumansMaleMiddle AgedPilot Projects

Identifiers

PMID25927528
PMCPMC4415769
OpenAlexW2147656839

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.