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Date of Award
Spring 2021
Degree Name
Master of Medical Science (Physician Assistant)
Department
Physician Assistant; College of Health Sciences
First Advisor
Allison Ermol, PA-C, MMS
Abstract
Irritable bowel syndrome (IBS) is defined as persistent abdominal pain present at least one day per week, along with bowel movement issues, change in stool frequency, and/or changes in stool appearance. The mainstay of IBS treatment often involves antispasmodics and antidiarrheals, depending on the type of IBS, as well as some form of dietary manipulation, such as a low-FODMAP diet. Nevertheless, these interventions do not always provide adequate relief, pose considerable costs, and in terms of the low-FODMAP diet, can be quite restrictive and difficult to modify. Given the significance of the brain-gut axis in IBS, cognitive therapy could serve as an essential part of treatment. However, few studies, if any, directly compare the effects of some form of cognitive therapy with the other aforementioned therapies. As a result, this review analyzes the use of cognitive therapy in adults (ages 18-75) with various types of IBS, and whether it provides similar or greater symptom relief as compared to standard first line treatments (dietary manipulation and antispasmodics/antidiarrheals).
Recommended Citation
Abadi, Ariane, "The Role of Cognitive Therapy in Irritable Bowel Syndrome" (2021). Capstone Showcase. 59.
https://scholarworks.arcadia.edu/showcase/2021/pa/59
Additional Files
Capstone Poster Presentation- Ariane Abadi.pdf (10855 kB)Capstone Poster Presentation- Ariane Abadi.pdf (10855 kB)
The Role of Cognitive Therapy in Irritable Bowel Syndrome
Irritable bowel syndrome (IBS) is defined as persistent abdominal pain present at least one day per week, along with bowel movement issues, change in stool frequency, and/or changes in stool appearance. The mainstay of IBS treatment often involves antispasmodics and antidiarrheals, depending on the type of IBS, as well as some form of dietary manipulation, such as a low-FODMAP diet. Nevertheless, these interventions do not always provide adequate relief, pose considerable costs, and in terms of the low-FODMAP diet, can be quite restrictive and difficult to modify. Given the significance of the brain-gut axis in IBS, cognitive therapy could serve as an essential part of treatment. However, few studies, if any, directly compare the effects of some form of cognitive therapy with the other aforementioned therapies. As a result, this review analyzes the use of cognitive therapy in adults (ages 18-75) with various types of IBS, and whether it provides similar or greater symptom relief as compared to standard first line treatments (dietary manipulation and antispasmodics/antidiarrheals).