Treatments for irritable bowel syndrome: patients' attitudes and acceptability
نویسندگان
چکیده
BACKGROUND Irritable Bowel Syndrome, a highly prevalent chronic disorder, places significant burden on the health service and the individual. Symptomatic distress and reduced quality of life are compounded by few efficacious treatments available. As researchers continue to demonstrate the clinical efficacy of alternative therapies, it would be useful to gain a patient-perspective of treatment acceptability and identify patient's attitudes towards those modalities considered not acceptable. METHODS Six hundred and forty-five participants identified from an earlier IBS-prevalence study received a postal questionnaire to evaluate preferences and acceptability of nine forms of treatment. Proportions accepting each form of treatment were calculated and thematic analysis of qualitative data undertaken. RESULTS A total of 256 (39.7%) of 645 potential respondents completed the questionnaire (mean age 55.9 years, 73% female). Tablets were most acceptable (84%), followed by lifestyle changes (diet (82%), yoga (77%)). Acupuncture (59%) and suppositories (57%) were less acceptable. When explaining lack of acceptability, patient views fell into four broad categories: dislike treatment modality, do not perceive benefit, general barriers and insufficient knowledge. Scepticism, lack of scientific rationale and fear of CAM were mentioned, although others expressed a dislike of conventional medical treatments. Past experiences, age and health concerns, and need for proof of efficacy were reported. CONCLUSION Most patients were willing to accept various forms of treatment. However, the reservations expressed by this patient-population must be recognised with particular focus directed towards allaying fears and misconceptions, seeking further evidence base for certain therapies and incorporating physician support and advice.
منابع مشابه
Author's response to reviews Title: Treatments for Irritable Bowel Syndrome: Patients' Attitudes and Acceptability Authors:
متن کامل
The effectiveness of of cognitive-behavioral therapy on the general health and quality of life of patients with irritable bowel syndrome
Background: One of the challenges of patients with irritable bowel syndrome is to reduce the quality of life and general health of patients. In the last decade, cognitive-behavioral therapy has been introduced as one of the effective treatments for many disorders. The purpose of this study was to determine the effectiveness of cognitive-behavioral therapy on the general health and quality of li...
متن کاملComparing the mental health of patients with irritable bowel syndrome and healthy subjects in Rasht (Iran), 2014-2015
Background and Objective: Irritable bowel syndrome is one of the most common functional gastrointestinal disorders in which psychological factors play an important role in developing and exacerbating the symptoms. The aim of current study was comparing mental health of patients with irritable bowel syndrome with normal individuals alongside the role of mental health predicting high risk of irri...
متن کاملPrevalence of Celiac Disease in Patients with Irritable Bowel Syndrome in Kerman, Iran
Background & Aims: Celiac disease or gluten-sensitive enteropathy is a relatively uncommon digestive disease. Moreover, irritable bowel syndrome (IBS) is a common functional bowel disorder. Some IBS patients have celiac disease, with similar IBS symptoms in addition to some serious complications. The only possible treatment for this condition is changing the patients diet (gluten free diet). Gi...
متن کاملTHE COMPARISON OF MENTAL PATHOLOGY DIMENSIONS OF PATIENTS WITH IRRITABLE BOWEL SYNDROME WITH NON-DIABETIC PATIENTS IN GASTROENTEROLOGY CLINICS OF TEHRAN
Background & Aims: Irritable bowel syndrome is a common chronic disease that up to 20% of patients are referred to gastroenterologists. The aim of this study was to investigate the psychopathology of people with irritable bowel syndrome and non-infected individuals. Materials & Method: The present study was a comparative-comparative study. The statistical population included all patients that c...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- BMC Complementary and Alternative Medicine
دوره 8 شماره
صفحات -
تاریخ انتشار 2008