Dissertation
Efficacy of Manualized Hypnosis in the Treatment of Irritable Bowel Syndrome (IBS): A Controlled Clinical Trial of Gut Focused Hypnosis
Washington State University
Doctor of Philosophy (PhD), Washington State University
01/2019
DOI:
https://doi.org/10.7273/000002394
Handle:
https://hdl.handle.net/2376/119812
Abstract
Irritable Bowel Syndrome (IBS) is characterized as a re-occurring, chronic disorder of the gastrointestinal tract. Primary symptoms are pain or discomfort that may or may not be alleviated by a bowel movement and is characterized by three subtypes including diarrhea, constipation, or mixed features. To date, no organic etiology has been found explaining dysregulation of bowel habits, visceral sensitivity, catastrophizing, or increased pain perception. This clinical trial tested the effectiveness of a manualized hypnosis, using the North Carolina Protocol, (Palsson, Burnett, Meyer, & Whitehead, 1997) in patients diagnosed with IBS. No statistical significance was found between the treatment group (n= 6) and the control group (n= 4) in regards to IBS Severity Index Scores (IBS SI; Francis, Morris, & Whorwell, 1997), Pain Catastrophizing Scores (PCS; Sullivan, Bishop & Pivik, 1995) and the PainDETECT Questionnaire Score (PDQ; Freynhagen, Baron, Gockel, & Tolle, 2006). The treatment and the control group showed improvement post-treatment as revealed by decreases in median scores on the IBS SI, PCS and PDQ. IBS Severity Index Scores (IBS SI; Francis, Morris, & Whorwell, 1997) showed over time, hypnosis produced improvement in reported symptoms and functioning. No improvement was found within the control group subjects. Attrition and low compliance occurred in the control group at the end of this clinical trial (n= 2), specifically in regards to the collection of the post treatment 14 day IBS Symptom Log. The hypnosis treatment group reported lower abdominal pain and reported a decrease in the frequency of bowel movements. The outcome of this clinical trial suggests hypnosis apparently facilitates engagement from participants, and is perceived as a positive experience. It was also determined that IBS-pain is more nociceptive than neuropathic in nature.
Metrics
45 File views/ downloads
29 Record Views
Details
- Title
- Efficacy of Manualized Hypnosis in the Treatment of Irritable Bowel Syndrome (IBS): A Controlled Clinical Trial of Gut Focused Hypnosis
- Creators
- Alicia San Miguel
- Contributors
- Arreed Barabasz (Advisor)Marianne Barabasz (Committee Member)Sola Adesope (Committee Member)Phyllis Erdman (Committee Member)Ciara Christensen (Committee Member)
- Awarding Institution
- Washington State University
- Academic Unit
- Department of Kinesiology and Educational Psychology
- Theses and Dissertations
- Doctor of Philosophy (PhD), Washington State University
- Publisher
- Washington State University
- Number of pages
- 124
- Identifiers
- 99900606652101842
- Language
- English
- Resource Type
- Dissertation