The online blog MDEdge.com, published by Clinical PsychiatryNews, posted “Home-based Cognitive-Behavioral Therapy Aids IBS” on 10-19-17. This article reviews a thorough study with four 936 subjects who participated in a prospective, randomized comparison of a new home-based CBT therapy and to control groups, one of which was an educational IBS program and the other was standard CBT therapy. All groups participated in 10 weeks of intervention.
The home-based version appears to be a manualized treatment approach that involves only four hours of professional contact spaced out over a period of 10 weeks, with a focus on skills that include: self-monitoring, muscle relaxation, worry control, problem-solving, and modification of core beliefs. It is structured to be a “minimal contact, home-based approach” in which patients are assumed to be capable of carrying out tasks on their own, and given responsibility for following through. Remarkably, this treatment was found to be significantly more effective than the other two treatments.
The original post may be viewed for free online.
MHConcierge’s take: this is yet another article which supports the potential benefits of collaborating with medical specialists, including PCPs, and offering behavioral services to help patients with IBS.