Melekhin, Ignatenko. [Home-based cognitive behavioral psychotherapy in the treatment of irritable bowel syndrome: the specifics and effectiveness]

Abstract:
The irritable bowel syndrome (IBS) is a common debilitating functional disorder of the gastrointestinal tract. In the article are described, for the first time, the biopsychosocial model and the vicious circle of IBS development. Therapeutic route of maintenance IBS patients that includes pharmacological and non-pharmacological approaches is presented. Based on the analysis of foreign recommendations for the treatment of IBS, it is shown that the “gold standard” of non-drug treatment is full-time and remote cognitive behavioral psychotherapy (CBT). The advantages of the remote form of cognitive-behavioral psychotherapy of IBS are presented, psychotherapeutic targets are systematized, and the structure is described in detail. A protocol for monitoring symptoms of irritable bowel is presented. Based on the analysis of foreign studies, in the article are presented the effectiveness and limitations of remote-control protocols in the treatment of IBS.