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• W2911438203 abstract "Purpose: IBS is a common health syndrome affecting 10 – 15% of patients, who are estimated to use 30% more of the medical budget than any other disease category. No medical therapy is proven efficacious. Parental influence appears key to the development of IBS in childhood. Contributing factors include poor sleep patterns, lack of exercise and stress. Our hypothesis was that a behavioral medicine program for adolescent patients with IBS and their parents in a group setting will result in an improvement in symptoms and reduced health care utilization. Methods: Our intervention was a program for adolescents identified by pediatric gastroenterologists with IBS, and their parents, consisting of 90 minute consecutive sessions over 3 weeks incorporating exercise, relaxation skills (using self guided imagery, yoga and Pilates), patient and parent education, and a motivational movie of the life of a disabled athlete. Endpoints include change in the visual Likert scale of the modified ROME criteria, (considered the gold standard for IBS assessment) and change in medication use. Therapeutic response to the program was assessed at completion of the 3rd session by a change in Likert score from baseline. To minimize placebo effect, scores were also obtained at 3 and 6 months after completion of program. Results: 61 subjects completed the program. At the time of writing the abstract, completed scores were available for 57 subjects pre-intervention, 42 immediately post intervention, 21 at 3 months and 11 subjects at 6 months. A paired t- test was performed on pre and post intervention scores that were available on 40 subjects, and a statistically significant reduction in each ROME Criterion was demonstrated (5.7 ± 1.98 vs. 4.0 ± 2.23 P= 0.003, 3.1 ± 2.84 vs 2.0 ± 2.24 P= 0.000, 3.6 ± 2.86 vs.2.4 ± 2.16 P= 0.002, 4.1 ± 2.68 vs 3.15 ± 2.32 P= 0.002). Mean total Likert scores were 14.6 ± 8.48 at baseline, 11.1 ± 6.85 post intervention, 8.9 ± 6.65 at 3 months and 11.1 ± 8.72 at 6 months. Reduction in Likert scores was found to be statistically significant post intervention and at 3 months by repeated measures ANOVA (P= 0.006). No significant difference was found between scores at 3 and 6 months. Conclusion: A behavioral intervention program targeting adolescents with IBS and their parents results in symptomatic improvement that is persistent 6 months after completion of the program. Analysis of data regarding utilization is in progress." @default.
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• W2911438203 date "2007-09-01" @default.
• W2911438203 modified "2023-09-26" @default.
• W2911438203 title "Effectiveness of a Behavorial Medicine Program on Adolescent Irritable Bowel Symptoms and Resource Utilization" @default.
• W2911438203 doi "https://doi.org/10.14309/00000434-200709002-01081" @default.
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