Relaxation Therapy for Irritable Bowel Syndrome: A Systematic Review

Purpose: This study investigated evidence for the use of relaxation therapies as interventions to decrease irritable bowel syndrome (IBS) symptoms and severity as well as reduce anxiety and improve quality of life in IBS patients. Methods: A search of electronic bibliographic databases (e.g., Medlin...

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Main Authors: Seong-Hi Park, PhD, RN, Kuem Sun Han, PhD, RN, Chang-Bum Kang, PhD
Format: Article
Language:English
Published: Elsevier 2014-09-01
Series:Asian Nursing Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1976131714000450
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author Seong-Hi Park, PhD, RN
Kuem Sun Han, PhD, RN
Chang-Bum Kang, PhD
author_facet Seong-Hi Park, PhD, RN
Kuem Sun Han, PhD, RN
Chang-Bum Kang, PhD
author_sort Seong-Hi Park, PhD, RN
collection DOAJ
description Purpose: This study investigated evidence for the use of relaxation therapies as interventions to decrease irritable bowel syndrome (IBS) symptoms and severity as well as reduce anxiety and improve quality of life in IBS patients. Methods: A search of electronic bibliographic databases (e.g., Medline Ovid, Embase, KoreaMed, and National Discovery for Science Leaders) was conducted to identify randomized controlled trials that included relaxation exercise programs for adults (>18 years old) with IBS. Of the 486 publications identified, 8 studies met inclusion and exclusion criteria, and all studies were used in the meta-analysis. We used Cochrane's risk of bias to assess study quality. Results: The results showed that IBS symptoms decreased significantly, 6.19 (95% confidence interval [2.74, 14.02]) and there was no heterogeneity. Symptom severity and anxiety decreased by 0.38 (95% confidence interval [−1.41, 0.65]) and −0.08 (95% confidence interval [−0.38, 0.23]) due to relaxation therapies, but theses scores were not statistically significant. Conclusion: This review revealed positive effects of relaxation therapy on IBS symptoms in adult patients with IBS. However, these results should be interpreted with caution due to the small number of studies examined and the associated methodological problems. Further studies are needed to ascertain the long-term effects of relaxation therapy and the underlying psychosocial mechanisms leading to anxiety reduction and improved quality of life.
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spelling doaj.art-a2dbdeb06fcf4cf8b4982280607408a52022-12-21T18:44:06ZengElsevierAsian Nursing Research1976-13172014-09-018318219210.1016/j.anr.2014.07.001Relaxation Therapy for Irritable Bowel Syndrome: A Systematic ReviewSeong-Hi Park, PhD, RN0Kuem Sun Han, PhD, RN1Chang-Bum Kang, PhD2School of Nursing, Pai Chai University, Daejeon, South KoreaCollege of Nursing, Korea University, Seoul, South KoreaResearch Development Team, Korea Health Promotion Foundation, Seoul, South KoreaPurpose: This study investigated evidence for the use of relaxation therapies as interventions to decrease irritable bowel syndrome (IBS) symptoms and severity as well as reduce anxiety and improve quality of life in IBS patients. Methods: A search of electronic bibliographic databases (e.g., Medline Ovid, Embase, KoreaMed, and National Discovery for Science Leaders) was conducted to identify randomized controlled trials that included relaxation exercise programs for adults (>18 years old) with IBS. Of the 486 publications identified, 8 studies met inclusion and exclusion criteria, and all studies were used in the meta-analysis. We used Cochrane's risk of bias to assess study quality. Results: The results showed that IBS symptoms decreased significantly, 6.19 (95% confidence interval [2.74, 14.02]) and there was no heterogeneity. Symptom severity and anxiety decreased by 0.38 (95% confidence interval [−1.41, 0.65]) and −0.08 (95% confidence interval [−0.38, 0.23]) due to relaxation therapies, but theses scores were not statistically significant. Conclusion: This review revealed positive effects of relaxation therapy on IBS symptoms in adult patients with IBS. However, these results should be interpreted with caution due to the small number of studies examined and the associated methodological problems. Further studies are needed to ascertain the long-term effects of relaxation therapy and the underlying psychosocial mechanisms leading to anxiety reduction and improved quality of life.http://www.sciencedirect.com/science/article/pii/S1976131714000450anxietyirritable bowel syndromequality of liferelaxation therapyreview
spellingShingle Seong-Hi Park, PhD, RN
Kuem Sun Han, PhD, RN
Chang-Bum Kang, PhD
Relaxation Therapy for Irritable Bowel Syndrome: A Systematic Review
Asian Nursing Research
anxiety
irritable bowel syndrome
quality of life
relaxation therapy
review
title Relaxation Therapy for Irritable Bowel Syndrome: A Systematic Review
title_full Relaxation Therapy for Irritable Bowel Syndrome: A Systematic Review
title_fullStr Relaxation Therapy for Irritable Bowel Syndrome: A Systematic Review
title_full_unstemmed Relaxation Therapy for Irritable Bowel Syndrome: A Systematic Review
title_short Relaxation Therapy for Irritable Bowel Syndrome: A Systematic Review
title_sort relaxation therapy for irritable bowel syndrome a systematic review
topic anxiety
irritable bowel syndrome
quality of life
relaxation therapy
review
url http://www.sciencedirect.com/science/article/pii/S1976131714000450
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