Irritable Bowel Syndrome Clinical Trial
Official title:
Use of the Stress Management and Resilience Training (SMART) Program in the Management of Irritable Bowel Syndrome: A Pilot Study
This is a pilot study to determine the efficacy of the Stress Management and Resilience Training (SMART) program in improving gastrointestinal and psychological symptoms, health-related quality of life, and satisfaction of care in patients with irritable bowel syndrome (IBS). Half of the participants will be enrolled in the SMART program initially. The other half will be placed in a self-management stress reduction program where they will read a popular stress reduction book over 12 weeks. Then they will have access to participate in the online SMART program.
Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder characterized by
abdominal pain related to defecation and associated with changes in stool frequency and/or
form. IBS is a stress sensitive disorder and its severity has been shown to be moderated by
both acute and chronic stress. Furthermore, resilience, which is defined as the ability to
positively adapt and thrive in the presence of stressors and adversity, has been shown to be
lower in those with IBS and associated with more severe symptoms. Therapies aimed at stress
reduction in IBS have been found to be effective in the management of IBS. To our knowledge,
there are no reports in the literature of a therapy to target resilience in the IBS patient
population.
The Stress Management and Resilience Training (SMART) program was developed by Dr. A. Sood at
the Mayo clinic to reduce stress, decrease symptoms related to stress and enhance resiliency.
This is accomplished by targeting human attention and interpretation of events, people and
the world. Furthermore, methods to strengthen the skills of gratitude, compassion,
acceptance, forgiveness and understanding of a higher meaning are taught. Previous studies
have demonstrated that this program can improve stress, anxiety, resilience and quality of
life of participants.
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