Transdiagnostic internet-delivered cognitive-behaviour therapy (CBT) for adults with functional gastrointestinal disorders (FGID): A feasibility open trial.

Dear, BF; Fogliati, VJ; Fogliati, R; Gandy, M; McDonald, S; Talley, N; Holtmann, G; Titov, N; Jones, M

Transdiagnostic internet-delivered cognitive-behaviour therapy (CBT) for adults with functional gastrointestinal disorders (FGID): A feasibility open trial.

Dear, BF Fogliati, VJ Fogliati, R Gandy, M McDonald, S

Talley, N Holtmann, G Titov, N Jones, M

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Publisher:: PERGAMON-ELSEVIER SCIENCE LTD
Publication Type:: Journal Article
Citation:: J Psychosom Res, 2018, 108, pp. 61-69
Issue Date:: 2018-05

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Field	Value	Language
dc.contributor.author	Dear, BF
dc.contributor.author	Fogliati, VJ
dc.contributor.author	Fogliati, R
dc.contributor.author	Gandy, M
dc.contributor.author	McDonald, S https://orcid.org/0000-0001-8872-4852
dc.contributor.author	Talley, N
dc.contributor.author	Holtmann, G
dc.contributor.author	Titov, N
dc.contributor.author	Jones, M
dc.date.accessioned	2022-04-19T03:56:17Z
dc.date.available	2018-02-26
dc.date.available	2022-04-19T03:56:17Z
dc.date.issued	2018-05
dc.identifier.citation	J Psychosom Res, 2018, 108, pp. 61-69
dc.identifier.issn	0022-3999
dc.identifier.issn	1879-1360
dc.identifier.uri	http://hdl.handle.net/10453/156436
dc.description.abstract	Many people with functional gastrointestinal disorders (FGIDs) face significant barriers in accessing psychological treatments that are known to reduce symptoms and their psychological sequelae. This study examined the feasibility and initial outcomes of a transdiagnostic and internet-delivered cognitive behaviour therapy (iCBT) intervention, the Chronic Conditions Course, for adults with functional gastrointestinal disorders (FGIDs). A single-group feasibility open trial design was employed and administered to twenty seven participants. The course ran for 8 weeks and was provided with weekly contact from a Clinical Psychologist. Seventy percent of participants completed the course within the 8 weeks and 81.5% provided data at post-treatment. High levels of satisfaction were observed and relatively little clinician time (M = 42.70 min per participant; SD = 46.25 min) was required. Evidence of clinical improvements in FGID symptoms (ds ≥ 0.46; avg. improvement ≥21%), anxiety symptoms (ds ≥ 0.99; avg. improvement ≥42%), and depression symptoms (ds ≥ 0.75; avg. improvement ≥35%) were observed, which either maintained or continued to improve to 3-month follow-up. Evidence of improvement was also observed in pain catastrophising and mental-health related quality of life, but not physical-health related quality of life. These findings highlight the potential value of transdiagnostic internet-delivered programs for adults with FGIDs and support for the conduct of larger-scale controlled studies.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	PERGAMON-ELSEVIER SCIENCE LTD
dc.relation.ispartof	J Psychosom Res
dc.relation.isbasedon	10.1016/j.jpsychores.2018.02.015
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	11 Medical and Health Sciences, 17 Psychology and Cognitive Sciences
dc.subject.classification	Psychiatry
dc.subject.mesh	Adult
dc.subject.mesh	Aged
dc.subject.mesh	Cognitive Behavioral Therapy
dc.subject.mesh	Feasibility Studies
dc.subject.mesh	Female
dc.subject.mesh	Gastrointestinal Diseases
dc.subject.mesh	Humans
dc.subject.mesh	Male
dc.subject.mesh	Middle Aged
dc.subject.mesh	Quality of Life
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Young Adult
dc.subject.mesh	Humans
dc.subject.mesh	Gastrointestinal Diseases
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Feasibility Studies
dc.subject.mesh	Quality of Life
dc.subject.mesh	Adult
dc.subject.mesh	Aged
dc.subject.mesh	Middle Aged
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Young Adult
dc.subject.mesh	Cognitive Behavioral Therapy
dc.title	Transdiagnostic internet-delivered cognitive-behaviour therapy (CBT) for adults with functional gastrointestinal disorders (FGID): A feasibility open trial.
dc.type	Journal Article
utslib.citation.volume	108
utslib.location.activity	England
utslib.for	11 Medical and Health Sciences
utslib.for	17 Psychology and Cognitive Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Clinical Psychology
utslib.copyright.status	closed_access	*
dc.date.updated	2022-04-19T03:56:16Z
pubs.publication-status	Published
pubs.volume	108

Abstract:

Many people with functional gastrointestinal disorders (FGIDs) face significant barriers in accessing psychological treatments that are known to reduce symptoms and their psychological sequelae. This study examined the feasibility and initial outcomes of a transdiagnostic and internet-delivered cognitive behaviour therapy (iCBT) intervention, the Chronic Conditions Course, for adults with functional gastrointestinal disorders (FGIDs). A single-group feasibility open trial design was employed and administered to twenty seven participants. The course ran for 8 weeks and was provided with weekly contact from a Clinical Psychologist. Seventy percent of participants completed the course within the 8 weeks and 81.5% provided data at post-treatment. High levels of satisfaction were observed and relatively little clinician time (M = 42.70 min per participant; SD = 46.25 min) was required. Evidence of clinical improvements in FGID symptoms (ds ≥ 0.46; avg. improvement ≥21%), anxiety symptoms (ds ≥ 0.99; avg. improvement ≥42%), and depression symptoms (ds ≥ 0.75; avg. improvement ≥35%) were observed, which either maintained or continued to improve to 3-month follow-up. Evidence of improvement was also observed in pain catastrophising and mental-health related quality of life, but not physical-health related quality of life. These findings highlight the potential value of transdiagnostic internet-delivered programs for adults with FGIDs and support for the conduct of larger-scale controlled studies.

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http://hdl.handle.net/10453/156436