Practical Aspects of Autogenic Training for Irritable Bowel Syndrome

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  • Shinozaki Masae
    Sagami Ryokufu-en
  • Fukudo Shin
    Department of Behavioral Medicine, Tohoku University Graduate School of Medicine Department of Psychosomatic Medicine, Tohoku University Hospital

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  • 過敏性腸症候群に対する自律訓練法の実際
  • カビンセイ チョウ ショウコウグン ニ タイスル ジリツ クンレンホウ ノ ジッサイ

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Abstract

<p>It is well established that stress is involved in the development and exacerbation of irritable bowel syndrome (IBS). The proportional relationship between the severity of psychological problems and the severity of IBS suggests the need to use psychotherapy in IBS patients according to disease severity. Diagnostic and treatment guidelines for IBS recommend the use of brief psychotherapy in the second stage and specialized psychotherapy in the third stage. Autogenic training (AT) is a systematized psychophysiological treatment method that uses passive attention to formulas and self-hypnosis to bring the body and mind into a parasympathetic state and thereby achieve homeostatic equilibrium. In many cases of IBS, AT can suppress excessive activity of the vagus nerve innervating the digestive tract. Its effectiveness in increasing the patient's feelings of self-efficacy and providing the feeling of “getting better” can also be demonstrated by brain imaging. It is likely that more practice of AT activates cortical functions related to emotion. Fewer randomized controlled trials have been reported on AT for IBS than on hypnotherapy and cognitive behavioral therapy, suggesting the need to conduct further studies based on a uniform protocol.</p>

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