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A Meta-Analysis on the Effects of Mind-Body Therapy on Patients with Irritable Bowel Syndrome

Journal of Korean Academy of Nursing 2020³â 50±Ç 3È£ p.385 ~ 400
KMID : 0806120200500030385
ÃÖÀºÈñ ( Choi Eun-Hui ) - Masan University Department of Nursing

±è¹®ÀÚ ( Kim Moon-Ja ) - Dong-A University Department of Nursing
ÀÌÀº³² ( Lee Eun-Nam ) - Dong-A University Department of Nursing

Abstract

Purpose: Previous randomized controlled trials (RCT) found that mind-body therapy can improve the health outcomes of patients with irritable bowel syndrome (IBS). The purpose of this meta-analysis was to identify the combined effects of mind-body therapy on patients¡¯ IBS symptoms, quality of life, anxiety, and depression.

Methods: A systematic literature search was conducted using various databases such as PubMed, EMBASE, CINAHL CENTRAL, DBpia, RISS, and KISS. The primary outcome variables were IBS symptoms and quality of life; the secondary outcome variables were anxiety and depression. Comprehensive Meta-Analysis version 3.0 was used to analyze the extracted data. The effect size was calculated using standardized mean difference (SMD) and 95% confidence interval (CI).

Results: Eleven final RCTs were used for this meta-analysis. Mind-body therapy was found to have a significant effect on the IBS patients¡¯ symptoms (SMD, -0.63; 95% CI, -0.77 to -0.48), quality of life (SMD, 1.03; 95% CI, 0.40 to 1.66), anxiety (SMD, -0.28; 95% CI, -0.47 to -0.09), and depression (SMD, -0.31; 95% CI, -0.06 to -0.12).

Conclusion: This meta-analysis reveals that mind-body therapy significantly improves IBS patients¡¯ symptoms, quality of life, anxiety, and depression. The results suggest that, in the future, appropriate mind-body therapy should be applied to Koreans suffering from IBS. Moreover, the therapy¡¯s long-term effects should be assessed.
KeyWords
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Irritable Bowel Syndrome, Meta-Analysis, Mind-Body Therapies, Quality of Life
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