Mindfulness‐based cognitive therapy in functional dyspepsia: A pilot randomized trial
Background and Aim Patients with functional dyspepsia (FD) often have concomitant anxiety and depression. Mindfulness‐based cognitive therapy (MBCT) combines the principles of cognitive behavioral therapy and mindfulness. It is a group‐based therapy and has been shown to be efficacious in functional...
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creator | Teh, Kevin Kim‐Jun Ng, Yi‐Kang Doshi, Kinjal Tay, Shu‐Wen Hao, Ying Ang, Lui‐Yee Foong, Henry Lew‐Yuen Ong, Andrew Ming‐Liang Siah, Kewin Tien‐Ho Chan, Webber Pak‐Wo Ong, Wai‐Choung Mesenas, Steven Joseph Lim, Chee‐Hooi Wang, Yu‐Tien |
description | Background and Aim
Patients with functional dyspepsia (FD) often have concomitant anxiety and depression. Mindfulness‐based cognitive therapy (MBCT) combines the principles of cognitive behavioral therapy and mindfulness. It is a group‐based therapy and has been shown to be efficacious in functional gastrointestinal disorders. There are no randomized controlled trials (RCTs) evaluating MBCT in FD. We aimed to evaluate feasibility and efficacy of MBCT in FD management.
Methods
We performed a mixed‐method single‐center pilot randomized trial of 28 patients fulfilling ROME‐III criteria for FD. Fifteen patients were randomized to an 8‐week MBCT program while 13 underwent treatment‐as‐usual (TAU). Patients completed questionnaires at baseline and at week 8. Two focus‐groups were conducted. Feasibility of recruitment, acceptability of randomization, procedures and intervention, handout compliance and feasibility of quantitative measures were assessed. The primary outcome was subjective‐clinical‐assessment of FD symptoms (SCA‐FD). Secondary outcome measures included Short‐form Nepean Dyspepsia Index (SF‐NDI), subjective‐clinical‐assessment of general health (SCA‐GH), EuroQoL‐Visual Analog Scale (EuroQoL‐VAS), and Depression, Anxiety and Stress Scale–21 Items (DASS‐21).
Results
Twelve of 15 patients in the MBCT group completed the program. There was a trend towards symptom improvement, with 90% in the MBCT group reporting improvement in SCA‐FD compared with 45% in TAU(P = 0.063). Patients who underwent MBCT reported greater improvement in SF‐NDI (mean change: −8.8 (SD: 7.5) vs −0.7 (7.2), P = 0.018) and DASS‐21 (−19.8 (29.5) vs −5.5 (6.6) P = 0.13) compared with TAU. There was no difference in SCA‐GH and EuroQoL‐VAS. Based on SCA‐FD improvement, the eventual RCT will require 50 patients (25 in each group).
Conclusions
Mindfulness‐based cognitive therapy is likely efficacious for FD, and it would be feasible to conduct a RCT. |
doi_str_mv | 10.1111/jgh.15389 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2473897022</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2558017692</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4199-b9558bf09560701ee7c721d3a50250025d42e425f8dc588531920616912f710e3</originalsourceid><addsrcrecordid>eNp1kL9OwzAQhy0EoqUw8AIoEgsMKWfHjmO2qoIWVMQCYoycxGld5R92AioTj8Az8iS4tDAgcdLplu9-uvsQOsYwxK4ulvPFELMgEjuojykFH3Ma7qI-RJj5IsCihw6sXQIABc72US8IAh5QQfro6U5XWd4VlbL28_0jkVZlXlrPK93qF-W1C2Vks_J05eVdlba6rmThZSvbqMZqeemNvEYXdesZWWV1qd_cdmu0LA7RXi4Lq462c4Aer68exlN_dj-5GY9mfkqxEH4iGIuSHAQLgQNWiqec4CyQDAgD1xklihKWR1nKooi5XwiEOBSY5ByDCgbobJPbmPq5U7aNS21TVRSyUnVnY0K588KBEIee_kGXdWfcP45yVwDmoVhT5xsqNbW1RuVxY3QpzSrGEK9tx852_G3bsSfbxC4pVfZL_uh1wMUGeNWFWv2fFN9OppvIL7E9iBg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2558017692</pqid></control><display><type>article</type><title>Mindfulness‐based cognitive therapy in functional dyspepsia: A pilot randomized trial</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Teh, Kevin Kim‐Jun ; Ng, Yi‐Kang ; Doshi, Kinjal ; Tay, Shu‐Wen ; Hao, Ying ; Ang, Lui‐Yee ; Foong, Henry Lew‐Yuen ; Ong, Andrew Ming‐Liang ; Siah, Kewin Tien‐Ho ; Chan, Webber Pak‐Wo ; Ong, Wai‐Choung ; Mesenas, Steven Joseph ; Lim, Chee‐Hooi ; Wang, Yu‐Tien</creator><creatorcontrib>Teh, Kevin Kim‐Jun ; Ng, Yi‐Kang ; Doshi, Kinjal ; Tay, Shu‐Wen ; Hao, Ying ; Ang, Lui‐Yee ; Foong, Henry Lew‐Yuen ; Ong, Andrew Ming‐Liang ; Siah, Kewin Tien‐Ho ; Chan, Webber Pak‐Wo ; Ong, Wai‐Choung ; Mesenas, Steven Joseph ; Lim, Chee‐Hooi ; Wang, Yu‐Tien</creatorcontrib><description>Background and Aim
Patients with functional dyspepsia (FD) often have concomitant anxiety and depression. Mindfulness‐based cognitive therapy (MBCT) combines the principles of cognitive behavioral therapy and mindfulness. It is a group‐based therapy and has been shown to be efficacious in functional gastrointestinal disorders. There are no randomized controlled trials (RCTs) evaluating MBCT in FD. We aimed to evaluate feasibility and efficacy of MBCT in FD management.
Methods
We performed a mixed‐method single‐center pilot randomized trial of 28 patients fulfilling ROME‐III criteria for FD. Fifteen patients were randomized to an 8‐week MBCT program while 13 underwent treatment‐as‐usual (TAU). Patients completed questionnaires at baseline and at week 8. Two focus‐groups were conducted. Feasibility of recruitment, acceptability of randomization, procedures and intervention, handout compliance and feasibility of quantitative measures were assessed. The primary outcome was subjective‐clinical‐assessment of FD symptoms (SCA‐FD). Secondary outcome measures included Short‐form Nepean Dyspepsia Index (SF‐NDI), subjective‐clinical‐assessment of general health (SCA‐GH), EuroQoL‐Visual Analog Scale (EuroQoL‐VAS), and Depression, Anxiety and Stress Scale–21 Items (DASS‐21).
Results
Twelve of 15 patients in the MBCT group completed the program. There was a trend towards symptom improvement, with 90% in the MBCT group reporting improvement in SCA‐FD compared with 45% in TAU(P = 0.063). Patients who underwent MBCT reported greater improvement in SF‐NDI (mean change: −8.8 (SD: 7.5) vs −0.7 (7.2), P = 0.018) and DASS‐21 (−19.8 (29.5) vs −5.5 (6.6) P = 0.13) compared with TAU. There was no difference in SCA‐GH and EuroQoL‐VAS. Based on SCA‐FD improvement, the eventual RCT will require 50 patients (25 in each group).
Conclusions
Mindfulness‐based cognitive therapy is likely efficacious for FD, and it would be feasible to conduct a RCT.</description><identifier>ISSN: 0815-9319</identifier><identifier>EISSN: 1440-1746</identifier><identifier>DOI: 10.1111/jgh.15389</identifier><identifier>PMID: 33373492</identifier><language>eng</language><publisher>Australia: Wiley Subscription Services, Inc</publisher><subject>Anxiety ; Clinical trials ; Cognitive ability ; Cognitive Behavioral Therapy ; Cognitive therapy ; Dyspepsia ; Dyspepsia - therapy ; Gastrointestinal diseases ; Humans ; Mental depression ; Mindfulness ; Patients ; Pilot Projects ; psychological intervention ; Psychotherapy, Group ; Treatment Outcome</subject><ispartof>Journal of gastroenterology and hepatology, 2021-08, Vol.36 (8), p.2058-2066</ispartof><rights>2020 Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd</rights><rights>2020 Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.</rights><rights>2021 Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4199-b9558bf09560701ee7c721d3a50250025d42e425f8dc588531920616912f710e3</citedby><cites>FETCH-LOGICAL-c4199-b9558bf09560701ee7c721d3a50250025d42e425f8dc588531920616912f710e3</cites><orcidid>0000-0001-8832-9561 ; 0000-0002-9199-2038 ; 0000-0002-2795-5101 ; 0000-0002-8884-3381</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjgh.15389$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjgh.15389$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33373492$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Teh, Kevin Kim‐Jun</creatorcontrib><creatorcontrib>Ng, Yi‐Kang</creatorcontrib><creatorcontrib>Doshi, Kinjal</creatorcontrib><creatorcontrib>Tay, Shu‐Wen</creatorcontrib><creatorcontrib>Hao, Ying</creatorcontrib><creatorcontrib>Ang, Lui‐Yee</creatorcontrib><creatorcontrib>Foong, Henry Lew‐Yuen</creatorcontrib><creatorcontrib>Ong, Andrew Ming‐Liang</creatorcontrib><creatorcontrib>Siah, Kewin Tien‐Ho</creatorcontrib><creatorcontrib>Chan, Webber Pak‐Wo</creatorcontrib><creatorcontrib>Ong, Wai‐Choung</creatorcontrib><creatorcontrib>Mesenas, Steven Joseph</creatorcontrib><creatorcontrib>Lim, Chee‐Hooi</creatorcontrib><creatorcontrib>Wang, Yu‐Tien</creatorcontrib><title>Mindfulness‐based cognitive therapy in functional dyspepsia: A pilot randomized trial</title><title>Journal of gastroenterology and hepatology</title><addtitle>J Gastroenterol Hepatol</addtitle><description>Background and Aim
Patients with functional dyspepsia (FD) often have concomitant anxiety and depression. Mindfulness‐based cognitive therapy (MBCT) combines the principles of cognitive behavioral therapy and mindfulness. It is a group‐based therapy and has been shown to be efficacious in functional gastrointestinal disorders. There are no randomized controlled trials (RCTs) evaluating MBCT in FD. We aimed to evaluate feasibility and efficacy of MBCT in FD management.
Methods
We performed a mixed‐method single‐center pilot randomized trial of 28 patients fulfilling ROME‐III criteria for FD. Fifteen patients were randomized to an 8‐week MBCT program while 13 underwent treatment‐as‐usual (TAU). Patients completed questionnaires at baseline and at week 8. Two focus‐groups were conducted. Feasibility of recruitment, acceptability of randomization, procedures and intervention, handout compliance and feasibility of quantitative measures were assessed. The primary outcome was subjective‐clinical‐assessment of FD symptoms (SCA‐FD). Secondary outcome measures included Short‐form Nepean Dyspepsia Index (SF‐NDI), subjective‐clinical‐assessment of general health (SCA‐GH), EuroQoL‐Visual Analog Scale (EuroQoL‐VAS), and Depression, Anxiety and Stress Scale–21 Items (DASS‐21).
Results
Twelve of 15 patients in the MBCT group completed the program. There was a trend towards symptom improvement, with 90% in the MBCT group reporting improvement in SCA‐FD compared with 45% in TAU(P = 0.063). Patients who underwent MBCT reported greater improvement in SF‐NDI (mean change: −8.8 (SD: 7.5) vs −0.7 (7.2), P = 0.018) and DASS‐21 (−19.8 (29.5) vs −5.5 (6.6) P = 0.13) compared with TAU. There was no difference in SCA‐GH and EuroQoL‐VAS. Based on SCA‐FD improvement, the eventual RCT will require 50 patients (25 in each group).
Conclusions
Mindfulness‐based cognitive therapy is likely efficacious for FD, and it would be feasible to conduct a RCT.</description><subject>Anxiety</subject><subject>Clinical trials</subject><subject>Cognitive ability</subject><subject>Cognitive Behavioral Therapy</subject><subject>Cognitive therapy</subject><subject>Dyspepsia</subject><subject>Dyspepsia - therapy</subject><subject>Gastrointestinal diseases</subject><subject>Humans</subject><subject>Mental depression</subject><subject>Mindfulness</subject><subject>Patients</subject><subject>Pilot Projects</subject><subject>psychological intervention</subject><subject>Psychotherapy, Group</subject><subject>Treatment Outcome</subject><issn>0815-9319</issn><issn>1440-1746</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kL9OwzAQhy0EoqUw8AIoEgsMKWfHjmO2qoIWVMQCYoycxGld5R92AioTj8Az8iS4tDAgcdLplu9-uvsQOsYwxK4ulvPFELMgEjuojykFH3Ma7qI-RJj5IsCihw6sXQIABc72US8IAh5QQfro6U5XWd4VlbL28_0jkVZlXlrPK93qF-W1C2Vks_J05eVdlba6rmThZSvbqMZqeemNvEYXdesZWWV1qd_cdmu0LA7RXi4Lq462c4Aer68exlN_dj-5GY9mfkqxEH4iGIuSHAQLgQNWiqec4CyQDAgD1xklihKWR1nKooi5XwiEOBSY5ByDCgbobJPbmPq5U7aNS21TVRSyUnVnY0K588KBEIee_kGXdWfcP45yVwDmoVhT5xsqNbW1RuVxY3QpzSrGEK9tx852_G3bsSfbxC4pVfZL_uh1wMUGeNWFWv2fFN9OppvIL7E9iBg</recordid><startdate>202108</startdate><enddate>202108</enddate><creator>Teh, Kevin Kim‐Jun</creator><creator>Ng, Yi‐Kang</creator><creator>Doshi, Kinjal</creator><creator>Tay, Shu‐Wen</creator><creator>Hao, Ying</creator><creator>Ang, Lui‐Yee</creator><creator>Foong, Henry Lew‐Yuen</creator><creator>Ong, Andrew Ming‐Liang</creator><creator>Siah, Kewin Tien‐Ho</creator><creator>Chan, Webber Pak‐Wo</creator><creator>Ong, Wai‐Choung</creator><creator>Mesenas, Steven Joseph</creator><creator>Lim, Chee‐Hooi</creator><creator>Wang, Yu‐Tien</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8832-9561</orcidid><orcidid>https://orcid.org/0000-0002-9199-2038</orcidid><orcidid>https://orcid.org/0000-0002-2795-5101</orcidid><orcidid>https://orcid.org/0000-0002-8884-3381</orcidid></search><sort><creationdate>202108</creationdate><title>Mindfulness‐based cognitive therapy in functional dyspepsia: A pilot randomized trial</title><author>Teh, Kevin Kim‐Jun ; Ng, Yi‐Kang ; Doshi, Kinjal ; Tay, Shu‐Wen ; Hao, Ying ; Ang, Lui‐Yee ; Foong, Henry Lew‐Yuen ; Ong, Andrew Ming‐Liang ; Siah, Kewin Tien‐Ho ; Chan, Webber Pak‐Wo ; Ong, Wai‐Choung ; Mesenas, Steven Joseph ; Lim, Chee‐Hooi ; Wang, Yu‐Tien</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4199-b9558bf09560701ee7c721d3a50250025d42e425f8dc588531920616912f710e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Anxiety</topic><topic>Clinical trials</topic><topic>Cognitive ability</topic><topic>Cognitive Behavioral Therapy</topic><topic>Cognitive therapy</topic><topic>Dyspepsia</topic><topic>Dyspepsia - therapy</topic><topic>Gastrointestinal diseases</topic><topic>Humans</topic><topic>Mental depression</topic><topic>Mindfulness</topic><topic>Patients</topic><topic>Pilot Projects</topic><topic>psychological intervention</topic><topic>Psychotherapy, Group</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Teh, Kevin Kim‐Jun</creatorcontrib><creatorcontrib>Ng, Yi‐Kang</creatorcontrib><creatorcontrib>Doshi, Kinjal</creatorcontrib><creatorcontrib>Tay, Shu‐Wen</creatorcontrib><creatorcontrib>Hao, Ying</creatorcontrib><creatorcontrib>Ang, Lui‐Yee</creatorcontrib><creatorcontrib>Foong, Henry Lew‐Yuen</creatorcontrib><creatorcontrib>Ong, Andrew Ming‐Liang</creatorcontrib><creatorcontrib>Siah, Kewin Tien‐Ho</creatorcontrib><creatorcontrib>Chan, Webber Pak‐Wo</creatorcontrib><creatorcontrib>Ong, Wai‐Choung</creatorcontrib><creatorcontrib>Mesenas, Steven Joseph</creatorcontrib><creatorcontrib>Lim, Chee‐Hooi</creatorcontrib><creatorcontrib>Wang, Yu‐Tien</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of gastroenterology and hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Teh, Kevin Kim‐Jun</au><au>Ng, Yi‐Kang</au><au>Doshi, Kinjal</au><au>Tay, Shu‐Wen</au><au>Hao, Ying</au><au>Ang, Lui‐Yee</au><au>Foong, Henry Lew‐Yuen</au><au>Ong, Andrew Ming‐Liang</au><au>Siah, Kewin Tien‐Ho</au><au>Chan, Webber Pak‐Wo</au><au>Ong, Wai‐Choung</au><au>Mesenas, Steven Joseph</au><au>Lim, Chee‐Hooi</au><au>Wang, Yu‐Tien</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mindfulness‐based cognitive therapy in functional dyspepsia: A pilot randomized trial</atitle><jtitle>Journal of gastroenterology and hepatology</jtitle><addtitle>J Gastroenterol Hepatol</addtitle><date>2021-08</date><risdate>2021</risdate><volume>36</volume><issue>8</issue><spage>2058</spage><epage>2066</epage><pages>2058-2066</pages><issn>0815-9319</issn><eissn>1440-1746</eissn><abstract>Background and Aim
Patients with functional dyspepsia (FD) often have concomitant anxiety and depression. Mindfulness‐based cognitive therapy (MBCT) combines the principles of cognitive behavioral therapy and mindfulness. It is a group‐based therapy and has been shown to be efficacious in functional gastrointestinal disorders. There are no randomized controlled trials (RCTs) evaluating MBCT in FD. We aimed to evaluate feasibility and efficacy of MBCT in FD management.
Methods
We performed a mixed‐method single‐center pilot randomized trial of 28 patients fulfilling ROME‐III criteria for FD. Fifteen patients were randomized to an 8‐week MBCT program while 13 underwent treatment‐as‐usual (TAU). Patients completed questionnaires at baseline and at week 8. Two focus‐groups were conducted. Feasibility of recruitment, acceptability of randomization, procedures and intervention, handout compliance and feasibility of quantitative measures were assessed. The primary outcome was subjective‐clinical‐assessment of FD symptoms (SCA‐FD). Secondary outcome measures included Short‐form Nepean Dyspepsia Index (SF‐NDI), subjective‐clinical‐assessment of general health (SCA‐GH), EuroQoL‐Visual Analog Scale (EuroQoL‐VAS), and Depression, Anxiety and Stress Scale–21 Items (DASS‐21).
Results
Twelve of 15 patients in the MBCT group completed the program. There was a trend towards symptom improvement, with 90% in the MBCT group reporting improvement in SCA‐FD compared with 45% in TAU(P = 0.063). Patients who underwent MBCT reported greater improvement in SF‐NDI (mean change: −8.8 (SD: 7.5) vs −0.7 (7.2), P = 0.018) and DASS‐21 (−19.8 (29.5) vs −5.5 (6.6) P = 0.13) compared with TAU. There was no difference in SCA‐GH and EuroQoL‐VAS. Based on SCA‐FD improvement, the eventual RCT will require 50 patients (25 in each group).
Conclusions
Mindfulness‐based cognitive therapy is likely efficacious for FD, and it would be feasible to conduct a RCT.</abstract><cop>Australia</cop><pub>Wiley Subscription Services, Inc</pub><pmid>33373492</pmid><doi>10.1111/jgh.15389</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-8832-9561</orcidid><orcidid>https://orcid.org/0000-0002-9199-2038</orcidid><orcidid>https://orcid.org/0000-0002-2795-5101</orcidid><orcidid>https://orcid.org/0000-0002-8884-3381</orcidid></addata></record> |
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subjects | Anxiety Clinical trials Cognitive ability Cognitive Behavioral Therapy Cognitive therapy Dyspepsia Dyspepsia - therapy Gastrointestinal diseases Humans Mental depression Mindfulness Patients Pilot Projects psychological intervention Psychotherapy, Group Treatment Outcome |
title | Mindfulness‐based cognitive therapy in functional dyspepsia: A pilot randomized trial |
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