Skip to main content
Gut logoLink to Gut
. 1990 Aug;31(8):896–898. doi: 10.1136/gut.31.8.896

Changes in rectal sensitivity after hypnotherapy in patients with irritable bowel syndrome.

A Prior 1, S M Colgan 1, P J Whorwell 1
PMCID: PMC1378618  PMID: 2387513

Abstract

Fifteen patients with the irritable bowel syndrome were studied to assess the effect of hypnotherapy on anorectal physiology. In comparison with a control group of 15 patients who received no hypnotherapy significant changes in rectal sensitivity were found in patients with diarrhoea-predominant irritable bowel syndrome both after a course of hypnotherapy and during a session of hypnosis (p less than 0.05). Although patient numbers were small, a trend towards normalisation of rectal sensitivity was also observed in patients with constipation-predominant irritable bowel syndrome. No changes in rectal compliance or distension-induced motor activity occurred in either subgroup nor were any changes in somatic pain thresholds observed. The results suggest that symptomatic improvement in irritable bowel syndrome after hypnotherapy may in part be due to changes in visceral sensitivity.

Full text

PDF
896

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. CHAUDHARY N. A., TRUELOVE S. C. Human colonic motility: a comparative study of normal subjects, patients with ulcerative colitis, and patients with the irritable colon syndrome. II. The effect of prostigmin. Gastroenterology. 1961 Jan;40:18–26. [PubMed] [Google Scholar]
  2. Deabler H. L., Fidel E., Dillenkoffer R. L., Elder S. T. The use of relaxation and hypnosis in lowering high blood pressure. Am J Clin Hypn. 1973 Oct;16(2):75–83. doi: 10.1080/00029157.1973.10403656. [DOI] [PubMed] [Google Scholar]
  3. Erickson M. H. Control of physiological functions by hypnosis. Am J Clin Hypn. 1977 Jul;20(1):8–19. doi: 10.1080/00029157.1977.10403898. [DOI] [PubMed] [Google Scholar]
  4. FRY L., MASON A. A., PEARSON R. S. EFFECT OF HYPNOSIS ON ALLERGIC SKIN RESPONSES IN ASTHMA AND HAY-FEVER. Br Med J. 1964 May 2;1(5391):1145–1148. doi: 10.1136/bmj.1.5391.1145. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Harvey R. F., Hinton R. A., Gunary R. M., Barry R. E. Individual and group hypnotherapy in treatment of refractory irritable bowel syndrome. Lancet. 1989 Feb 25;1(8635):424–425. doi: 10.1016/s0140-6736(89)90013-5. [DOI] [PubMed] [Google Scholar]
  6. Harvey R. F., Read A. E. Effect of cholecystokinin on colonic motility and symptoms in patients with the irritable-bowel syndrome. Lancet. 1973 Jan 6;1(7793):1–3. doi: 10.1016/s0140-6736(73)91219-1. [DOI] [PubMed] [Google Scholar]
  7. Hislop I. G. Psychological significance of the irritable colon syndrome. Gut. 1971 Jun;12(6):452–457. doi: 10.1136/gut.12.6.452. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Lasser R. B., Bond J. H., Levitt M. D. The role of intestinal gas in functional abdominal pain. N Engl J Med. 1975 Sep 11;293(11):524–526. doi: 10.1056/NEJM197509112931103. [DOI] [PubMed] [Google Scholar]
  9. Moriarty K. J., Dawson A. M. Functional abdominal pain: further evidence that whole gut is affected. Br Med J (Clin Res Ed) 1982 Jun 5;284(6330):1670–1672. doi: 10.1136/bmj.284.6330.1670. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Ritchie J. Pain from distension of the pelvic colon by inflating a balloon in the irritable colon syndrome. Gut. 1973 Feb;14(2):125–132. doi: 10.1136/gut.14.2.125. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Stacher G., Berner P., Naske R., Schuster P., Bauer P., Starker H., Schulze D. Effect of hypnotic suggestion of relaxation on basal and betazole-stimulated gastric acid secretion. Gastroenterology. 1975 Apr;68(4 Pt 1):656–661. [PubMed] [Google Scholar]
  12. Sullivan M. A., Cohen S., Snape W. J., Jr Colonic myoelectrical activity in irritable-bowel syndrome. Effect of eating and anticholinergics. N Engl J Med. 1978 Apr 20;298(16):878–883. doi: 10.1056/NEJM197804202981604. [DOI] [PubMed] [Google Scholar]
  13. Swarbrick E. T., Hegarty J. E., Bat L., Williams C. B., Dawson A. M. Site of pain from the irritable bowel. Lancet. 1980 Aug 30;2(8192):443–446. doi: 10.1016/s0140-6736(80)91885-1. [DOI] [PubMed] [Google Scholar]
  14. Whitehead W. E., Engel B. T., Schuster M. M. Irritable bowel syndrome: physiological and psychological differences between diarrhea-predominant and constipation-predominant patients. Dig Dis Sci. 1980 Jun;25(6):404–413. doi: 10.1007/BF01395503. [DOI] [PubMed] [Google Scholar]
  15. Whorwell P. J., Prior A., Colgan S. M. Hypnotherapy in severe irritable bowel syndrome: further experience. Gut. 1987 Apr;28(4):423–425. doi: 10.1136/gut.28.4.423. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Whorwell P. J., Prior A., Faragher E. B. Controlled trial of hypnotherapy in the treatment of severe refractory irritable-bowel syndrome. Lancet. 1984 Dec 1;2(8414):1232–1234. doi: 10.1016/s0140-6736(84)92793-4. [DOI] [PubMed] [Google Scholar]
  17. Zigmond A. S., Snaith R. P. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983 Jun;67(6):361–370. doi: 10.1111/j.1600-0447.1983.tb09716.x. [DOI] [PubMed] [Google Scholar]

Articles from Gut are provided here courtesy of BMJ Publishing Group

RESOURCES