THAT'S NOT WHAT THE STUDY SAID AT ALL WHAT EVEN IS THISpic.twitter.com/AIDcfXwloq
Epidemiologist. Writer (Guardian, Observer etc). "Well known research trouble-maker". PhDing at @UoW Host of @senscipod Email gidmk.healthnerd@gmail.com he/him
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THAT'S NOT WHAT THE STUDY SAID AT ALL WHAT EVEN IS THISpic.twitter.com/AIDcfXwloq
The study is here and actually it's really awesome: https://gut.bmj.com/content/early/2019/03/26/gutjnl-2018-317805 …
The study looked at people who have IBS and were already being treated with the most effective known treatments They randomized these people into three groups: cognitive-behavioural therapy (CBT) by phone, web, or treatment as usualpic.twitter.com/o2AOFjpQpA
They found that people who had CBT improved their IBS scores as well as their ability to cope with the disease BUT NOT BECAUSE THE DISEASE WAS 'PSYCHOLOGICAL'pic.twitter.com/NUhGr1au5d
The point here is that the researchers are looking at what's known as 'refractory' IBS, or IBS that doesn't respond to treatment as usual Most of these people had had the disease for some timepic.twitter.com/IEWxJETFg9
The idea is that, if you've had IBS for a long time, you are likely to have developed unhelpful behaviours that are likely making it worse These start out as coping mechanisms, but morph into issues
It's pretty common with chronic diseases - with my chronic pain, I start off by holding my muscles a bit differently to reduce the pain, but after weeks of that I'm sore everywhere because muscles are all connectedpic.twitter.com/mD9KG0DZeU
So no, the study doesn't suggest that IBS is "psychological in origin", what it suggests is that people with chronic diseases can develop unhelpful behaviour patterns and that combating this helps
They've also got some good evidence that CBT for refractory IBS is an effective treatment. It's a good study with a strong conclusion and I encourage people to read itpic.twitter.com/qjteFzkiR2
Also can't find the lead author on twitter but the senior author is @RonaMossMorris so I'd recommend a follow this looks like really good research
P.S. I was originally going to Have A Yell at the Mail for this because it sounds like nonsense but actually that's what the study shows so I tip my hat to those who've proven my skepticism unfoundedpic.twitter.com/9QQZ0qvICK
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