Irritable Bowel Syndrome Case Study

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Problem Statement Irritable bowel syndrome (IBS) is one of the most common functional gastrointestinal (GI) disorders affecting more women than men under the age of 50 (Lindfors, Ljótsson, Bjornsson, Abrahamsson, & Simrén, 2013). El-Salhy and Gundersen (2015) defines IBS as intermittent left lower abdominal pain/discomfort, altered bowel habits and abdominal bloating/distention. Although IBS is not known to progress into a more serious disease or cause death, it can drastically reduce the quality of life in patients of all nationalities (Canavan, West & Card, 2014). The exact cause of IBS is unknown, with multiple factors, including psychosocial, environmental, and gut physiology combining to produce symptoms (American …show more content…
Pharmacological treatment mainly includes laxatives, antidiarrheal drugs, antidepressants and antianxiety medications (El-Salhy, Gundersen, Hatlebakk & Hausken, 2012). However, studies of participants in Norway have shown that non-pharmacological methods such as diet modifications and gut-directed hypnotherapy is preferred by patients because it boosts their confidence and has proven to be more effective in treating the symptoms. (El-Salhy et al., 2012). Because IBS is characterized as both an autoimmune disorder and a brain-gut dysfunction, gut-directed hypnotherapy has proven to be successful in reducing or eliminating most IBS symptoms in Swedish patients ages 21-68 (Lindfors, et al., 2013). Gut-directed hypnotherapy is based on muscular and mental relaxation, and general hypnotic suggestions are used to either focus on the symptoms or to distract from them (Lindfors et al., 2013). Hypnotherapy allows the relaxed mind to be opened, allowing the subconscious mind to receive ideas about promoting positive thoughts and healing changes (Lindfors et al., 2013). The relaxation portion of hypnotherapy alleviates the stress which is known to trigger autoimmune flare-ups (Lindfors et al., …show more content…
Research in the general population of Ohio, Oklahoma and Pennsylvania showed that dietary intervention has shown promising results in symptom reduction in patients with irritable bowel syndrome (Khan, Nusrat, et al., 2015).
The purpose of the study is to determine if Mexican-American women between the ages of 25 and 35 that practice gut-directed hypnotherapy in managing IBS recover better than women 25 to 35 that eliminate carbohydrates and alcohol use from their diet. The independent variables in the hypothesis are gut-directed hypnotherapy and an elimination of carbohydrates and alcohol use from the diet. The dependent variable is IBS symptom relief. The target population is Mexican-American women between the ages of 25 and 35.
Operational

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