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Efficacy of Cranial Electrotherapy Stimulation Combined with Biofeedback Therapy in Patients with Functional Constipation.

Gong BY, Ma HM, Zang XY, Wang SY, Zhang Y, Jiang N, Zhang XP, Zhao Y - J Neurogastroenterol Motil (2016)

Bottom Line: After treatment, the participants in the experiment group had significantly lower score SAS, SDS, and Wexner constipation scores than the control group (all P < 0.05).The number of successful expulsion in the experiment group was larger than the control group (P = 0.016).CES combined with BFT was effective in improving the psychological status of anxiety, depression, and bowel symptoms in patients with FC.

View Article: PubMed Central - PubMed

Affiliation: School of Nursing, Tianjin Medical University, Tianjin, China.

ABSTRACT

Background/aims: A large number of studies have shown that function constipation (FC) has an extremely high incidence of mental and psychological disorders. Cranial electrotherapy stimulation (CES) was applied to the treatment of psychological disorders such as anxiety and depression. We explored the effects of CES combined with biofeedback therapy (BFT) on the psychological state, clinical symptoms, and anorectal function in patients with FC.

Methods: A total of 74 patients with FC were randomly divided into 2 groups. The control group received BFT. CES combined with BFT was carried out in the experiment group. All patients were assessed using the self-rating anxiety scale (SAS), self-rating depression scale (SDS), and Wexner constipation score at baseline and the end of each course. Anorectal manometry and balloon expulsion tests were performed before and after treatment.

Results: After treatment, the participants in the experiment group had significantly lower score SAS, SDS, and Wexner constipation scores than the control group (all P < 0.05). The number of successful expulsion in the experiment group was larger than the control group (P = 0.016).

Conclusions: CES combined with BFT was effective in improving the psychological status of anxiety, depression, and bowel symptoms in patients with FC.

No MeSH data available.


Related in: MedlinePlus

Flow diagram for recruitment and retention of participants for the current study. Of the 145 individuals assessed for eligibility, 74 patients were enrolled in this study. All enrolled patients were randomly divided into 2 groups, 38 patients into the experiment group, 36 patients into the control group. Control group received biofeedback therapy (BFT). Cranial electrotherapy stimulation (CES) combined with BFT was carried out in the experiment group. All patients were assessed using self-rating anxiety scale (SAS), self-rating depression scale (SDS), and Wexner constipation score (WCS) at baseline and at the end of each course. Anorectal manometry (ARM) and balloon expulsion test (BET) was performed before and after treatment.
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f2-jnm-22-497: Flow diagram for recruitment and retention of participants for the current study. Of the 145 individuals assessed for eligibility, 74 patients were enrolled in this study. All enrolled patients were randomly divided into 2 groups, 38 patients into the experiment group, 36 patients into the control group. Control group received biofeedback therapy (BFT). Cranial electrotherapy stimulation (CES) combined with BFT was carried out in the experiment group. All patients were assessed using self-rating anxiety scale (SAS), self-rating depression scale (SDS), and Wexner constipation score (WCS) at baseline and at the end of each course. Anorectal manometry (ARM) and balloon expulsion test (BET) was performed before and after treatment.

Mentions: This was a prospective randomized controlled study. This study involved 2 phases: the run-in period and the treatment period. Before entering the treatment period, all patients were enrolled into a 4 week run-in period to confirm that they met the inclusion criteria. All patients were asked to keep a symptom diary in which they recorded (1) laxative and/or enema use, (2) number of bowel movements, (3) straining at stool, (4) feeling of incomplete evacuation, and (5) unassisted bowel movements or assisted bowel movements (defined as bowel movements occurring within 12 hours of taking laxatives or enemas). At the end of the run-in period, the patients’ diaries were reviewed. Patients who met the criterion for successful treatment after the run-in phase were excluded from the treatment phase. The remaining patients were randomly assigned to 2 groups. Randomization was achieved by using a computerized random number table. The patients were randomly assigned to 2 groups: the experiment group (CES with BFT) and the control group (BFT). Because of the nature of the intervention, neither participants nor research staff were blinded to allocation. Before the treatment, all patients answered the questionnaires and underwent ARM and BET. At the end of each course, all patients completed the questionnaires and performed BET again. Most patients were reevaluated regarding the anorectal pressure after the third course (Fig. 2).


Efficacy of Cranial Electrotherapy Stimulation Combined with Biofeedback Therapy in Patients with Functional Constipation.

Gong BY, Ma HM, Zang XY, Wang SY, Zhang Y, Jiang N, Zhang XP, Zhao Y - J Neurogastroenterol Motil (2016)

Flow diagram for recruitment and retention of participants for the current study. Of the 145 individuals assessed for eligibility, 74 patients were enrolled in this study. All enrolled patients were randomly divided into 2 groups, 38 patients into the experiment group, 36 patients into the control group. Control group received biofeedback therapy (BFT). Cranial electrotherapy stimulation (CES) combined with BFT was carried out in the experiment group. All patients were assessed using self-rating anxiety scale (SAS), self-rating depression scale (SDS), and Wexner constipation score (WCS) at baseline and at the end of each course. Anorectal manometry (ARM) and balloon expulsion test (BET) was performed before and after treatment.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4930306&req=5

f2-jnm-22-497: Flow diagram for recruitment and retention of participants for the current study. Of the 145 individuals assessed for eligibility, 74 patients were enrolled in this study. All enrolled patients were randomly divided into 2 groups, 38 patients into the experiment group, 36 patients into the control group. Control group received biofeedback therapy (BFT). Cranial electrotherapy stimulation (CES) combined with BFT was carried out in the experiment group. All patients were assessed using self-rating anxiety scale (SAS), self-rating depression scale (SDS), and Wexner constipation score (WCS) at baseline and at the end of each course. Anorectal manometry (ARM) and balloon expulsion test (BET) was performed before and after treatment.
Mentions: This was a prospective randomized controlled study. This study involved 2 phases: the run-in period and the treatment period. Before entering the treatment period, all patients were enrolled into a 4 week run-in period to confirm that they met the inclusion criteria. All patients were asked to keep a symptom diary in which they recorded (1) laxative and/or enema use, (2) number of bowel movements, (3) straining at stool, (4) feeling of incomplete evacuation, and (5) unassisted bowel movements or assisted bowel movements (defined as bowel movements occurring within 12 hours of taking laxatives or enemas). At the end of the run-in period, the patients’ diaries were reviewed. Patients who met the criterion for successful treatment after the run-in phase were excluded from the treatment phase. The remaining patients were randomly assigned to 2 groups. Randomization was achieved by using a computerized random number table. The patients were randomly assigned to 2 groups: the experiment group (CES with BFT) and the control group (BFT). Because of the nature of the intervention, neither participants nor research staff were blinded to allocation. Before the treatment, all patients answered the questionnaires and underwent ARM and BET. At the end of each course, all patients completed the questionnaires and performed BET again. Most patients were reevaluated regarding the anorectal pressure after the third course (Fig. 2).

Bottom Line: After treatment, the participants in the experiment group had significantly lower score SAS, SDS, and Wexner constipation scores than the control group (all P < 0.05).The number of successful expulsion in the experiment group was larger than the control group (P = 0.016).CES combined with BFT was effective in improving the psychological status of anxiety, depression, and bowel symptoms in patients with FC.

View Article: PubMed Central - PubMed

Affiliation: School of Nursing, Tianjin Medical University, Tianjin, China.

ABSTRACT

Background/aims: A large number of studies have shown that function constipation (FC) has an extremely high incidence of mental and psychological disorders. Cranial electrotherapy stimulation (CES) was applied to the treatment of psychological disorders such as anxiety and depression. We explored the effects of CES combined with biofeedback therapy (BFT) on the psychological state, clinical symptoms, and anorectal function in patients with FC.

Methods: A total of 74 patients with FC were randomly divided into 2 groups. The control group received BFT. CES combined with BFT was carried out in the experiment group. All patients were assessed using the self-rating anxiety scale (SAS), self-rating depression scale (SDS), and Wexner constipation score at baseline and the end of each course. Anorectal manometry and balloon expulsion tests were performed before and after treatment.

Results: After treatment, the participants in the experiment group had significantly lower score SAS, SDS, and Wexner constipation scores than the control group (all P < 0.05). The number of successful expulsion in the experiment group was larger than the control group (P = 0.016).

Conclusions: CES combined with BFT was effective in improving the psychological status of anxiety, depression, and bowel symptoms in patients with FC.

No MeSH data available.


Related in: MedlinePlus