Cognitive-Behavioral Treatment of Irritable Bowel Syndrome

Brenda B. Toner, PhD, CPsych, Centre for Addiction and Mental Health-Clarke Division, University of Toronto, Ontario, CanadaZindel Segal, PhD, is Distinguished Professor of Psychology in Mood Disorders at the University of Toronto–Scarborough. Dr. Segal has conducted influential research into the psychological processes that make certain people more vulnerable than others to developing depression and experiencing recurrent episodes. He actively advocates for the relevance of mindfulness-based clinical care in psychiatry and mental health. He collaborated with John Teasdale and Mark Williams in developing mindfulness-based cognitive therapy (MBCT) to prevent relapse and recurrence in major depression; together, they coauthored Mindfulness-Based Cognitive Therapy for Depression, Second Edition (for mental health professionals), as well as the self-help guides The Mindful Way Workbook and (with Jon Kabat-Zinn) The Mindful Way through Depression, Second Edition.Shelagh D. Emmott, PhD, CPsych, Centre for Addiction and Mental Health-Clarke Division, University of Toronto, Ontario, CanadaDavid Myran, MD, FRCP(C), Centre for Addiction and Mental Health-Clarke Division, University of Toronto, Ontario, Canada

This groundbreaking volume integrates the latest scientific and clinical information about a disorder that has been too long ignored in the literature. Varied and interesting chapters cover little-known research as well as novel CBT applications. I particularly appreciated the authors' gender-related analysis, as well as the specific applied exercises, forms, and suggestions for interrupting the cycle of pain and psychological distress. Researchers, students, teachers, and clinicians from both medical and applied social science disciplines will find a wealth of useful information in this excellent volume. I welcome and applaud this outstanding contribution. --Judith Worell, PhD, University of KentuckyThis book is unique for two reasons. First, it explains for the first time how gender socialization and abuse can contribute to the development of irritable bowel syndrome (IBS), which affects women far more than men, and shows how to incorporate gender issues into treatment. Second, the authors are able to draw upon their experience conducting two large-scale controlled trials of cognitive-behavioral therapy for IBS to provide concrete, practical guidelines for therapists. This book will be invaluable to clinicians and should become a required text for training clinical psychologists and psychiatrists in the management of IBS and other functional somatic complaints. --William E. Whitehead, PhD, Co-Director, University of North Carolina Center for Gastrointestinal Functional and Motility DisordersThis book effectively presents an empirically supported treatment--in both individual and group formats--for a surprisingly common stress-related somatic problem. Irritable Bowel Syndrome has heretofore received too little attention, owing to the shame, gender bias, and minimization processes that the authors describe and combat so well. This text will be highly useful for advanced graduate students, as well as seasoned researchers and clinicians in the often overlapping fields of cognitive-behavioral therapy and behavioral medicine. --Cory F. Newman, PhD, ABPP, Clinical Director, Center for Cognitive Therapy, University of PennsylvaniaAs the field of medicine moves toward a more integrated, biopsychosocial understanding of illness and disease and toward a relationship-centered plan of care, persons with IBS and other functional somatic syndromes are likely to benefit. This book paves the way toward that understanding and also provides the means to accomplish that goal. --From the Foreword by Douglas A. Drossman, MD, University of North Carolina at Chapel Hill -

• ContentsI. Theoretical and Research Perspectives1. Overview of Irritable Bowel Syndrome2. Cognitive-Behavioral Treatment for IBS3. Considerations of Stigma and Gender Role in Treating IBSII. Clinical Application4. Assessment 5. Cognitive-Behavioral Group Therapy for IBS: Overview and Initial Session6. Key Themes and Skills in the Treatment of IBS7. Additional Session Themes Related to Coping with IBS 8. Final Session ConclusionAppendix 1: Functional Bowel Disorders Diary FormAppendix 2: Thought Record