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Tables of Contents for Cognitive-Behavioral Treatment of Irritable Bowel Syndrome
Chapter/Section Title
Page #
Page Count
I. THEORETICAL AND RESEARCH PERSPECTIVES
Overview of Irritable Bowel Syndrome
3
18
Definition and Symptoms
3
1
Epidemiology
4
1
Predisposing, Precipitating, and Perpetuating Factors
5
4
Psychological Interventions
9
3
Review of Cognitive-Behavioral Therapies
12
3
Overview of Our Treatment Study
15
6
Cognitive-Behavioral Treatment for IBS
21
21
Cognitive-Behavioral Model for IBS
21
3
Key Characteristics of Cognitive-Behavioral Treatment
24
3
General Features of Cognitive-Behavioral Treatment for IBS
27
1
Treatment Objectives
28
1
Representative Behavioral Intervention Strategies
29
2
Representative Cognitive Intervention Strategies
31
9
Group versus Individual Format
40
2
Considerations of Stigma and Gender Role in Treating IBS
42
19
Stigma Associated with Functional Somatic Syndromes
43
1
Gender as a Variable in Therapy
44
17
II. CLINICAL APPLICATION
Assessment
61
18
Medical Assessment
61
1
Psychological Assessment
62
1
Medical History/Symptoms
62
1
Symptom Diary
63
1
Pain Management
64
1
Non-IBS Symptoms
64
1
Psychiatric Diagnoses
64
1
Social Context and Gender Issues
65
1
Assessing Social Supports and Stressors
66
1
Thinking about Family and Friends
67
5
Assessing Cognitions and Coping Style
72
4
Appropriateness for Cognitive-Behavioral Therapy
76
1
Appropriateness for Group Treatment
77
1
Mixed-Sex versus Same-Sex Groups
77
2
Cognitive-Behavioral Group Therapy for IBS:
79
17
Overview and Initial Session
Overview of Treatment Protocol
79
2
Standard Group Session Format
81
2
The Initial Individual Session
83
13
Key Themes and Skills in the Treatment of IBS
96
31
Session Theme: Association among Thoughts, Feelings, Behavior, and Bowel Symptoms
97
12
Session Theme: Pain Management
109
6
Session Theme: Bowel Performance Anxiety
115
12
Additional Session Themes Related to Coping with IBS
127
27
Session Theme: Shame Associated with Having IBS
127
5
Session Theme: Anger and Assertion
132
6
Session Theme: Self-Efficacy
138
3
Session Theme: Social Approval and Perfectionism
141
9
Session Theme: Control
150
4
Final Session
154
5
Therapy Termination
154
1
Termination Begins with the Beginning
154
1
Termination Anxieties
155
1
Does the Need for More Help Mean Failure?
156
1
Termination Predictions
157
1
The Last Session
157
2
Conclusion
159
2
Appendix 1. Functional Bowel Disorders Diary Form
161
4
Appendix 2. Thought Record
165
4
References
169
12
Index
181