Cognitive behavioural therapy for refractory irritable bowel syndrome

Cognitive behavioural therapy (CBT) is a treatment option for refractory irritable bowel syndrome (IBS). In this review, we describe the background of CBT for IBS, the studies investigating the effect, and how CBT for IBS is executed. CBT addresses cognitive and emotional factors affecting perception and modulation of visceral stimuli. The aim of CBT is to identify and restructure thoughts and behaviours, which contribute to sustainment of symptoms. Based on 34 randomised, controlled trials, there is a symptomatic effect of CBT on IBS, and this is relevant to include in treatment of IBS in tertiary clinics.