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Internet-Delivered Cognitive Behavior Therapy for Young Taiwanese Female Nursing Students with Irritable Bowel Syndrome—A Cluster Randomized Controlled Trial

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  • Tzu-Ying Lee

    (Institute of Medical Sciences, Tzu Chi University, Hualien 97004, Taiwan
    Department of Nursing, Tzu Chi University of Science and Technology, Hualien 97004, Taiwan)

  • Tsung-Cheng Hsieh

    (Institute of Medical Sciences, Tzu Chi University, Hualien 97004, Taiwan)

  • Huei-Chuan Sung

    (Institute of Medical Sciences, Tzu Chi University, Hualien 97004, Taiwan
    Graduate Institute of Long-term Care & Taiwanese Center for Evidence-based Health Care, Tzu Chi University of Science and Technology, Hualien 97004, Taiwan)

  • Wan-Lan Chen

    (Institute of Medical Sciences, Tzu Chi University, Hualien 97004, Taiwan
    Department of Human Development and Psychology, Tzu Chi University, Hualien 97004, Taiwan)

Abstract

Irritable Bowel Syndrome (IBS) is prevalent within the general population. Studies have shown that stress and anxiety co-exist with IBS. Young Taiwanese women commonly exhibit physical and psychological health problems caused by academic stress. The purpose of our current study was to evaluate the efficacy of short-term Internet-delivered cognitive-behavioral therapy (ICBT) on female nursing students in practicum. We performed a cluster randomized controlled trial comprised of 160 participants who met the inclusion criteria, which were divided into three groups: (1) ICBT, (2) expressive writing (EW), and (3) wait-list control. Treatment interventions lasted for 6 weeks. Levels of anxiety, depression, and IBS symptoms were assessed at four time points, baseline assessment at T0, 2 weeks after T0 (T1), at the end of practicum (T2), and at 3-month follow-up (T3). The results showed that ICBT and EW groups exhibited a significant, yet small, reduction in anxiety and depression at T2 and T3 compared to the wait-list control group. The EW group exhibited significantly greater reduction in anxiety and depression compared to the ICBT group at T2. However, the ICBT group demonstrated greater improvements in alleviating anxiety and depression at T3 compared to the EW group. These data indicate that ICBT and EW groups exhibited small effects on anxiety and depression reduction at T2 and T3 compared to the wait-list control group, with no effects on IBS symptoms in young Taiwanese female nursing students.

Suggested Citation

  • Tzu-Ying Lee & Tsung-Cheng Hsieh & Huei-Chuan Sung & Wan-Lan Chen, 2019. "Internet-Delivered Cognitive Behavior Therapy for Young Taiwanese Female Nursing Students with Irritable Bowel Syndrome—A Cluster Randomized Controlled Trial," IJERPH, MDPI, vol. 16(5), pages 1-13, February.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:5:p:708-:d:209549
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    Cited by:

    1. Francisco José Eiroa-Orosa, 2020. "Understanding Psychosocial Wellbeing in the Context of Complex and Multidimensional Problems," IJERPH, MDPI, vol. 17(16), pages 1-8, August.

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