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Cognitive behavioural therapy reduces supragrastic belching

15 Apr 2018

Cognitive behavioural therapy (CBT) appears to be effective in reducing supragastric belching (SGB) and improving quality of life (QoL), such as in daily and social activities, a recent study has shown.

CBT resulted in a significant decline in SGB, from a median of 116 episodes at baseline to 45 episodes after five CBT sessions (p=0.0003). In more than half of the participants (n=16), total number of SGB episodes decreased by more than 50 percent.

A significant decrease in the total number of acid and nonacid reflux episodes from baseline (71±43 to 54±39; p=0.0055) was observed after CBT. In 17 patients with pathological acid exposure at baseline, CBT likewise led to significant improvements (acid exposure from 9.0±3.2 percent to 6.1±3.5 percent; p=0.0053).

In terms of subjective measures, self-reported belching severity improved significantly following 8 weeks of CBT, as measured by median visual analogue scale scores (260 to 140; p<0.0001). Reduction of 50 percent was recorded in 51 percent.

There was also an associated improvement in QoL scores in the general health, vitality, and physical and social function domains of the Short-Form Health Survey following CBT (p<0.05).

For the study, researchers recruited 39 patients with SGB, of whom 31 agreed to a follow-up examination. Study outcomes included objective measures, such as the number of SGBs and acid exposure time, and subjective measures such as QoL.

CBT sessions included psychoeducation about SGB, increasing the patients’ awareness of the factors that contribute to belching. Prevention exercises, such as diaphragmatic breathing and tongue positioning, were also taught to the participants.

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Most Read Articles
4 days ago
Chocolate consumption is not associated with risk of coronary heart disease (CHD), stroke or both combined in postmenopausal women free of pre-existing major chronic disease, a study suggests.
Pearl Toh, 5 days ago
More intensive lowering of LDL-C levels was associated with a progressively greater survival benefit than less intensive approach, when the baseline LDL-C levels were ≥100 mg/dL, reveals a meta-analysis of 34 randomized trials.
4 days ago
Switching from thiazide diuretic to ipragliflozin, a sodium-glucose co-transporter 2 (SGLT2) inhibitor, leads to improvements in metabolic parameters and body mass composition without affecting blood pressure in type 2 diabetes (T2D) patients, a recent study has found.
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