Unadjusted data was not statistically significant .
The other problems of psychological intervention included low recruitment and high drop out rate , which has been shown to be greater in patients receiving group therapy .
There is insufficient evidence from this review to confirm the efficacy of psychological intervention in NUD
BACKGROUND Studies have also shown that non-ulcer dyspepsia ( NUD ) patients have higher scores of anxiety , depression , neurotism , chronic tension , hostility , hypochondriasis and tendency to be more pessimistic when compared with the community controls .
However , the role of psychological interventions in NUD remains uncertain .
OBJECTIVES This review aims to determine the effectiveness of psychological interventions including psychotherapy , psychodrama , cognitive behavioural therapy , relaxation therapy and hypnosis in the improvement of either individual or global dyspepsia symptom scores and quality of life scores in patients with NUD .
Long-term improvement in functional dyspepsia using hypnotherapy.
BACKGROUND & AIMS We have shown hypnotherapy ( HT ) to be effective in  irritable bowel syndrome  , with long-term improvements in symptomatology and quality of life ( QOL ) . This study aim ed to assess the efficacy of HT in functional dyspepsia ( FD ) . METHODS A total of 126 FD patients were r and omized to HT , supportive therapy plus placebo medication , or medical treatment for 16 weeks . Percentage change in symptomatology from baseline was assessed after the 16-week treatment phase ( short-term ) and after 56 weeks ( long-term ) with 26 HT , 24 supportive therapy , and 29 medical treatment patients completing all phases of the study . QOL was measured as a secondary outcome . RESULTS Short-term symptom scores improved more in the HT group ( median , 59 % ) than in the supportive ( 41 % ; P = 0.01 ) or medical treatment ( 33 % ; P = 0.057 ) groups . HT also benefited QOL ( 42 % ) compared with either supportive therapy ( 10 % [ P < 0.001 ] ) or medical treatment ( 11 % [ P < 0.001 ] ) . Long-term , HT significantly improved symptoms ( 73 % ) compared with supportive therapy ( 34 % [ P < 0.02 ] ) or medical treatment ( 43 % [ P < 0.01 ] ) . QOL improved significantly more with HT ( 44 % ) than with medical treatment ( 20 % [ P < 0.001 ] ) . QOL did improve in the supportive therapy ( 43 % ) group , but 5 of these patients commenced taking antidepressants during follow-up . A total of 90 % of the patients in the medical treatment group and 82 % of the patients in the supportive therapy group commenced medication during follow-up , whereas none in the HT group did so ( P < 0.001 ) . Those in the HT group visited their general practitioner or gastroenterologist significantly less ( median , 1 ) than did those in the supportive therapy ( median , 4 ) and medical treatment ( median , 4 ) groups during follow-up ( P < 0.001 ) . CONCLUSIONS HT is highly effective in the long-term management of FD . Furthermore , the dramatic reduction in medication use and consultation rate provide major economic advantages
Unadjusted data was not statistically significant .
The other problems of psychological intervention included low recruitment and high drop out rate , which has been shown to be greater in patients receiving group therapy .
There is insufficient evidence from this review to confirm the efficacy of psychological intervention in NUD
BACKGROUND Studies have also shown that non-ulcer dyspepsia ( NUD ) patients have higher scores of anxiety , depression , neurotism , chronic tension , hostility , hypochondriasis and tendency to be more pessimistic when compared with the community controls .
However , the role of psychological interventions in NUD remains uncertain .
OBJECTIVES This review aims to determine the effectiveness of psychological interventions including psychotherapy , psychodrama , cognitive behavioural therapy , relaxation therapy and hypnosis in the improvement of either individual or global dyspepsia symptom scores and quality of life scores in patients with NUD .