Publications by authors named "Miranda A L van Tilburg"

Background: Disorders of gut-brain interactions (DGBI) affect more women, and marital quality may have been a factor that explains clinical manifestations of DGBI-however, the mechanism is unclear. This study aimed to elucidate supported relationships between DGBI with marital quality and clinical attributes in married Malay women.

Methods: This cross-sectional study involved married Malay women with functional dyspepsia (FD), irritable bowel syndrome (IBS), and FD-IBS overlap per Rome IV criteria.

View Article and Find Full Text PDF
Article Synopsis
  • * The study aims to test a web-based psychosocial intervention (REACH) for parents with IBS, focusing on changing their responses to their children’s discomfort to improve child health and reduce health care costs.
  • * A target group of 460 parents will be assessed over time to measure changes in parental behaviors and the overall impact on child health outcomes, with results expected to inform future prevention strategies for chronic pain in young children.
View Article and Find Full Text PDF

Cyclic vomiting is a disorder of gut brain interaction (DGBI) emphasizing the need for treatment of both the brain and the gut. Despite clinical success of psychological therapies for CVS, also called brain-gut treatments, an evidence-base is lacking and these treatments are available in few GI practices. This has resulted in an "all guts no brain" approach to CVS.

View Article and Find Full Text PDF

Transition services-programs that support adolescents and young adults (AYAs) as they move from a child-centered to a more autonomous, adult-orientated healthcare system-have been associated with improved short- and long-term healthcare outcomes. Unfortunately, there is a paucity of evidence exploring transition services within the neurogastroenterology and motility (NGM) field. The overall aim of this article, endorsed by the American Neurogastroenterology and Motility Society and European Society of Neurogastroenterology and Motility, is to promote a discussion about the role of transition services for patients with NGM disorders.

View Article and Find Full Text PDF

Background: Avoidant/restrictive food intake disorder (ARFID) prevalence in children with gastroparesis (Gp) and/or functional dyspepsia (FD) is unknown. We aimed to identify ARFID prevalence and trajectory over 2 months in children with Gp, FD, and healthy children (HC) using two screening questionnaires. We also explored the frequency of a positive ARFID screen between those with/without delayed gastric emptying or abnormal fundic accommodation.

View Article and Find Full Text PDF

Background: Hypnotherapy continues to be a controversial practice in medicine. It is surrounded by myth and misuses that instill doubts about its legitimacy and usefulness.

Purpose: In this paper, we will distinguish pseudoscientific claims from evidence-based uses of hypnotherapy.

View Article and Find Full Text PDF

The advent of social media has changed numerous aspects of modern life, with users developing and maintaining personal and professional relationships, following and sharing breaking news and importantly, searching for and disseminating health information and medical research. In the present paper, we reviewed available literature to outline the potential uses, pitfalls and impacts of social media for providers, scientists and institutions involved in digestive health in the domains of patient care, research and professional development. We recommend that these groups become more active participants on social media platforms to combat misinformation, advocate for patients, and curate and disseminate valuable research and educational materials.

View Article and Find Full Text PDF

Introduction: Vaccination is an important measure used to control the spread of COVID19. The estimation of risk versus benefit of vaccination is based on the understanding of information about the vaccine. Statistics are frequently part of communications about COVID19.

View Article and Find Full Text PDF
Article Synopsis
  • Functional abdominal pain disorders (FAPDs) are prevalent in children and significantly affect their quality of life, with the brain-gut axis playing a crucial role in pain experiences.
  • Current treatment options for FAPDs are limited, with no FDA-approved medications; however, hypnosis shows promise as an effective, low-risk alternative with long-lasting benefits.
  • Barriers to hypnosis include misconceptions and a lack of trained practitioners, but advancements in telemedicine can improve access, and more research is needed to enhance understanding and utilization of this therapy in pediatrics.
View Article and Find Full Text PDF

Background: There is worldwide consensus that providing secondary prevention to promote resilience and prevent mental health concerns after a disaster is important. However, data supporting this kind of intervention is largely lacking. The current study evaluates the effectiveness of OperationSAFE, an early intervention for children after community-wide trauma.

View Article and Find Full Text PDF
Article Synopsis
  • Gastroesophageal reflux disease (GERD) is characterized by symptoms like heartburn and chest pain, and can be managed through medication, lifestyle changes, and sometimes surgery, depending on severity.
  • A systematic review of 14 studies identified three key lifestyle modifications for managing GERD: medication adherence, dietary changes, and sleep recommendations, highlighting that adherence varies in impact based on the modification type.
  • Findings suggest that symptom severity affects adherence differently—patient-provider communication may enhance knowledge, but it’s uncertain if this directly improves adherence; a lack of consistent guidelines also complicates adherence efforts and reporting.
View Article and Find Full Text PDF

Objective: There is a large body of evidence for the efficacy of Cognitive Behavioral Therapy (CBT) in treating Functional Abdominal Pain Disorders (FAPD) in children. In most CBT interventions for FAPD, parents participate together with their children. However, only one study to date has examined targeting parents alone for treatment.

View Article and Find Full Text PDF

This study aimed to explore the association between perceived isolation and symptoms of distress in people with GI disorders at the time of the pandemic; and to examine factors which moderate this relationship. This online cross-sectional survey was advertised in May-September 2020 via patient organisations and associated social media. Overall, 831 people (82% female, mean age 49 years) from 27 countries participated.

View Article and Find Full Text PDF

While much has been written about the relationship between only child status and parents' behavior toward children, and consequent personality and intelligence, little is known about the relationship between only child status, parental response to illness, and subsequent child illness behavior. In this study, 227 mothers of 342 children completed measures designed to assess: (a) their children's school attendance, (b) their own psychological status, and (c) their own responses to their children's expressions of stomach pain. Parents of only children were more likely to minimize their children's gastrointestinal symptoms than were parents of children with at least one sibling.

View Article and Find Full Text PDF

Background And Aims: Dietary treatments are growing in popularity as interventions for chronic digestive conditions. Patients with irritable bowel syndrome (IBS) often change their eating behaviors to mitigate symptoms. This can occur under the direction of their physician, a dietitian, or be self-directed.

View Article and Find Full Text PDF

Pediatric patients with inflammatory bowel disease (IBD) may experience chronic stress related to disease symptoms and treatment, with negative consequences to their health-related quality of life (HRQOL). Lower HRQOL among pediatric patients with IBD has been associated with worse disease-related symptoms and psychological functioning, while higher HRQOL has been associated with more adaptive coping with disease symptoms and treatment. In addition, patients' self-esteem may impact the selection and use of coping strategies through global cognitions about their abilities and perceived competence.

View Article and Find Full Text PDF

Objective: The COVID-19 pandemic has had a significant impact on mental health across the globe. People living with a chronic gastrointestinal (GI) disorder might be particularly at risk of mental health complications given higher rates of comorbid anxiety and depression compared to the healthy population. As GI disorders affect up to 40% of the population worldwide, this international collaborative study seeks to evaluate the extent of the impact of the COVID-19 pandemic on GI symptoms specifically and more generally on the well-being of those living with chronic GI conditions.

View Article and Find Full Text PDF

Background: The mental health response to the coronavirus (COVID-19) pandemic-related product shortages in those living with chronic gastrointestinal (GI) disorders has received little attention. We aimed to explore the association between the pandemic-related product shortages and psychological distress in people with GI disorders.

Methods: This online cross-sectional survey was nested within an ongoing, international, prospective study of well-being in people with GI disorders.

View Article and Find Full Text PDF

Objective: Individuals with a gastrointestinal (GI) disorder often alter their diet to manage GI symptoms, adding complexity to understanding the diverse motivations contributing to food avoidance/restriction. When a GI disorder is present, the DSM-5 states that Avoidant/Restrictive Food Intake Disorder (ARFID) can be diagnosed only when eating disturbance exceeds that expected. There is limited guidance to make this determination.

View Article and Find Full Text PDF

Background: Irritable bowel syndrome (IBS) is linked with lower health-related quality of life. Cognitive behavioral therapy (CBT) designed for IBS management can improve outcomes but further research of more accessible implementations of this treatment approach for IBS is needed. This study assessed the feasibility of a web-delivered CBT program among adults with IBS to apply to a future clinical trial.

View Article and Find Full Text PDF