Efficacy of Cognitive Behavioral Therapy Administered in Patients With Dyssynergic Defecation

Ankara Etlik City Hospital

Status: Enrolling

Conditions: Dyssynergic Defaecation

Treatments: Behavioral: Pelvic floor rehabilitation+cognitive behavioral therapy; Other: Pelvic floor rehabilitation

Study type: Interventional

Funder types: Other

Identifiers

NCT07488442

AEŞH-EK-2025-314

Details and patient eligibility

About

The aim of this study is to evaluate the effectiveness of cognitive-behavioral therapy when used in conjunction with lifestyle modifications and pelvic floor rehabilitation.

Enrollment: 26 estimated patients

Sex: All

Ages: 18 to 55 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. A history of constipation lasting longer than one year
2. Chronic constipation as defined by the Rome IV criteria
3. Being between the ages of 18 and 55
4. Findings consistent with dyssynergic defecation on anorectal manometry and balloon defecography
5. Exclusion of organic and metabolic causes of chronic constipation

Exclusion criteria

1. Active bowel disease
2. Presence of an active anal fissure
3. History of major abdominal surgery
4. Presence of a neurological disorder
5. Presence of a serious psychiatric disorder
6. Use of medications that cause constipation

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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26 participants in 2 patient groups

Pelvic floor rehabilitation

Active Comparator group

Description:

Patients in the first group will receive education on lifestyle changes, and a rehabilitation program consisting of 15 sessions of relaxation and Kegel exercises-held three days a week at the pelvic floor unit-will be planned.

Treatment:

Other: Pelvic floor rehabilitation

Pelvic floor rehabilitation+cognitive behavioral therapy

Experimental group

Description:

In addition to these treatments, patients in the second group will receive a total of five sessions of cognitive-behavioral therapy from a certified psychologist specializing in the field, focusing on their current gastrointestinal issues rather than their personal histories.

Treatment:

Behavioral: Pelvic floor rehabilitation+cognitive behavioral therapy