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Psychological Factors Predict Response to a Low Fermentable Oligo-, di-, Monosaccharide and Polyol Dietary Intervention in Irritable Bowel Syndrome: A Prospective Cohort Study - PubMed

5 hours ago
  • #psychological predictors
  • #FODMAP
  • #IBS
  • Psychological factors predict response to a low FODMAP diet (LFD) in IBS patients.
  • Higher baseline treatment credibility and expectancy predict better symptom improvements.
  • Elevated gastrointestinal-specific anxiety (GSA), psychological distress, and negative illness perceptions lead to poorer outcomes.
  • Lower GSA and higher personal control precede symptom reductions.
  • Higher treatment expectancy predicts improved quality of life (QoL) and symptom outcomes over time.
  • QoL improvements reduce stress and GSA.
  • Lower baseline GSA and higher treatment expectations predict better response to LFD.
  • Findings help clinicians identify optimal candidates for dietary intervention versus alternative treatments.