Singapore General Hospital Integrates Behavioral Therapy for IBS Patients

Singapore General Hospital (SGH) has adopted a comprehensive approach to managing Irritable Bowel Syndrome (IBS), integrating medical treatments with psychological and dietary support. Since 2019, the hospital has been offering an enhanced treatment model that brings together gastroenterologists, psychologists, and dietitians to provide holistic care.

IBS is a common digestive disorder characterized by abdominal pain, bloating, diarrhea, or constipation. While the exact cause remains unknown, stress is recognized as a significant factor that can trigger or worsen symptoms. "The gut and the brain are constantly signalling to each other, hence changes in mood or stress levels can lead to changes in how sensitive the gut is, producing symptoms," explains Dr. Andrew Ong, consultant at SGH's department of gastroenterology and hepatology.

The integrated model at SGH involves patients seeing a doctor and psychologist, often in the same session, with a dietitian readily available. This contrasts with separate referral systems, which Dr. Ong notes can make patients feel abandoned by their primary physician. "This may cause patients to assume that their doctors have given up on them," he stated.

Patients undergo cognitive behavioral therapy (CBT) with psychologists to identify and address negative thought patterns linked to anxiety, stress, and fear of IBS symptoms. Social worker Sivanakleri Sathasivam, 34, found the therapy beneficial. "I didn't know that stress in the mind could cause the digestive system to react this way and cause such symptoms," she said.

IBS prevalence in Singapore has increased, with potential links to modern lifestyles such as irregular meals and higher work stress. The importance of psychological well-being is highlighted, as gastrointestinal issues can impact mental health and vice versa. Behavioral therapy aims to improve mental state, equip patients with coping strategies, and reduce symptom severity.