Efficacy of Cognitive Behavioral Therapy Administered in Patients With Dyssynergic Defecation
An Evaluation of the Efficacy of Cognitive Behavioral Therapy Administered in Conjunction With Pelvic Floor Exercises in Patients With Dyssynergic Defecation
1 other identifier
interventional
26
1 country
1
Brief Summary
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Mar 2026
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 18, 2026
CompletedFirst Posted
Study publicly available on registry
March 23, 2026
CompletedStudy Start
First participant enrolled
March 30, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 30, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
September 30, 2026
June 17, 2026
March 1, 2026
6 months
March 18, 2026
June 16, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Wexner Constipation Score
first day of treatment and 5th week of treatment
Constipation Severity Scale
first day of treatment and 5th week of treatment
Secondary Outcomes (2)
Bristol Stool Chart
first day of treatment and 5th week of treatment
Beck Depression Scale
first day of treatment and 5th week of treatment
Study Arms (2)
Pelvic floor rehabilitation
ACTIVE COMPARATORPatients 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.
Pelvic floor rehabilitation+cognitive behavioral therapy
EXPERIMENTALIn 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.
Interventions
Relaxation and kegel exercises and biofeedback therapy
Relaxation and kegel exercises, biofeedback therapy and cognitive behavioral therapy
Eligibility Criteria
You may qualify if:
- A history of constipation lasting longer than one year
- Chronic constipation as defined by the Rome IV criteria
- Being between the ages of 18 and 55
- Findings consistent with dyssynergic defecation on anorectal manometry and balloon defecography
You may not qualify if:
- Active bowel disease
- Presence of an active anal fissure
- History of major abdominal surgery
- Presence of a neurological disorder
- Presence of a serious psychiatric disorder
- Use of medications that cause constipation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Ankara Etlik City Hospital
Ankara, Yenimahalle, 06010, Turkey (Türkiye)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- PM&R Specialist
Study Record Dates
First Submitted
March 18, 2026
First Posted
March 23, 2026
Study Start
March 30, 2026
Primary Completion (Estimated)
September 30, 2026
Study Completion (Estimated)
September 30, 2026
Last Updated
June 17, 2026
Record last verified: 2026-03