Overview
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.
Eligibility
Inclusion Criteria:
- 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
- Exclusion of organic and metabolic causes of chronic constipation
Exclusion Criteria:
- 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


