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Greensboro North Carolina Map for Those who continued to have IBS symptoms six weeks later were either entered into a stress management programme or continued on their drug regimen in the hope that additional time on the drug would improve their symptoms. Patients in the cognitive-behavioural programme fared best, reporting significant improvements on a variety of measures of IBS symptoms as well as reductions in measures of emotional distress. Episodes of angina may be triggered by emotional as well as by physical stresses see Chapter Accordingly, a number of studies have explored the potential benefits of stress management procedures in people with this condition. One of the first was reported by Bundy et al. , who found that patients who took part in a stress management programme reported greater reductions in the frequency of angina symptoms, were less reliant on medication and performed better on a standardised exercise known as a treadmill test than a control group who did not receive the intervention. A much larger study, involving hundreds of participants, was reported by Gallacher et al. , who compared a less intensive intervention, involving a stress management programme delivered in booklet form and three group meetings, with a no-treatment control condition. Greensboro North Carolina Map 2016.