Bowers H M, Wroe A L
Royal Holloway University of London.
Behav Cogn Psychother. 2019 May;47(3):303-317. doi: 10.1017/S1352465818000589. Epub 2018 Nov 8.
Previous research suggests benefits of targeting beliefs about the unacceptability of emotions in treatment for irritable bowel syndrome (IBS).
The current study developed and tested an intervention focusing on beliefs and behaviours around emotional expression.
Four participants with IBS attended five group sessions using cognitive behavioural techniques focusing on beliefs about the unacceptability of expressing emotions. Bi-weekly questionnaires were completed and a group interview was conducted. This study used an AB design with four participants.
Averages indicate that participants showed decreases in beliefs about unacceptability of emotions and emotional suppression during the intervention, although this was not reflected in any of the individual trends in Beliefs about Emotions Scale scores and was significant in only one individual case for Courtauld Emotional Control Scale scores. Affective distress and quality of life improved during follow-up, with only one participant not improving with regard to distress. Qualitative data suggest that participants felt that the intervention was beneficial, referencing the value in sharing their emotions.
This study suggests the potential for beliefs about emotions and emotional suppression to be addressed in cognitive behavioural interventions in IBS. That beliefs and behaviours improved before outcomes suggests they may be important processes to investigate in treatment for IBS.
先前的研究表明，针对肠易激综合征（IBS）治疗中关于情绪不可接受性的信念有诸多益处。
本研究开发并测试了一种针对围绕情绪表达的信念和行为的干预措施。
四名肠易激综合征患者参加了五次小组会议，采用认知行为技术，重点关注关于表达情绪不可接受性的信念。每两周完成一次问卷调查，并进行一次小组访谈。本研究采用AB设计，有四名参与者。
平均值表明，参与者在干预期间对情绪不可接受性和情绪抑制的信念有所下降，尽管这在情绪信念量表得分的任何个体趋势中均未体现，且仅在考陶尔德情绪控制量表得分的一个个体案例中具有显著性。随访期间，情感困扰和生活质量有所改善，只有一名参与者在困扰方面没有改善。定性数据表明，参与者认为该干预有益，并提到了分享情绪的价值。
本研究表明，在肠易激综合征的认知行为干预中，有可能解决关于情绪和情绪抑制的信念问题。信念和行为在结果改善之前就有所改善，这表明它们可能是肠易激综合征治疗中需要研究的重要过程。
