Department of Medicine.
Department of Psychiatry.
J Clin Gastroenterol. 2023 Oct 1;57(9):945-950. doi: 10.1097/MCG.0000000000001800.
INTRODUCTION: Irritable bowel syndrome (IBS) is a functional gastrointestinal disease with a high prevalence. IBS is considered a disorder of brain-gut interaction. Mindfulness-Based Stress Reduction Therapy (MBSRT) is a form of treatment that uses meditation and relaxation to foster awareness and acceptance of the present moment. This kind of therapy requires individuals to practice noticing and observing details about their surroundings without passing judgment or reacting to triggers in the environment. MATERIAL AND METHODS: After making the diagnosis of IBS, 30 patients were subjected to concomitant MBSRT in addition to pharmacological therapy(Case Group) while the remaining were given only pharmacotherapy (Control Group). MBSRT was performed by a Clinical Psychologist. Seventeen patients were given only pharmacological therapy (Control Group). Scores were assessed using the IBS Symptom Severity Scale (IBS-SSS), Five Facets of Mindfulness Questionnaire(FFMQ), and World Health Organisation Quality Of Life-BREF (WHO-QOL-BREF) before and after the completion of MBSRT sessions. RESULTS: The study included 47 patients (30 in the case group and 17 in the control group) who presented to Medicine OPD and were diagnosed with IBS. Kendall tau correlation test was applied for IBS-SSS scores, which showed significant improvement in IBS-SSS scores postmindfulness therapy in the case group with P value of <0.001. McNemar test was applied for FFMQ scores, which showed significant improvement in FFMQ scores postmindfulness therapy in the case group with a P value of <0.001. A logistic regression model was also generated, which showed a significant change in QOL scores after MBSRT. CONCLUSION: IBS patients who received MBSRT had a greater improvement in the quality of life and mindfulness components and reduced IBS symptoms as compared with the control group.
简介:肠易激综合征(IBS)是一种高发的功能性胃肠道疾病。IBS 被认为是一种大脑-肠道相互作用的紊乱。基于正念的减压疗法(MBSRT)是一种治疗方法,它使用冥想和放松来培养对当下的意识和接受。这种治疗方法要求个人练习注意和观察周围环境的细节,而不进行判断或对环境中的触发因素做出反应。
材料和方法:在做出 IBS 诊断后,30 名患者除了药物治疗外,还接受了正念减压治疗(病例组),而其余患者仅接受药物治疗(对照组)。MBSRT 由一名临床心理学家进行。17 名患者仅接受药物治疗(对照组)。在完成 MBSRT 疗程前后,使用 IBS 症状严重程度量表(IBS-SSS)、五因素正念问卷(FFMQ)和世界卫生组织生活质量简表(WHO-QOL-BREF)评估评分。
结果:本研究共纳入 47 名患者(病例组 30 名,对照组 17 名),均在医学 OPD 就诊并诊断为 IBS。Kendall tau 相关检验用于 IBS-SSS 评分,结果显示病例组正念治疗后 IBS-SSS 评分显著改善,P 值<0.001。McNemar 检验用于 FFMQ 评分,结果显示病例组正念治疗后 FFMQ 评分显著改善,P 值<0.001。还生成了一个逻辑回归模型,结果显示 MBSRT 后生活质量评分有显著变化。
结论:与对照组相比,接受 MBSRT 的 IBS 患者在生活质量和正念成分方面有更大的改善,并且 IBS 症状减轻。
Neurogastroenterol Motil. 2020-9