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一项评估“基于正念的压力减少疗法(MBSRT)”在减轻肠易激综合征患者症状严重程度和提高生活质量方面有效性的研究。

A Study to Evaluate the Effectiveness of "Mindfulness-Based Stress Reduction Therapy(MBSRT)" in Reducing Symptom Severity and Improving Quality of Life in Patients Suffering From Irritable Bowel Syndrome.

机构信息

Department of Medicine.

Department of Psychiatry.

出版信息

J Clin Gastroenterol. 2023 Oct 1;57(9):945-950. doi: 10.1097/MCG.0000000000001800.


DOI:10.1097/MCG.0000000000001800
PMID:36374952
Abstract

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.

摘要

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。

相似文献

[1]
A Study to Evaluate the Effectiveness of "Mindfulness-Based Stress Reduction Therapy(MBSRT)" in Reducing Symptom Severity and Improving Quality of Life in Patients Suffering From Irritable Bowel Syndrome.

J Clin Gastroenterol. 2023-10-1

[2]
Mindfulness-based stress reduction improves irritable bowel syndrome (IBS) symptoms via specific aspects of mindfulness.

Neurogastroenterol Motil. 2020-9

[3]
Comparison of the Effect of Dialectical Behavior Therapy, Acceptance and Commitment Therapy mindfulness-based Stress Reduction on Irritable Bowel Syndrome Symptoms, Quality of Life, Anxiety and Depression: A Pilot Randomized Controlled Trial.

Psychiatr Q. 2024-3

[4]
Association of participation in a mindfulness programme with bowel symptoms, gastrointestinal symptom-specific anxiety and quality of life.

Aliment Pharmacol Ther. 2011-6-9

[5]
Mindfulness-based stress reduction for the treatment of irritable bowel syndrome symptoms: a randomized wait-list controlled trial.

Int J Behav Med. 2013-9

[6]
The Effects of Digital eHealth Versus Onsite 2-Day Group-Based Education in 255 Patients With Irritable Bowel Syndrome: Cohort Study.

JMIR Hum Factors. 2025-2-3

[7]
Reduced Symptoms of Post-Traumatic Stress Disorder and Irritable Bowel Syndrome Following Mindfulness-Based Stress Reduction Among Veterans.

J Altern Complement Med. 2018-8-30

[8]
Therapist telephone-delivered CBT and web-based CBT compared with treatment as usual in refractory irritable bowel syndrome: the ACTIB three-arm RCT.

Health Technol Assess. 2019-4

[9]
Comparison of the Effect of Dialectical Behavior Therapy, Mindfulness Based Cognitive Therapy and Positive Psychotherapy on Perceived Stress and Quality of Life in Patients with Irritable Bowel Syndrome: a Pilot Randomized Controlled Trial.

Psychiatr Q. 2019-9

[10]
The journey between brain and gut: A systematic review of psychological mechanisms of treatment effect in irritable bowel syndrome.

Br J Health Psychol. 2017-6-1

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[3]
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