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生物能源经济计划与基于正念的认知疗法对肠易激综合征严重程度及心理症状的疗效比较

Effectiveness of a bioenergy economy program versus mindfulness-based cognitive therapy on the severity and psychological symptoms of irritable bowel syndrome.

作者信息

Farzanegan Mahboubeh, Azizi Ali, Fard Shahla Safavi, Sadeghi Ali, Arefi Mozhgan, Badi Hasan Shahoon, Adibi Payman, Daghaghzadeh Hamed, Zanjani Hamid Afshar

机构信息

Department of Bioenergy and Psychosomatic Health, Energy Medicine University, California, USA.

Department of Psychosomatic Research, Danesh-e Tandorosti Institute, Isfahan, Iran.

出版信息

J Educ Health Promot. 2025 Mar 28;14:107. doi: 10.4103/jehp.jehp_1924_23. eCollection 2025.

Abstract

BACKGROUND

Irritable bowel syndrome (IBS) is the most common functional gastrointestinal disorder causing a great burden on patients' lives due to its physical and psychological symptoms. Mindfulness-based cognitive therapy (MBCT) has previously alleviated IBS symptoms. Bioenergy economy (BEE) is a novel mind-body intervention that has shown moderating effects on many psychological and physical symptoms, particularly in chronic diseases. This research aimed to compare the effectiveness of MBCT and BEE on IBS symptom severity, somatic symptoms, depression, and anxiety.

MATERIALS AND METHODS

This study was conducted using a quasi-experimental method with a pre-test, post-test, and follow-up design with a control group in Isfahan, Iran. Forty-five patients with IBS were divided into two experimental and one control group (15 subjects in each group). The patients were assessed using the ROME III Diagnostic Criteria for IBS, IBS Severity Index (IBS-SI), Beck Depression Inventory-II (BDI-II), Beck Anxiety Inventory, and Patient Health Questionnaire (PHQ-15) before and after the intervention. Data were analyzed using analysis of covariance, and SPSS-22 software was used.

RESULTS

The findings showed that MBCT and BEE both had significant effects on the IBS symptom severity, somatic symptoms, depression, and anxiety ( < 0.01), but there was no significant difference between the mean scores of the two experimental groups in any of the post-test or the follow-up stages ( > 0.05). This concludes that there was no difference between the effectiveness of MBCT and BEE programs ( > 0.05).

CONCLUSION

Although both interventions had significant results in improving patients' symptoms, the BEE program had a stronger and wider range of effectiveness.

摘要

背景

肠易激综合征(IBS)是最常见的功能性胃肠疾病,因其生理和心理症状给患者生活带来巨大负担。基于正念的认知疗法(MBCT)此前已缓解了IBS症状。生物能量疗法(BEE)是一种新型身心干预方法,已显示出对许多心理和生理症状具有调节作用,尤其是在慢性疾病方面。本研究旨在比较MBCT和BEE对IBS症状严重程度、躯体症状、抑郁和焦虑的疗效。

材料与方法

本研究采用准实验方法,在伊朗伊斯法罕进行,采用前测、后测和随访设计,并设有对照组。45例IBS患者分为两个实验组和一个对照组(每组15名受试者)。在干预前后,使用IBS的罗马III诊断标准、IBS严重程度指数(IBS-SI)、贝克抑郁量表-II(BDI-II)、贝克焦虑量表和患者健康问卷(PHQ-15)对患者进行评估。使用协方差分析对数据进行分析,并使用SPSS-22软件。

结果

研究结果表明,MBCT和BEE对IBS症状严重程度、躯体症状、抑郁和焦虑均有显著影响(P<0.01),但在任何后测或随访阶段,两个实验组的平均得分之间均无显著差异(P>0.05)。由此得出结论,MBCT和BEE项目的疗效无差异(P>0.05)。

结论

虽然两种干预措施在改善患者症状方面均取得了显著效果,但BEE项目的疗效更强且范围更广。

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本文引用的文献

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Hypnotherapy and IBS: Implicit, long-term stress memory in the ENS?
Heliyon. 2022 Dec 30;9(1):e12751. doi: 10.1016/j.heliyon.2022.e12751. eCollection 2023 Jan.
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Hypnobiome: A New, Potential Frontier of Hypnotherapy in the Treatment of Irritable Bowel Syndrome-A Narrative Review of the Literature.
Int J Clin Exp Hypn. 2022 Jul-Sep;70(3):286-299. doi: 10.1080/00207144.2022.2094269. Epub 2022 Jul 6.
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