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基于生物能源经济的健康改善(BEHI)与接受与承诺疗法(ACT)对炎症性肠病患者心理合并症和生活质量的疗效比较

Effectiveness of Bioenergy Economy-based Health Improvement (BEHI) versus Acceptance and Commitment Therapy (ACT) on the Psychological Comorbidities and Quality of Life in Patients with Inflammatory Bowel Disease.

作者信息

Goli Farzad, Derakhshanjan Afsoon, Jahanzad Sarvenaz, Haghayegh Seyyed Abbas, Zanjani Hamid Afshar, Adibi Peyman

机构信息

The Iranian Academy of Medical Sciences, Tehran, Iran & Behi Academy, BC, Canada.

General Psychology, Department of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran.

出版信息

Crohns Colitis 360. 2025 Mar 25;7(2):otaf018. doi: 10.1093/crocol/otaf018. eCollection 2025 Apr.

Abstract

BACKGROUND

Inflammatory IBD has a significant adverse influence on the physical, psychological, family, and social dimensions of patients. This research aims to compare the effectiveness of ACT and BEHI on perceived stress, quality of life, sense of coherence, and D personality type in patients with IBD.

METHODS

This study used a quasi-experimental method with a pre-test, post-test, and follow-up design with a control group. A total of 37 patients were randomly selected based on a random allocation system. Data were collected by WHOQOL-BREF, the Sense of Coherence (SOC) questionnaire, the Type D Personality Questionnaire, and the Perceived Stress Scale (Perceived Stress Scale (PSS)). The first experimental group ( = 12) underwent ACT within eight 90-minute weekly sessions, which lasted eight weeks. The second group ( = 12) experienced bio-energy economy within eight 90-minute weekly sessions, lasting for eight weeks. The control group ( = 13) received no training in this period. Data was analyzed using a mixed variance analysis method.

RESULTS

Results revealed that perceived stress, quality of life, sense of coherence, and D personality type significantly improved in the post-test and follow-up stages through the ACT and BEHI programs ( < .01). It was found that there was a significant difference between the experimental groups and the control group over time ( < .01).

CONCLUSIONS

It can be concluded the BEHI program was more effective in decreasing perceived stress and D personality type and increasing quality of life than the ACT program. Although the BEHI program improved a sense of coherence, the ACT program was more effective in increasing the sense of coherence in patients.

摘要

背景

炎症性肠病对患者的身体、心理、家庭和社会层面有重大不利影响。本研究旨在比较接纳与承诺疗法(ACT)和生物能量经济疗法(BEHI)对炎症性肠病患者感知压力、生活质量、连贯感和D型人格类型的效果。

方法

本研究采用准实验方法,采用前测、后测和随访设计,并设对照组。根据随机分配系统共随机选取37例患者。通过世界卫生组织生活质量简表(WHOQOL-BREF)、连贯感(SOC)问卷、D型人格问卷和感知压力量表(PSS)收集数据。第一个实验组(n = 12)在每周8次、每次90分钟、持续8周的疗程中接受接纳与承诺疗法。第二组(n = 12)在每周8次、每次90分钟、持续8周的疗程中体验生物能量经济疗法。对照组(n = 13)在此期间不接受培训。采用混合方差分析方法分析数据。

结果

结果显示,通过接纳与承诺疗法和生物能量经济疗法项目,在测试后和随访阶段,感知压力、生活质量、连贯感和D型人格类型有显著改善(p <.01)。发现随着时间推移,实验组和对照组之间存在显著差异(p <.01)。

结论

可以得出结论,生物能量经济疗法在降低感知压力和D型人格类型以及提高生活质量方面比接纳与承诺疗法更有效。虽然生物能量经济疗法改善了连贯感,但接纳与承诺疗法在提高患者连贯感方面更有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1713/12031723/6955bd09b07d/otaf018_fig1.jpg

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