Saeedinia Elham, Poursharifi Hamid, Momeni Fereshte, Vahedi Mohsen, Abdi Mansour, Sadeghi Amir, Ghahremani Ramin
Psychosis Research Center, Department of Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Department of Biostatistics and Epidemiology, Psychosis Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Gastroenterol Hepatol Bed Bench. 2024;17(4):389-399. doi: 10.22037/ghfbb.v17i4.2930.
The present study presents a new combined approach for the treatment of irritable bowel syndrome (IBS), in which the effect of Cognitive Behavioral Therapy (CBT) based on exposure to awareness and emotional expression on patients' symptoms is examined.
IBS is one of the most common functional gastrointestinal diseases where psychological distress is an integral part of its presentation.
We performed a clinical trial study on 30 patients with IBS. They were divided into two groups receiving the intervention and waiting list control. All patients were evaluated by IBS quality of life scale, IBS severity score, hospital anxiety and depression scale and visceral sensitivity index in three stages: pre-test, pre-test, and one-month follow-up. Our treatment program for the intervention group (n=15) included 10 group sessions, every week for 90 minutes, based on an exposure-based cognitive behavioral therapy protocol. Also, they underwent three 90-minute sessions of an emotional expression and awareness training program.
The mean age of the participants was 31.0±8.77 years old. No previous history of substance addiction, psychiatric, or neurologic diseases was seen. Twenty participants (66.7%) were single, twenty-three participants (76.7%) had a university degree, and 9 participants were unemployed. No significant difference was seen between the case and control groups regarding education, occupation, and marital status. All pairwise comparisons of pre-test, post-test, and follow-up IBS-QOL scores were significant between the two groups (p<0.001). Similarly, pre- and post-, and pre- and follow-up test differences for IBS-SSS and VSI were significantly different between the two groups.
Exposure-based CBT combined with emotional expression and awareness training could alleviate the IBS symptoms, reduce visceral sensitivity, and improve quality of life.
本研究提出一种治疗肠易激综合征（IBS）的新联合方法，其中考察了基于暴露于觉察和情绪表达的认知行为疗法（CBT）对患者症状的影响。
IBS是最常见的功能性胃肠疾病之一，心理困扰是其临床表现的一个组成部分。
我们对30例IBS患者进行了一项临床试验研究。他们被分为接受干预组和等待列表对照组。所有患者在三个阶段接受IBS生活质量量表、IBS严重程度评分、医院焦虑抑郁量表和内脏敏感性指数评估：预测试、后测试和1个月随访。干预组（n = 15）的治疗方案包括10次小组会议，每周一次，每次90分钟，基于暴露的认知行为疗法方案。此外，他们还接受了三次每次90分钟的情绪表达和觉察训练课程。
参与者的平均年龄为31.0±8.77岁。未发现有药物成瘾、精神或神经疾病史。20名参与者（66.7%）为单身，23名参与者（76.7%）拥有大学学位，9名参与者失业。病例组和对照组在教育程度、职业和婚姻状况方面无显著差异。两组之间IBS-QOL分数的预测试、后测试和随访的所有两两比较均有显著差异（p<0.001）。同样，两组之间IBS-SSS和VSI的前后测试差异以及前后随访测试差异也有显著不同。
基于暴露的CBT联合情绪表达和觉察训练可以减轻IBS症状，降低内脏敏感性，并改善生活质量。
