Volume 5, Issue 2 (10-2017)                   Jorjani Biomed J 2017, 5(2): 100-108 | Back to browse issues page

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Norouzi A, Fakhri M, Talebi R, Roshandel G, Mohammadi R. Effectiveness of Mindfulness – Based Cognitive Therapy on coping style and gastrointestinal symptoms in patients with Irritable Bowel Syndrome. Jorjani Biomed J 2017; 5 (2) :100-108
URL: http://goums.ac.ir/jorjanijournal/article-1-579-en.html
1- Assistant professor of Medical School, Golestan University of Medical Sciences, Gorgan, Iran.
2- Assistant professor, Department of Clinical Psychology, Sari Islamic Azad University, Sari, Iran.
3- Instructor of School of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran.
4- Assistant professor, Golestan Research Center of Gastroenterology & Hepatology, Gorgan, Iran.
5- Clinical Psychologist, Sayyad Shirazi Hospital, Golestan University of Medical Sciences, Gorgan, Iran, , mohamadi.psk@gmail.com
Abstract:   (8478 Views)
Irritable Bowel Syndrome (IBS) is the most common functional gastrointestinal disorder and is a psychosomatic disorder. This study aimed to determine the effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) on coping styles and gastrointestinal symptoms of IBS patients. This Experimental (pretest-posttest with the control group) study was conducted on 32 patients with IBS based on inclusion and exclusion criteria. They divided randomly assigned into two groups intervention (n = 15) and control (n = 17). ROME III was used for the diagnosis of IBS. coping styles were evaluated by using Lazarus coping styles questionnaire (CSQ). Data analysis was conducted in SPSS software by using student t-test, Mann-Whitney, and covariance. The results showed that the difference between the mean scores of coping styles (emotion-focused & problem-focused) and gastrointestinal  symptoms in the intervention group after the sessions of mindfulness-based cognitive therapy was statistically significant (p <0.01). The results show that mindfulness-based therapy can be effective in reducing and controlling psychological symptoms, enhance well-being and quality of life. Therefore, this therapy as an adjunctive therapy in patients with irritable bowel syndrome is recommended.
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  • This study aimed to determine the effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) on coping styles and gastrointestinal symptoms of IBS patients.
  • The results showed that the difference between the mean scores of coping styles (emotion-focused & problem-focused) and gastrointestinal  symptoms in the intervention group after the sessions of mindfulness-based cognitive therapy was statistically significant (p <0.01).
  • This therapy as an adjunctive therapy in patients with irritable bowel syndrome is recommended.

Type of Article: Original article | Subject: General medicine
Received: 2018/06/19 | Accepted: 2018/06/19 | Published: 2018/06/19

References
1. Jahangiri P. Jazi MSH. Keshteli AH. Sadeghpour S. Amini E. Adibi P. Irritable Bowel Syndrome in Iran: SEPAHAN Systematic Review No. 1. International Journal of Preventive Medicine. 2012;3(Suppl1); S1-S9.
2. Monnikes H. Quality of Life in Patients with Irritable Bowel Syndrome. Journal of Clinical Gastroenterology 2011; 45: 98-101 [DOI:10.1097/MCG.0b013e31821fbf44]
3. Taheri M. Hasani J. Hosinian SM. The Comparison of the Personality Characteristics of the Irritable Bowel Syndrome Patients, Patients with other Gastrointestinal Diseases and Normal Individuals. Journal of Clinical Psychology 2012; 3(15): 53-61 [Persian]
4. Fakudo SA. Neurological approach to biopsychosocial medicine: Lessons from irritable bowel syndrome. BioPsychoSocial Medicine 2012; 5(1): 45-56 [DOI:10.1186/1751-0759-5-1]
5. Solati Dehkordy SK. Kalantary M. Adibi P. Effect of relaxation with drug therapy on the psychological symptoms in patients with irritable bowel syndrome-diarrhea dominant (IBS-D). Journal of shahrekord university of medical sciences 2009; 11(3): 1-8 [Persian]
6. Cohen H. Jotkawitz A. Buskila D. Pelles AS. Kaplan Z. Neumann L. Post-traumatic stress disorder and other co-morbidities in a sample population of patients with irritable bowel syndrome. Europ Journal of International Medicine 2006; 17(8): 567-571 [DOI:10.1016/j.ejim.2006.07.011]
7. Kumano H. Yamanaka G. Sasaki T. Kuboki T. Comorbidity of irritable bowel syndrome, panic disorders and agoraphobia in a Japanese representative sample. American Journal of Gastroenterology 2004; 99: 370-376 [DOI:10.1111/j.1572-0241.2004.04048.x]
8. Cho HS. Park MJ. Lim CH. Cho YK. Lee IS. Kimm SW. Choi MG. Chung IS. Chung YK. Anxiety, Depression, and Quality of Life in Patients with Irritable Bowel Syndrome. Gut Liver 2011; 5(1): 29-36 [DOI:10.5009/gnl.2011.5.1.29]
9. Miranda AL. Tilburg V. Palsson OS. Whitehead WE. Which Psychological Factors Exacerbate Irritable Bowel Syndrome? Development of a Comprehensive Model. Journal of Psychosomatic Research 2013; 74(6): 486-492 [DOI:10.1016/j.jpsychores.2013.03.004]
10. Kharamin SHA. Nilli H. Mohamadi A. Mobashery GH. Comparison of Coping Skills in Peptic Ulcer, Irritable Bowel Syndrome, and Normal People. Armaghane danesh Journal 2008; 2(50): 96-104 [Persian]
11. Lazarus RS. Psychological stress and the coping process, New York, McGraw-Hill 1966
12. 12. Rayman RB. Irritable bowel syndrome: aeromedical considerations. Aviat Space Environ Medicine 2011; 82: 1061-1063 [DOI:10.3357/ASEM.3107.2011]
13. Lackner JF. Gurtman MB. Patterns of interpersonal problems in irritable bowel syndrome patients: A circumplex analysis. Journal of Psychosomatic Research 2005; 58: 523-532 [DOI:10.1016/j.jpsychores.2005.02.015]
14. Segal ZV. Williams JMG. Teasdale JD. Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse, New York, Guilford press 2002
15. Taheri M. Hasani J. Molavi M. Psychological health among patients with irritable bowel syndrome, patients with organic gastrointestinal disorders, and normal individuals: A comparative study 2011; 10(2): 90-98 [Persian]
16. Newth S. Delongis A. Individual differences, mood and with chronic pain in rheumatoid arthritis. Psychology health 2004; 19(3): 283-305 [DOI:10.1080/0887044042000193451]
17. Parikh SV. Hawke LD. Zaretsky A. et al. Psychosocial interventions for bipolar disorder and coping style modification: similar clinical outcomes, similar mechanisms? Canadian Journal of Psychiatry 2013; 56(8): 482-486 [DOI:10.1177/070674371305800807]
18. Weinstein N. Brown KW. Ryan RM. A multimethod examination of the effects of mindfulness on stress attribution, copying, and emotional wellbeing. Journal of Research in Personality 2009; 43(3): 374-385 [DOI:10.1016/j.jrp.2008.12.008]
19. Lazarus RS. Folkman S. Stress, appraisal, and coping, New York, Springer 1984
20. 20. Mohammadkhani P. Khanipour H. Mindfulness-based therapies, 1st ed, Tehran, University of Social Welfare and Rehabilitation Sciences 2012.
21. 21. Zomorodi S. Rasoulzadeh Tabatabaei SK. et al. Comparison of the Effectiveness of Cognitive Behavior Therapy and Mindfulness-Based Therapy on the Decrease in Symptoms of Patients who suffer from Irritable Bowel Syndrome 2013; 18(2): 88-94 [Persian]
22. 22. Kamkar A. Golzary M. Farrokhi NA. Aghaee SH. The Effectiveness of Cognitive - Behavioral Stress Management on Symptoms of Patients with Irritable Bowel Syndrome. Armaghane danesh Journal 2011; 16(4): 300-310 [Persian]
23. 23. Kafi M. Afshar H. Moghtadaei K. Ariaporan S. Daghaghzadeh H. Salamat M. Effectiveness of Mindfulness-Based Cognitive-Therapy on Psychological Signs Women with Irritable Bowel Syndrome. Koomesh 2014; 15(2): 255-264 [Persian]
24. 24. Moghtadaei K. Kafi M. Afshar H. Ariapouran S. Daghaghzadeh H. Pourkazem T. Effectiveness of mindfulness-based cognitive group therapy on somatic symptoms in women with irritable bowel syndrome. J Res Behav Sci 2013; 10(7): 698-708 [Persian]

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