اثربخشی شناخت درمانی مبتنی بر ‌ذهن‌آگاهی (MBCT) بر شدت علایم بیماری و کیفیت زندگی افراد مبتلا به نشانگان روده تحریک‌پذیر (IBS)

نویسندگان
زهرا اسکافی ثابت 1
شهره قربان شیرودی 1
محمد رضا زربخش بحری 1
کیوان امینیان 2
1 گروه روانشناسی، واحد تنکابن، دانشگاه آزاد اسلامی، تنکابن، ایران
2 گروه روانشناسی، واحد تنکابن، دانشگاه آزاد اسلامی، تنکابن، ایران؛ گروه گوارش، دانشکده پزشکی، دانشگاه علوم پزشکی گیلان، رشت، ایران
چکیده
مقدمه

نشانگان روده تحریک‌پذیر از شایع‌ترین اختلالات دستگاه گوارش است که موجب کاهش کیفیت زندگی افراد مبتلا می‌شود. از آنجایی که هیچ علت بدنی برای نشانگان روده تحریک‌پذیر تشخیص داده نشده است، جهت کاهش علایم بیماری و افزایش سطح کیفیت زندگی افراد می‌توان از مداخلات روانشناختی بهره گرفت. پژوهش حاضر با هدف تعیین اثربخشی شناخت درمانی مبتنی بر ‌ذهن‌آگاهی بر شدت علایم بیماری و کیفیت زندگی افراد مبتلا به نشانگان روده تحریک‌پذیر انجام شد.

مواد و روش‌­ها

پژوهش حاضر به روش نیمه آزمایشی از نوع پیش آزمون، پس آزمون با گروه گواه انجام شد. جامعه آماری، شامل تمامی‌افراد مبتلا به نشانگان روده تحریک‌پذیر مراجعه کننده به کلینیک فوق تخصصی گوارش رازی شهر رشت در سال 1398 بود. تعداد 30 نفر افراد به روش نمونه‌گیری در دسترس انتخاب و به طور تصادفی در دو گروه آزمایش و گواه جایگزین شدند. جهت جمع‌آوری داده‌ها از مقیاس شدت علایم بیماری IBS و فرم کوتاه مقیاس کیفیت زندگی (ویر و شربورن، 1992) استفاده شد. پس از اجرای مداخله به مدت 8 جلسه، داده‌های پژوهش با استفاده از نرم افزارSPSS و تحلیل کوواریانس یک طرفه تحلیل شدند.

یافته­‌ها

بین میانگین نمره‌های متغیر کیفیت زندگی و شدت علایم بیماری در پیش آزمون و پس آزمون و پس آزمون با مرحله پیگیری (01/0 > P) تفاوت معناداری وجود دارد.

نتیجه­‌گیری

براساس نتایج به دست آمده می‌توان نتیجه گرفت که شناخت درمانی مبتنی بر ‌ذهن‌آگاهی بر کاهش علایم بیماری و افزایش کیفیت زندگی افراد مبتلا به نشانگان روده تحریک‌پذیر موثر است.
کلیدواژه‌ها
شناخت درمانی مبتنی بر ‌ذهن‌آگاهی
شدت علایم بیماری
کیفیت زندگی
نشانگان روده تحریک‌پذیر

عنوان مقاله English

The effectiveness of mindfulness-based cognitive therapy (MBCT) on severity of symptoms and quality of life in people with irritable bowel syndrome (IBS)

نویسندگان English

Zahra Eskafi Sabet 1
Shohreh Gorban Shiroodi 1
Mohammad Reza Zarbakhsh Bahri 1
keyvan Aminian 2
1 Department of Health Psychology, Faculty of Psychology, Tonekabon Branch, Islamic Azad University, Iran
2 Department of Health Psychology, Faculty of Psychology, Tonekabon Branch, Islamic Azad University, Iran; Department of Gastroentrology, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran
چکیده English

Introduction

Irritable bowel syndrome (IBS) is one of the most common gastrointestinal disorders that reduce the quality of life. Since no physical cause has been identified for Irritable bowel syndrome, psychological interventions can be used to reduce the symptoms of the disease and increase the quality of life in people with IBS. The aim of this study was to determine the effectiveness of mindfulness-based cognitive therapy on the severity of symptoms and quality of life in people with irritable bowel syndrome.

Materials and Methods

The present study was conducted as a quasi-experimental method of pre-test and post-test with a control group. The statistical population included all patients with irritable bowel syndrome referred to the Razi subspecialty gastroenterology clinic in Rasht. 30 people were selected by convenience sampling method and assigned to experimental and control groups. The IBS Symptom Severity Scale and the Short Quality of Life Scale (SF-36) were used to collect data. After performing the intervention for 8 sessions, the research data were analyzed using SPSS software and a one-way analysis of covariance.

Results

The result revealed significant differences between the mean scores of quality of life and severity of symptoms in the pre-test and post-test and post-test with follow-up (P <0.01).

Conclusion

Based on the results, it can be concluded that mindfulness-based cognitive therapy is effective in reducing symptom severity and increasing the quality of life in people with irritable bowel syndrome.

کلیدواژه‌ها English

Mindfulness-based cognitive therapy
symptom severity
Quality of Life
Irritable Bowel Syndrome
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