اثربخشی درمان مبتنی بر پذیرش و تعهد و مقایسه آن با درمان شناختی رفتاری بر راهبردهای نظم جویی شناختی هیجان بیماران مبتلا به سندرم روده تحریک پذیر

نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه روان شناسی سلامت، واحد بین المللی خرمشهر-خلیج فارس، دانشگاه آزاد اسلامی، خرمشهر، ایران.

2 گروه روان شناسی، واحد دزفول، دانشگاه آزاد اسلامی، دزفول، ایران.

3 گروه روان شناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران.

چکیده

مقدمه: تحقیقات نشان داده اند که بیماران مبتلا به سندرم روده تحریک پذیر در تنظیم هیجانی خود مشکل دارند؛ بنابراین پژوهش حاضر با هدف اثربخشی درمان مبتنی بر پذیرش و تعهد و مقایسه آن با درمان شناختی رفتاری بر راهبردهای نظم جویی شناختی هیجان بیماران مبتلا به سندرم روده تحریک پذیر انجام شد.
روش کار: نیمه تجربی از نوع پیش آزمون-پس آزمون و پیگیری با گروه های تجربی و کنترل بود. جامعه آماری پژوهش حاضر شامل بیماران مبتلا به سندرم روده تحریک پذیر مراجعه کننده به مطب‌های شخصی پزشکان شهرستان سمیرم می‌باشد. حجم نمونه 45 نفر بودند که به روش نمونه گیری هدفمند انتخاب و به طور تصادفی ساده به سه گروه تقسیم شدند (دو گروه درمانگری تحت درمان CBT, ACT و گروه کنترل).
نتایج حاصل از گردآوری داده‌ها با روش‌های تحلیل کوواریانس و آزمون تحلیل واریانس با اندازه‌گیری مکرر و آزمون تعقیبی LSD استفاده شد.
نتایج: نتایج پژوهش نشان داد درمان شناختی رفتاری بر همه ابعاد نظم جویی شناختی هیجان تأثیر معناداری دارد (001/0>p)؛ همچنین درمان مبتنی بر پذیرش و تعهد نیز بر همه ابعاد نظم جویی شناختی هیجان بجز در مؤلفه‌های پذیرش، نشخوار، دیدگاه گیری و فاجعه سازی تأثیر معناداری دارد (001/0>p)؛ بین اثربخشی درمان‌های شناختی رفتاری و درمان مبتنی بر پذیرش و تعهد بر راهبردهای نظم جویی شناختی هیجان تفاوت معنی داری مشاهده نشد (001/0<p).  
نتیجه گیری: به نظر می رسد هر دو رویکرد می تواند نقش مهمی در درمان نظم جویی شناختی هیجان بیماران مبتلا به سندرم روده تحریک پذیر دارد.

کلیدواژه‌ها

عنوان مقاله [English]

The Effectiveness of Acceptance and Commitment-Based Therapy and its Comparison with Cognitive Behavioral Therapy on Cognitive Regulatory Strategies Excitement of Patients with Irritable Bowel Syndrome

نویسندگان [English]

  • sedighe aghalar 1
  • Fardin Moradi Manesh 2
  • Naser Saraj Khorami 2
  • Fariba Hafezi 3
1 Ph.D Student, Department of Health Psychology, Khoramshahr-Persian Gulf, International Branch, Islamic Azad University, khoramshahr, Iran
2 Department of Psychology, Dezful Branch, Islamic Azad University, Dezful, Iran
3 Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran.
چکیده [English]

Introduction: Research has shown that patients with irritable bowel syndrome have difficulty regulating their emotions; Thus the aim of this study was to evaluate the effectiveness of treatment based on acceptance and commitment and compare it with cognitive-behavioral therapy on the cognitive regulatory strategies of excitement of patients with irritable bowel syndrome.
Materials and Methods: The research method was quasi-experimental pre-test-post-test and follow-up with experimental and control groups. The statistical population of the present study includes patients with irritable bowel syndrome referred to the private offices of physicians in Semirom. The sample size was 45 people with irritable bowel syndrome who were selected by purposive sampling method and randomly assigned to three research groups (two treatment groups treated with CBT, ACT and control group). The data were collected by analysis of covariance and repeated measures analysis of variance and LSD post hoc test.
Results: The research results showed that cognitive-behavioral therapy has a significant effect on all aspects of cognitive emotion regulation (p < 0.001). Acceptance and commitment-based therapy also has a significant effect on all aspects of cognitive emotion regulation, except for the components of acceptance, ruminant, perspective, and catastrophe (p < 0.001). There was no significant difference between the effectiveness of cognitive-behavioral therapies and acceptance-based therapy and commitment to cognitive-regulatory emotion strategies (P>0.001).
Conclusion: It seems that both approaches can play an important role in the treatment of cognitive emotion regulation in patients with irritable bowel syndrome.

کلیدواژه‌ها [English]

  • Irritable Bowel Syndrome
  • Cognitive Emotion Regulation
  • Cognitive Behavioral Therapy
  • Acceptance and Commitment Therapy

مراجع

  1. Kaplan HI, Sadock BJ, Grebb JA. Kaplan and Sadock's synopsis of psychiatry: Behavioral sciences, clinical
    psychiatry: Williams & Wilkins Co; 1994.
    2. Chaung O. Disorder of the gastrointestinal system. Irritable bowel syndrome. Harisons's Principles of internal
    medicine Newyork, McGraw-Hill Inc. 2005;16(2):1789-93.
    3. Canavan C, Card T, West J. The incidence of other gastroenterological disease following diagnosis of irritable
    bowel syndrome in the UK: a cohort study. PloS one. 2014;9(9):e106478.
    4. Ferreira NB, Gillanders D, Morris PG, Eugenicos M. Pilot study of acceptance and commitment therapy for
    irritable bowel syndrome: A preliminary analysis of treatment outcomes and processes of change. Clinical Psychologist.
    2018;22(2):241-50.
    5. Soares RLS. Irritable bowel syndrome, food intolerance and non-celiac gluten sensitivity. a new clinical
    challenge. Arquivos de gastroenterologia. 2018;55(4):417-22.
    6. Albrecht U-V, von Jan U, Jungnickel T, Pramann O. App-synopsis-standard reporting for medical apps.
    Studies in health technology and informatics. 2013;192:1154-.
    7. Grundmann O, Yoon SL. Irritable bowel syndrome: Epidemiology, diagnosis and treatment: An update for
    health‐care practitioners. Journal of gastroenterology and hepatology. 2010;25(4):691-9.
    8. Lovell RM, Ford AC. Global prevalence of and risk factors for irritable bowel syndrome: a meta-analysis.
    Clinical gastroenterology and hepatology. 2012;10(7):712-21. e4.
    9. Lackner JM, Jaccard J, Krasner SS, Katz LA, Gudleski GD, Blanchard EB. How does cognitive behavior
    therapy for irritable bowel syndrome work? A mediational analysis of a randomized clinical trial. Gastroenterology.
    2007;133(2):433-44.
    10. Garnefski N, Baan N, Kraaij V. Psychological distress and cognitive emotion regulation strategies among
    farmers who fell victim to the foot-and-mouth crisis. Personality and Individual Differences. 2005;38(6):1317-27.
    11. Gross JJ. Emotion regulation: Affective, cognitive, and social consequences. Psychophysiology.
    2002;39(3):281-91.
    12. Eisenberg N, Fabes RA, Guthrie IK, Reiser M. Dispositional emotionality and regulation: their role in
    predicting quality of social functioning. Journal of personality and social psychology. 2000;78(1):136.
    13. Pellissier S, Dantzer C, Canini F, Mathieu N, Bonaz B. Psychological adjustment and autonomic disturbances
    in inflammatory bowel diseases and irritable bowel syndrome. Psychoneuroendocrinology. 2010;35(5):653-62.
    14. Mazaheri M, Nikneshan S, Daghaghzadeh H, Afshar H. The role of positive personality traits in emotion
    regulation of patients with irritable bowel syndrome (IBS). Iranian journal of public health. 2015;44(4):561.
    15. Zijdenbos IL, de Wit NJ, van der Heijden GJ, Rubin G, Quartero AO. Psychological treatments for the
    management of irritable bowel syndrome. Cochrane Database of Systematic Reviews. 2009(1).
    16. Reme SE, Darnley S, Kennedy T, Chalder T. The development of the irritable bowel syndrome-behavioral
    responses questionnaire. Journal of psychosomatic research. 2010;69(3):319-25.
  2. 17. Andersson E, Ljótsson B, Smit F, Paxling B, Hedman E, Lindefors N, et al. Cost-effectiveness of internetbased cognitive behavior therapy for irritable bowel syndrome: results from a randomized controlled trial. BMC public
    health. 2011;11(1):1-7.
    18. Moss-Morris R, McAlpine L, Didsbury L, Spence M. A randomized controlled trial of a cognitive behavioural
    therapy-based self-management intervention for irritable bowel syndrome in primary care. Psychological medicine.
    2010;40(1):85.
    19. Naliboff BD, Frese MP, Rapgay L. Mind/body psychological treatments for irritable bowel syndrome.
    Evidence-Based Complementary and Alternative Medicine. 2008;5.
    20. Ferreira NMdRB. Investigating the role of psychological flexibility and the use of an acceptance and
    commitment therapy based intervention in irritable bowel syndrome. 2011.
    21. Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: Model, processes
    and outcomes. Behaviour research and therapy. 2006;44(1):1-25.
    22. Edebol-Carlman H, Ljótsson B, Linton SJ, Boersma K, Schrooten M, Repsilber D, et al. Face-to-face
    cognitive-behavioral therapy for irritable bowel syndrome: the effects on gastrointestinal and psychiatric symptoms.
    Gastroenterology research and practice. 2017;2017.
    23. Mofid Vahideh, Fatehizadeh Maryam, Dorosti Fatemeh Effectiveness of acceptance and commitment therapy
    on depression and quality of life of women criminal prisoners in Isfahan city. Strategic Research on Social Problems in
    Iran 2017;6(3):17-30.
    24. Soltanizadeh M, Montazeri M, Latifi Z. THE EFFECTIVENESS OF COGNITIVE-BEHAVIORAL
    THERAPY ON EMOTIONAL REGULATION IN CHILDREN WITH TYPE 1 DIABETES. Iranian Journal of
    Diabetes and Metabolism. 2019;18:97-109.
    25. Khalatbari J, Hemmati Sabet V, Tabibzadeh F, A. HS. The Relationship between Personality Characteristics
    and Psychological Well-Being in Patients with Irritable Bowel Syndrome: The role of mediator of emotion regulation.
    Journal of Shahid Sadoughi University of Medical Sciences. 2019;27(6):1612-27.
    26. Besharat MA, Zarpour SMA, Bahrami-Ehsan HPD, Rostami, R. , Mirdamadi MJ. Comparison of Personality
    Characteristics of Individuals with Irritable Bowel Syndrome and Healthy Individuals. journal of Clinical Psychology.
    2010;2(1 (5)):9-16.
    27. Roemer L, Orsillo SM. An acceptance-based behavior therapy for generalized anxiety disorder. Acceptance
    and mindfulness-based approaches to anxiety: Springer; 2005. p. 213-40.
    28. Brown KW, Ryan RM. The benefits of being present: mindfulness and its role in psychological well-being.
    Journal of personality and social psychology. 2003;84(4):822.
    29. Lee JY, Lindquist KA, Nam CS. Emotional granularity effects on event-related brain potentials during
    affective picture processing. Frontiers in Human Neuroscience. 2017;11:133.
    30. Roemer L, Lee JK, Salters-Pedneault K, Erisman SM, Orsillo SM, Mennin DS. Mindfulness and emotion
    regulation difficulties in generalized anxiety disorder: Preliminary evidence for independent and overlapping
    contributions. Behavior therapy. 2009;40(2):142-54.
    31. Twohig MP. Acceptance and commitment therapy: Introduction. Elsevier; 2012.
    32. Kahl KG, Winter L, Schweiger U. The third wave of cognitive behavioural therapies: what is new and what is
    effective? Current opinion in psychiatry. 2012;25(6):522-8.
    33. Wetherell JL, Liu L, Patterson TL, Afari N, Ayers CR, Thorp SR, et al. Acceptance and commitment therapy
    for generalized anxiety disorder in older adults: A preliminary report. Behavior therapy. 2011;42(1):127-34.
مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 63، شماره 2
خرداد و تیر 1399
صفحه 2455-2470

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