Comparison of the effectiveness of mindfulness-based cognitive therapy and acceptance and commitment-based therapy on perceived stress and depression in patients with irritable bowel syndrome

Document Type : Research Paper

Authors

1 Professor, Department of Psychology, Payame Noor University, Tehran, Iran

2 1Professor, Department of Psychology, Payame Noor University, Tehran, Iran.

3 PhD students in Health Psychology, Payame Noor University, Tehran, Iran.

Abstract

Introduction: The aim of this study was to compare the effectiveness of mindfulness-based cognitive therapy and acceptance and commitment-based therapy on perceived stress and depression in patients with irritable bowel syndrome.
Methods: The method of the present study was a quasi-experimental study with a pretest, posttest design with a control group. The statistical population included 55 patients with irritable bowel syndrome who referred to Ayatollah Rouhani Hospital in Babol during the first 6 months of 1398. Using available sampling, 36 people were surveyed as a sample. Then, they were divided into three groups by random sampling method (the first experimental group, the second experimental group and also in a control group. Perceived stress and Beck depression questionnaires were used to collect data. Version 22 was evaluated using analysis of covariance (p <0.05).
Results: The results of analysis of covariance showed that there was a significant difference between the mean scores of perceived stress and the mean scores of depression in the three groups of mindfulness-based cognitive therapy and acceptance, commitment and control therapy.
 Discussion and Conclusion: That mindfulness-based cognitive therapy and acceptance and commitment-based therapy are effective on perceived stress and depression in patients with irritable bowel syndrome.

Keywords

References

  1. Sibelli A, Chalder T, Everitt H, Chilcot J, MossMorris R. Positive and negative affect mediate the bidirectional
    relationship between emotional
    processing and symptom severity and impact in irritable bowel syndrome. Journal of psychosomatic research.
    2018;10(5):1-3.
    2. Naliboff BD, Frese MP, Rapgay L. Mind/body psychological treatments for irritable bowel syndrome.
    Evidence-Based Complementary and Alternative Medicine. 2008;5(1):41-50.
    3. Fournier A, Mondillon L, Dantzer C, Gauchez AS, Ducros V, Mathieu N, Faure P, Canini F, Bonaz B,
    Pellissier S. Emotional overactivity in patients with irritable bowel syndrome. Neurogastroenterology &
    Motility. 2018.
    4. Hoseini-Asl MK, Amra B. Prevalence of irritable bowel syndrome in Shahrekord, Iran. Indian journal of
    gastroenterology: official journal of the Indian Society of Gastroenterology. 2003;22(6):215-226.
    5. Addante R, Naliboff B, Shih W, Presson AP, Tillisch K, Mayer EA, Chang L. Predictors of Health-related
    Quality of Life in Irritable Bowel Syndrome Patients Compared With Healthy Individuals. Journal of clinical
    gastroenterology, 2018.
    6. Lovell RM, Ford AC. Global prevalence of and risk factors for irritable bowel syndrome: a meta-analysis.
    Clin Gastroenterol Hepatol. 2012; 10(7): 712-721.
    7. Zernicke KA, Campbell TS, Blustein PK, Fung TS, Johnson JA, Bacon SL, et al. Mindfulness-Based Stress
    Reduction for the Treatment of Irritable Bowel Syndrome Symptoms: A Randomized Wait-list Controlled
    Trial. Int J Behav Med. 2013; 20(3): 385-396
    8. Saiful Bahri y, Fuad A, Jamil M. Prevalence and sources of stress among university Sains Malayasia medical
    students. Malaysian J Med, Sci. 2010; 17(1): 30-37.
    9. Kravits K. Hypnosis: adjunct therapyfor cancer pain management. Journal of the Advanced Practitioner in
    Oncology.2013; 42(4):83-85.
    10. Paquier-Valette C, Wierzbicka-Hainaut E, Cante V, Charles S, Guillet G. Evaluation of hypnosis in pain
    management during photodynamic therapy: a pilot study. Annales de Dermatologie et de Vénéréologie.2014,
    141(3), 181-185.
    11. Beck AT, Steer RA, Brown GK. Manual for the Beck depression inventory-II. San Antonio, TX:
    Psychological Corporation,1996.
    12. Mohammadkhani P, Khanipour H. Mindfulness based therapies (along with a practical mind-based cognitive
    therapy guide to prevent recurrence of depression). Tehran: University of Social Welfare and Rehabilitation
    Sciences, 2014.
    13. Moghtadaei K, Kafi M, Afshar H, Ariapouran S, Dagha ghzadeh H, Pourkazem T. Effectiveness of
    mindfulness-based cognitivegroup therapy on somatic symptoms inwomen withirritable bowel syndrome. J
    Res Behav Sci, 2013; 10(7): 698-708.
    14. Wersebe H, Lieb R, Meyer AH, Hofer P, Gloster AT. The link between stress, well-being, and psychological
    flexibility during an Acceptance and Commitment Therapy self-help intervention. International Journal of
    Clinical and Health Psychology. 2018; 18(1):60-78
    15. Samarrokhi A, Hemmati M. The effectiveness of treatment based on acceptance and commitment to quality of
    life and the level of concern of clients with irritable bowel syndrome, 2nd National Congress of the Third
    Wave of Behavioral Therapies, Kashan, Kashan University of Medical Sciences, 2019.
  2. 16. Mousavi Jashni R, Hosseini E. The Effectiveness of Acceptance and Commitment Therapy on Stress
    Reduction and Symptoms of Patients with Irritable Bowel Syndrome, 2nd National Congress of the Third
    Wave of Behavioral Therapies, Kashan, Kashan University of Medical Sciences, 2019.
    17. Zhong MM, Zhang QM, Bao JM, Xu W. Relationships between meaning in life, dispositional mindfulness,
    perceived stress, and psychological symptoms among Chinese patients with gastrointestinal cancer. The
    Journal of Nervous and Mental Disease.2019; 207 (1): 34-37.
    18. Ghorbani, Nima., Davison, H. Kristl., Bing, Mark. N., Watson, P. J., & Mack, Dan. A. . Selfreportedvemotional intelligence: Construct similarity and functional dissimilarity of higher-order processing in
    Iran and the United States. International Journal of Psychology,2002, 37(5), 297-308.
    19. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: Psychometric
    properties. Journal of Consulting and Clinical Psychology, 1988; 56(6): 893-897.
    20. Kim J, Seok J.The Protective Role of Resilience in Attenuating Emotional Distress and Aggression Associated
    with Early-life Stress in Young Enlisted Military Service Candidates. J Korean Med Sci, 2015; 30: 1667 -1674.
    21. Shatte A, Perlman A, Smith B. The Positive Effect of Resilience on Stress and Business Outcomes in Difficult
    Work Environments, 2017; 59(2): 135-140.
    22. Sood A, Loprinzi C, Sharma V, Prasad K. Stress Management and Resilience Training (SMART) program to
    decrease stress and enhance resilience among breast cancer survivors: a randomized trial. BMC
    Complementary and Alternative Medicine, 2012; 12(1):211-221.
    23. Ljótsson B, Andréewitch S, Hedman E, Rück C, Andersson G, Lindefors N. Exposure and mindfulness based
    therapy for irritable bowel
    syndrome–an open pilot study. Journal of Behavior Therapy and Experimental Psychiatry. 2010;41(3): 185-
    190.
    24. Folke F, Parling T, Melin L. Acceptance and commitment therapy for depression: A preliminary randomized
    clinical trial for unemployed on longterm sick leave. Cognitive and Behavioral Practice. 2012; 19(4):583-594.
    25. Segal ZV, Williams JMG, Teasdale JD. Mindfulness-based cognitive therapy for depression: A new approach
    to preventing relapse, 1st ed. New York, UK: Guilford Press, 2001.
    26. - Muqtada'i K, Kafi M, Afshar H, Aryapuran S. The educational effectiveness of group cognitive therapy based
    on mindfulness on the physical symptoms of women with irritable bowel syndrome. Behavioral Science
    Research,2012; 8(6): 708-698.
    27. - Madbarnia, MJ, Imani A, MirSafa M . Anxiety-depression disorder in patients with irritable bowel syndrome.
    Journal of Guilan University of Medical Sciences.2011; 15(3): 31-39.
    28. Ljotsson B, Andreewitch S, Hedman E, Ruck C, Andersson G, Lindefors N. Exposure and mindfulness based
    therapy for irritable bowel syndrome-an open pilot study. J Behav Ther Exp Psychiatry. 2010; 41(3): 185-190.
    29. Forman EM, Herbert JD, Moitra E, Yeomans PD, Geller PA. A randomized controlled effectiveness trial of
    acceptance and commitment therapy and cognitive therapy for anxiety and depression. Behavior modification.
    2007; 31(6):772- 799.
medical journal of mashhad university of medical sciences
Volume 64, Issue 2
July and August 2021
Pages 2953-2963

Files

Share

How to cite

Statistics