اثربخشی شناخت درمانی مبتنی بر ذهنآگاهی بر اضطراب و افسردگی بیماران مبتلا به سندرم روده تحریک‌پذیر

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری تخصصی روانشناسی عمومی، گروه روانشناسی، دانشکده ادبیات و علوم انسانی، دانشگاه لرستان، خرم‌آباد، ایران.

2 دانشیار، گروه روانشناسی، دانشکده ادبیات و علوم انسانی، دانشگاه لرستان، خرم آباد، ایران.

3 استادیار، گروه روانشناسی، دانشکده ادبیات و علوم انسانی، دانشگاه لرستان، خرم آباد، ایران.

چکیده

مقدمه: اضطراب و افسردگی از علائم شایع اختلال سندرم روده تحریک‌پذیر به شمار می‌آید. شناخت درمانی مبتنی بر ذهن آگاهی می­تواند یکی از مداخلات مؤثر در کاهش اضطراب و افسردگی باشد. هدف پژوهش حاضر تعیین اثربخشی شناخت درمانی مبتنی بر ذهن‍آگاهی بر اضطراب و افسردگی بیماران مبتلا به این اختلال بود.
مواد و روشها: پژوهش حاضر از نوع کارآزمایی بالینی آموزشی و جامعه پژوهش شامل بیماران مبتلا به سندرم روده تحریک‌پذیر مراجعه‌کننده به مراکز درمانی شهر کرمانشاه بود. پس از انطباق با ملاک‌های تشخیصی Rome-III و تکمیل پرسشنامه اضطراب و افسردگی Beck، تعداد 40 نفر آزمودنی به عنوان نمونه انتخاب شدند. آزمودنی‌ها به روش تصادفی در دو گروه آزمایشی و کنترل (20 نفر برای هر گروه) جایگزین شدند. بعد از اتمام دوره 8 جلسه‌ای شناخت درمانی مبتنی بر ذهن‍آگاهی در گروه آزمایشی و جمع­آوری نمرات در مرحله پس­آزمون، داده­ها با استفاده از آزمون آماری تحلیل کواریانس مورد تجزیه و تحلیل قرار گرفتند.
یافته‌ها: درمان ذهن‍آگاهی در کاهش افسردگی (000/0p=، 99/19F=) بیماران مبتلا به سندرم روده تحریک‌پذیر در گروه آزمایشی به‌طور معنی­داری مؤثر بود. در متغیر اضطراب علی­رغم بهبود میزان اضطراب (918/0p=، 11/0F=)، کاهش
معنی­داری مشاهده نشد.
نتیجه­ گیری: این مداخله به عنوان درمانی مؤثر، می­تواند در بهبود نشانه‌های افسردگی بیماران مبتلا به سندرم روده تحریک‌پذیر به کار برده شود. شاید بتوان با ارتقای تکنیک­های این درمان، به بهبود بیشتر اضطراب در این بیماران امیدوار بود.

کلیدواژه‌ها


عنوان مقاله [English]

Efficacy of Mindfulness-based Cognitive Therapy on Anxiety and Depression in Irritable Bowel Syndrome

نویسندگان [English]

  • J mohamadi 1
  • F Ghazanfari 2
  • F Mir Drikvand 3
1 PhD student, Dept of Psychology, Faculty of Literature and Humanities, University of Lorestan, Khorramabad, Iran.
2 Associate Prof, Dept of Psychology, Department of Psychology, Faculty of Literature and Humanities, University of Lorestan, Khorramabad, Iran
3 Assistant Prof, Dept of Psychology, Department of Psychology, Faculty of Literature and Humanities, University of Lorestan, Khorramabad, Iran.
چکیده [English]

Introduction: Anxiety and depression are of common symptoms in patients with irritable bowel syndrome. Mindfulness-based cognitive therapy can be one of the effective interventions to reduce anxiety and depression. The aim of this study was to determine the efficacy of mindfulness-based cognitive therapy on anxiety and depression in patients suffering from irritable bowel syndrome.
Materials and Methods: This research was an educational clinical trial study and the study population consisted of patients with irritable bowel syndrome referring to Kermanshah health centers.  After compliance with the Rome-III diagnostic criteria and completed the Beck Anxiety Inventory and Beck depression Inventory, 40 patients was selected and randomly assigned in experimental and control groups (20 patients for each group). At the end of 8 sessions of cognitive therapy based on mind-consciousness for experimental group the post-test data was collected and analyzed by covariance analysis.
Results: Findings of this study indicated that mindfulness therapy had a significant effect on reducing depression in patients with irritable bowel syndrome (p=0.000, F=19.99). Although this intervention had a positive effect on anxiety but it was not significant (F=0.011, p=0.918).
Conclusion: Depression in patients with irritable bowel syndrome may be relieved by mindfulness-based cognitive therapy. Modification of this technique is possible able to reduce the severity of anxiety in these patients.

کلیدواژه‌ها [English]

  • Irritable bowel syndrome
  • Anxiety
  • depression
  • Mindfulness-based cognitive therapy
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