اثربخشی طرح‌وارۀ درمانی هیجانی بر شدت و فراوانی علائم جسمی و کیفیت‌ زندگی بیماران مبتلا به سندرم رودۀ تحریک‌پذیر

نویسندگان

1 دانشجوی کارشناسی ارشد روانشناسی بالینی دانشگاه علوم پزشکی تهران، تهران، ایران

2 استاد گروه روانپزشکی دانشگاه علوم پزشکی تهران ، ایران

3 دکترای تخصصی روانشناسی بالینی، استادیار گروه روانپزشکی، دانشگاه علوم پزشکی تهران، تهران، ایران

4 استاد بخش گوارش، گروه بیماریهای داخلی، مرکز تحقیقات جامع نگر عملکرد گوارش، دانشگاه علوم پزشکی اصفهان، اصفهان،

چکیده

مقدمه و هدف: در فرایند درمان و پیشگیری از بیماری‌های سایکوسوماتیک، حالت‌های هیجانی مثبت و منفی از مهم‌ترین عوامل می‌باشند. این پژوهش با هدف بررسی اثربخشی طرح‌وارۀ درمانی هیجانی بر شدت و فراوانی علائم جسمی و کیفیت ‌زندگی بیماران مبتلا به سندرم رودۀ تحریک‌پذیر اجرا شد.


مواد و روش‌ها: پژوهش حاضر در چهارچوب طرح‌های تجربی تک‌آزمودنی با استفاده از طرح خطوط پایۀ چندگانۀ پلکانی اجرا شد. براساس میزان تمایل به شرکت در پژوهش، پنج بیمار مبتلا به IBS به‌صورت نمونه‌گیری در دسترس انتخاب شده و طرح‌وارۀ درمانی هیجانی دریافت کردند. ابزار پژوهش شامل مقیاس ROMEIII، مصاحبۀ SCID، مقیاس فراوانی و شدت علائم IBS و پرسش‌نامۀ کیفیت زندگی بود. تحلیل داده‌ها با استفاده از نمودار تحلیل دیداری، درصد بهبودی و شاخص تغییر پایا انجام شد.


نتایج: نتایج نشان داد بیمارانی که طرح‌وارۀ درمانی هیجانی دریافت کردند، در شدت علائم کاهش داشته و در متغیر کیفیت زندگی افزایش داشتند (05/0≥p < /span>). همچنین این درمان بر فراوانی علائم IBS اثر نداشت (05/0<p < /span>).


نتیجه‌گیری: باتوجه‌به اینکه طرح‌وارۀ درمانی هیجانی، در بهبود کیفیت زندگی و شدت علائم IBS مؤثر است، به‌نظر می‌رسد گزینۀ مناسبی برای درمان این بیماران است.

کلیدواژه‌ها


عنوان مقاله [English]

The effectiveness of emotional schema therapy on the severity and frequency of physical symptoms and life quality of patients with irritable bowel syndrome: single-subject design

چکیده [English]

Background and Objective: Positive and negative emotional states are of the most important factors in the process of treatment and prevention of psychosomatic diseases. This research aimed to investigate the effectiveness of emotional schemas therapy on the severity and frequency of physical symptoms and life quality of patients with irritable bowel syndrome (IBS).


Materials and Methods: This research was implemented in the framework of single-subject experimental design by using of stepwise multiple-baselines plan. Five patients with IBS were selected as convenience sampling on the base of the participation willingness of individuals to the research. Thereafter, they received emotional schema therapy. Research tools included ROMEIII scale, SCID interview, IBS symptoms frequency and severity scale and life quality questionnaire. The analysis of data was done using visual analysis charts, recovery percentage and reliable change index.


Results: the results showed patients that received emotional schema therapy detected decreased severity of symptoms and increased life quality variable (p<‌0.05). Also, the therapy has no effect on IBS symptoms frequency (p>0.05).


Conclusion: It seems emotional schemas therapy is an appropriate option for treatment of these patients because it is effective in improvement of life quality and IBS symptoms severity.

کلیدواژه‌ها [English]

  • Irritable bowel syndrome
  • Emotional schemas therapy
  • Quality of Life
  • Severity and frequency of symptoms
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