Can Mindfulness-Based Cognitive Therapy Reduce the Symptoms of Irritable Bowel Syndrome in Women?
Keywords:Irritable bowel syndrome, Physical symptoms, Psychological symptoms, Mindfulness-based cognitive therapy
Background: Irritable bowel syndrome (IBS) is a functional disorder of the lower gastrointestinal (GI) tract caused by stress, which may benefit from a biopsychosocial treatment such as mindfulness-based cognitive therapy (MBCT). The thrust of the study was to examine the efficacy of MBCT on physical and psychological symptoms of women who suffered from IBS. It was hypothesized that MBCT patients would experience greater reduction in overall IBS symptoms in comparison to control patients.
Methods: This survey was conducted in Isfahan, Iran, to investigate the impact of MBCT on a group of Iranian women diagnosed with IBS. In this quasi-experimental study 20 women with the diagnosis of IBS were randomly and equally assigned to experimental and control groups. Severity of IBS was measured by the IBS Severity Scoring System (IBS-SSS) while the patients' psychopathology was assessed by Symptom Checklist 90-R (SCL-90-R). The experimental group was exposed to 8 sessions of MBCT on a weekly basis; each session lasting 90 minutes. Data were analyzed using SPSS software and MANCOVA.
Results: A significant reduction was noted in anxiety, depression, and somatization symptoms after the intervention and in anxiety and obsessiveâ€“compulsive disorder (OCD) at follow-up (p < 0.05). However, during the follow-up there was no significant progress in the level of somatization and depression. Apparently our treatment modality did not have any impact on the severity of physical symptoms.
Conclusion: Psychological symptoms of IBS can be managed largely with the help of MBCT, resulting in the promotion of mental health in women afflicted by this disorder.
Baer RA. (2003). Mindfulness training as a clinical intervention: a conceptual and empirical review. Science and Practice, 10(2), 125-143.
Barnhofer, T., Crane, C., Hargus, E., Amarasinghe, M., Winder, R., & Williams, J. M. (2009). Mindfulness-based cognitive therapy as a treatment for chronic depression: A preliminary study. Behav Res Ther, 47(5), 366-373. doi:S0005-7967(09)00033-3 [pii];10.1016/j.brat.2009.01.019 [doi]. Retrieved from PM:19249017
Brandt LJ, Chey WD, Foxx-Orenstein AE, Chiller LR, Schoenfeld PS, Spiegel BM et al. (2009). An evidence-based position statement on the management of irritable bowel syndrome. Am J Gastroenterol, 104(Supple 1), 8-35.
Drossman, D. A., Creed, F. H., Olden, K. W., Svedlund, J., Toner, B. B., & Whitehead, W. E. (1999). Psychosocial aspects of the functional gastrointestinal disorders. Gut., 45(Suppl 2), II25-II30. Retrieved from PM:10457041
Evans, S., Ferrando, S., Findler, M., Stowell, C., Smart, C., & Haglin, D. (2008). Mindfulness-based cognitive therapy for generalized anxiety disorder. J Anxiety.Disord., 22(4), 716-721. doi:S0887-6185(07)00156-9 [pii];10.1016/j.janxdis.2007.07.005 [doi]. Retrieved from PM:17765453
Foley, E., Baillie, A., Huxter, M., Price, M., & Sinclair, E. (2010). Mindfulness-based cognitive therapy for individuals whose lives have been affected by cancer: a randomized controlled trial. J Consult.Clin Psychol, 78(1), 72-79. doi:2010-00910-011 [pii];10.1037/a0017566 [doi]. Retrieved from PM:20099952
Francis, C. Y., Morris, J., & Whorwell, P. J. (1997). The irritable bowel severity scoring system: a simple method of monitoring irritable bowel syndrome and its progress. Aliment.Pharmacol.Ther, 11(2), 395-402. Retrieved from PM:9146781
Gaylord, S. A., Palsson, O. S., Garland, E. L., Faurot, K. R., Coble, R. S., Mann, J. D. et al. (2011). Mindfulness training reduces the severity of irritable bowel syndrome in women: results of a randomized controlled trial. Am J Gastroenterol, 106(9), 1678-1688. doi:ajg2011184 [pii];10.1038/ajg.2011.184 [doi]. Retrieved from PM:21691341
HillilÃ¤ M. (2010). Irritable bowel syndrome in the general population : epidemiology, comorbidity and societal costs. [Thesis]. Helsinki, Finland: University of Helsinki.
Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. J Consult.Clin Psychol, 78(2), 169-183. doi:2010-05835-004 [pii];10.1037/a0018555 [doi]. Retrieved from PM:20350028
Kaviani H, Javaheri F, & Bahyraei H. (2005). The effectiveness of mindfulness-based cognitive therapy in reducing negative thoughts, dysfunctional attitudes, depression and anxiety: a 60-day follow up. Adv Cogn Sci 7(1), 49-59. [In Persian].
Ladep, N. G., Obindo, T. J., Audu, M. D., Okeke, E. N., & Malu, A. O. (2006). Depression in patients with irritable bowel syndrome in Jos, Nigeria. World.J Gastroenterol, 12(48), 7844-7847. Retrieved from PM:17203531
Masomi F. (2011). The survey on the effectiveness of mindfulness training on reduction of depression and anxiety of students in Mahalat. [Thesis]. Isfahan, Iran: Isfahan University. [In Persian].
Moghtadaei K, Kafi M, Afshar H, Ariapouran S, Daghaghzadeh H, & Pourkazem T. (2013). Effectiveness of mindfulness-based cognitivegroup therapy on somaticsymptoms inwomen withirritable bowel syndrome. J Res Behav Sci, 10(7), 698-708. [In Persian].
Singh NN, Wahler RG, Winton ASW, & Adkins AD. (2004). A mindfulness-based treatment of obsessive-compulsive disorder. Clinical Case Studies -, 3(4), 275-287.
Spiller, R., Aziz, Q., Creed, F., Emmanuel, A., Houghton, L., Hungin, P. et al. (2007). Guidelines on the irritable bowel syndrome: mechanisms and practical management. Gut., 56(12), 1770-1798. doi:gut.2007. 119446 [pii]; 10.1136/gut.2007.119446 [doi]. Retrieved from PM:17488783
Sun Cho, H., Myung Park, J., Hyun Lim, C., Kyung Cho, Y., Seok Lee, I., Wookim, S., et al. (2011). Anxiety, depression, and quality of life in patients with irritable bowel syndrome, Gut and Liver, 5(1), 29-36.
Tosic-Golubovic, S., Miljkovic, S., Nagorni, A., Lazarevic, D., & Nikolic, G. (2010). Irritable bowel syndrome, anxiety, depression and personality characteristics. Psychiatr.Danub., 22(3), 418-424. Retrieved from PM:20856185
Zernicke, K. A., Campbell, T. S., Blustein, P. K., Fung, T. S., Johnson, J. A., Bacon, S. L. et al. (2013). Mindfulness-based stress reduction for the treatment of irritable bowel syndrome symptoms: a randomized wait-list controlled trial. Int.J Behav Med, 20(3), 385-396. doi:10.1007/s12529-012-9241-6 [doi]. Retrieved from PM:22618308
Zomorod S, Rasoulzadeh Tabatabaei SK, Arbabi M, Ebrahimi Daryani, N., & Fallah PA. (2013). Comparison of the effectiveness of cognitive behavior therapy and mindfulness based therapy on the decrease in symptoms of patients who suffer from irritable bowel syndrome. Govaresh, 18(2), 88-94.
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