Comparison of the Effectiveness of Self-Efficacy-Based Training and Compassion-Focused Therapy on Depression, Self-Care Behaviors, and Quality of Life of Patients with Irritable Bowel Syndrome
Downloads
Background: Irritable bowel syndrome (IBS) is the most common gastrointestinal disease. The present study was conducted to compare the effectiveness of self-efficacy-based training and compassion-focused therapy on depression, self-care behaviors, and quality of life (QOL) of patients with IBS.
Methods: The present study was a quasi-experimental research with a pretest-posttest design and a control group. The statistical population consisted of all patients with IBS referred to Khorshid Hospital in Isfahan city, Iran, between September and November 2019. The study participants were 45 patients with IBS, who were randomly divided into 2 equal-sized groups of intervention and control. The data were collected using the Beck Depression Inventory (Beck, 1988), the Self-Care Questionnaire (Alizadeh Aghdam, Koohi, & Gholizadeh, 2016), and the Quality of Life Scale (Ware & Sherbourne, 1992). The collected data were analyzed using multivariate analysis of covariance (MANCOVA) in SPSS software.
Results: The results indicated that self-efficacy-based training and compassion-focused therapy positively affected depression (P < 0.001), self-efficacy behaviors (P < 0.001), and QOL (P < 0.001) of patients with IBS. However, compassion-focused therapy was more effective in the treatment of depression and the improvement of self-care behaviors and QOL than self-efficacy-based training (P < 0.001).
Conclusion: It can be concluded that compassion-focused therapy was more effective in the treatment of depression and the improvement of self-care behaviors and QOL than self-efficacy-based training.
Downloads
Alizadeh Aghdam, M. B., Koohi, K., & Gholizadeh, M. (2017). The relationship of Self-care and Health Literacy with Mental Health among Citizens of Tabriz City. Health Based Research, 2(4), 381-394.
Bai, Y. M., Su, T. P., Li, C. T., Tsai, S. J., Chen, M. H., Tu, P. C. et al. (2015). Comparison of pro-inflammatory cytokines among patients with bipolar disorder and unipolar depression and normal controls. Bipolar.Disord, 17(3), 269-277. doi:10.1111/bdi.12259 [doi]. Retrieved from PM:25257835
Beaumont, E., & Hollins Martin, C. (2016). Exploration of a training programme for student therapists that employs Compassionate Mind Training (CMT) to develop compassion for self and others. The Arts in Psychotherapy, 22, 5-13.
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). BDI-II manual. San Antonio, TX: The Psychological Corporation.
Belvederi, M. M., Respino, M., Innamorati, M., Cervetti, A., Calcagno, P., Pompili, M. et al. (2015). Is good insight associated with depression among patients with schizophrenia? Systematic review and meta-analysis. Schizophr.Res, 162(1-3), 234-247. doi:S0920-9964(15)00007-9 [pii];10.1016/j.schres.2015.01.003 [doi]. Retrieved from PM:25631453
Breines, J. G., Thoma, M. V., Gianferante, D., Hanlin, L., Chen, X., & Rohleder, N. (2014). Self-compassion as a predictor of interleukin-6 response to acute psychosocial stress. Brain.Behav Immun., 37 , 109-114. doi:S0889-1591(13)00537-0 [pii];10.1016/j.bbi.2013.11.006 [doi]. Retrieved from PM:24239953
Collins, R. N., Gilligan, L. J., & Poz, R. (2018). The Evaluation of a Compassion-Focused Therapy Group for Couples Experiencing a Dementia Diagnosis. Clin Gerontol., 41(5), 474-486. doi:10.1080/07317115.2017.1397830 [doi]. Retrieved from PM:29227742
Feliu-Soler, A., Pascual, J. C., Elices, M., Martin-Blanco, A., Carmona, C., Cebolla, A. et al. (2017). Fostering Self-Compassion and Loving-Kindness in Patients With Borderline Personality Disorder: A Randomized Pilot Study. Clin Psychol Psychother., 24(1), 278-286. doi:10.1002/cpp.2000 [doi]. Retrieved from PM:26818533
Fischer, A., Schroder, J., Vettorazzi, E., Wolf, O. T., Pottgen, J., Lau, S. et al. (2015). An online programme to reduce depression in patients with multiple sclerosis: a randomised controlled trial. Lancet.Psychiatry, 2(3), 217-223. doi:S2215-0366(14)00049-2 [pii];10.1016/S2215-0366(14)00049-2 [doi]. Retrieved from PM:26359900
Gilbert, P. (2009). Introducing compassion-focused therapy. Advances in psychiatric treatment, 15(3), 199-208.
Jafari, H., Lahsaeizadeh, S., Jafari, P., & Karimi, M. (2008). Quality of life in thalassemia major: reliability and validity of the Persian version of the SF-36 questionnaire. J Postgrad.Med, 54(4), 273-275. doi:10.4103/0022-3859.41432 [doi]. Retrieved from PM:18953145
Kauric-Klein, Z., Peters, R. M., & Yarandi, H. N. (2017). Self-Efficacy and Blood Pressure Self-Care Behaviors in Patients on Chronic Hemodialysis. West J Nurs Res, 39(7), 886-905. doi:0193945916661322 [pii];10.1177/0193945916661322 [doi]. Retrieved from PM:27456461
Kelly, A. C., & Carter, J. C. (2015). Self-compassion training for binge eating disorder: a pilot randomized controlled trial. Psychol Psychother., 88(3), 285-303. doi:10.1111/papt.12044 [doi]. Retrieved from PM:25330466
Lee, Y. J., Shin, S. J., Wang, R. H., Lin, K. D., Lee, Y. L., & Wang, Y. H. (2016). Pathways of empowerment perceptions, health literacy, self-efficacy, and self-care behaviors to glycemic control in patients with type 2 diabetes mellitus. Patient.Educ.Couns., 99(2), 287-294. doi:S0738-3991(15)30058-6 [pii];10.1016/j.pec.2015.08.021 [doi]. Retrieved from PM:26341940
Lewis, J. D., Chen, E. Z., Baldassano, R. N., Otley, A. R., Griffiths, A. M., Lee, D., et al. (2015)Inflammation, antibiotics, and diet as environmental stressors of the gut microbiome in pediatric Crohn’s disease. Cell Host & Microbe, 18(4), 489-500.
Manzari Tavakkoli, F. (2016 May 19). Examining the effects of self-compassion-focused group therapy on university students' depression and anxiety levels. Proceedings of the World Conference on Psychology and Educational Sciences, Law and Social Sciences at the beginning of the Third Millennium; Shiraz, Iran.
Mohammad-Khani, P., Dobson, K. S., Massah-Choolaby, O., & Asari, S. (2011). Determining the Role of Gender in Relation between Sexual Desire and Quality of Life in Patients with Major Depression. J Rehab, 12(1), 27-33.
Noorbala, F., Borjali, A., & Noorbala, A. A. (2013). The interactive effects of self-compassion and rumination of depressed patients on compassion-focused therapy. Daneshvar Med, 20(104), 77-84.
North, C. S., Hong, B. A., & Alpers, D. H. (2007). Relationship of functional gastrointestinal disorders and psychiatric disorders: implications for treatment. World J Gastroenterol., 13(14), 2020-2027. doi:10.3748/wjg.v13.i14.2020 [doi]. Retrieved from PM:17465442
Pinto, C., Lele, M. V., Joglekar, A. S., Panwar, V. S., & Dhavale, H. S. (2000). Stressful life-events, anxiety, depression and coping in patients of irritable bowel syndrome. J Assoc.Physicians.India., 48(6), 589-593. Retrieved from PM:11273536
Rao, S. S., Yu, S., Fedewa, A. (2015). Systematic review: Dietary fibre and FODMAP‐restricted diet in the management of constipation and irritable bowel syndrome. Alimentary pharmacology & therapeutics, 41(12), 1256-70.
Rodriguez Vazquez, S. (2018 Nov 28-30). A Self-efficacy Approach to Assess the Effectiveness of Web Localisation and Accessibility Training. Proceedings of the 1st International Conference on Translation and Cultural Sustainability: Foundations, Fundamentals and Applications. Salamanca, Spain.
Ross, S., Bossis, A., Guss, J., Agin-Liebes, G., Malone, T., Cohen, B. et al. (2016). Rapid and sustained symptom reduction following psilocybin treatment for anxiety and depression in patients with life-threatening cancer: a randomized controlled trial. J Psychopharmacol., 30(12), 1165-1180. doi:0269881116675512 [pii];10.1177/0269881116675512 [doi]. Retrieved from PM:27909164
Shiralinia, K., Cheldavi, R., & Amanelahi, A. (2018). The effectiveness of compassion-focused psychotherapy on depression and anxiety of divorced women. Journal of Clinical Psychology, 10(1), 9-20.
Tap, J., Derrien, M., Tornblom, H., Brazeilles, R., Cools-Portier, S., Dore, J. et al. (2017). Identification of an Intestinal Microbiota Signature Associated With Severity of Irritable Bowel Syndrome. Gastroenterology., 152(1), 111-123. doi:S0016-5085(16)35174-5 [pii];10.1053/j.gastro.2016.09.049 [doi]. Retrieved from PM:27725146
Ware, J. E., Jr., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care, 30(6), 473-483. Retrieved from PM:1593914
Woda, A., Belknap, R. A., Haglund, K., Sebern, M., & Lawrence, A. (2015). Factors influencing self-care behaviors of African Americans with heart failure: a photovoice project. Heart.Lung., 44(1), 33-38. doi:S0147-9563(14)00331-8 [pii];10.1016/j.hrtlng.2014.09.001 [doi]. Retrieved from PM:25444769
Woelber, J. P., Spann-Aloge, N., Hanna, G., Fabry, G., Frick, K., Brueck, R. et al. (2016). Training of Dental Professionals in Motivational Interviewing can Heighten Interdental Cleaning Self-Efficacy in Periodontal Patients. Front.Psychol, 7, 254. doi:10.3389/fpsyg.2016.00254 [doi]. Retrieved from PM:26941698
Copyright (c) 2021 International Journal of Body, Mind and Culture
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
