The Effectiveness of Unified Treatment Approach on Quality of Life and Symptoms of Patients with Irritable Bowel Syndrome Referred to Gastrointestinal Clinics


  • Reza Johari-Fard Assistant Professor, Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
  • Raha Ghafourpour Clinical Psychologist, Rayan Psyclinic, Ahwaz, Iran



Unified treatment approach therapy, Quality of life, Symptoms


Background: Irritable bowel syndrome (IBS) is a functional disorder of the lower gastrointestinal tract caused by stress, and may benefit from a psychological intervention such as unified treatment approach. The aim of this study was to evaluate the effectiveness of unified treatment approach on the symptoms and quality of life (QOL) of patients with IBS.

Methods: The study population included all patients with IBS referred to gastrointestinal clinics of Ahwaz, Iran. Therefore, in a semi-experimental method, patients diagnosed with IBS were selected and underwent 8 2-hour group interventions. The data collection tools included Rome-III Diagnostic Criteria for Irritable Bowel Syndrome and the Irritable Bowel Syndrome Quality of Life (IBS-QOL) Questionnaires which were completed in three stages of pre-test, post-test, and follow-up. The collected data were analyzed using repeated measures MANCOVA in SPSS software.

Results: The results of repeated measures MANCOVA and the follow-up study indicated significant decrease in the scores of symptoms and significant increase in the scores of QOL.

Conclusion: According to the results of the present research, we can conclude that devising a treatment plan based on the unified treatment approach is effective in the increasing of QOL and decreasing of IBS symptoms.


Barlow, D.H., Ellard, K.K., Fairholme, C.P., Farchione, T.J., Boisseau, C.L. Allen, L.B. et al. (2011). The unified protocol for transdiagnostic treatment of emotional disorders: Client workbook. New York, NY: Oxford University Press.

Boisseau, C. L., Farchione, T. J., Fairholme, C. P., Ellard, K. K., & Barlow, D. H. (2010). The Development of the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders: A Case Study. Cogn Behav Pract., 17(1), 102-113. doi:10.1016/j.cbpra.2009.09.003 [doi]. Retrieved from PM:23997572

Brown, T. A., & Barlow, D. H. (2009). A proposal for a dimensional classification system based on the shared features of the DSM-IV anxiety and mood disorders: implications for assessment and treatment. Psychol Assess, 21(3), 256-271. doi:2009-12887-003 [pii];10.1037/a0016608 [doi]. Retrieved from PM:19719339

Ellard, K. K., Fairholme, C. P., Boisseau, C. L., Farchione, T. J., & Barlow, D. H. (2010). Unified protocol for the transdiagnostic treatment of emotional disorders: protocol development and initial outcome data. Cognitive and Behavioral Practice, 17(1), 88-101. Retrieved from

Farchione, T. J., Fairholme, C. P., Ellard, K. K., Boisseau, C. L., Thompson-Hollands, J., Carl, J. R. et al. (2012). Unified protocol for transdiagnostic treatment of emotional disorders: a randomized controlled trial. Behav Ther, 43(3), 666-678. doi:S0005-7894(12)00002-0 [pii];10.1016/j.beth.2012.01.001 [doi]. Retrieved from PM:22697453

Francis, K. (2011). Yoga therapy for irritable bowel syndrome (IBS). Ananda Seva Mission, 1(7), 91-94.

Gheshlaghi, S., & Khalilzad Behrouzian, S. (2011). Comparing personality traits and self-concept in patients with irritable bowel syndrome and healthy individuals. 4th International Conference of Psychosomatic; (pp. 1-13).

Haghayegh, S. A., Kalantari, M., Molavi, H., & Talebi, M. (2010). Efficacy of cognitive-behavior therapy on the quality of life of patients suffering from irritable bowel syndrome with predominant pain and diarrhea types. J Psychol, 14(1), 95-110.

Johari-Fard, R. (2011). An introduction of psychosomatic medicine. Ahvaz, Iran: Islamic Azad University Publication.

Lahmann, C., Rohricht, F., Sauer, N., Noll-Hussong, M., Ronel, J., Henrich, G. et al. (2010). Functional relaxation as complementary therapy in irritable bowel syndrome: a randomized, controlled clinical trial. J Altern.Complement.Med, 16(1), 47-52. doi:10.1089/acm.2009.0084 [doi]. Retrieved from PM:20064018

Lin, M. F., Hsu, M. C., Chang, H. J., Hsu, Y. Y., Chou, M. H., & Crawford, P. (2010). Pivotal moments and changes in the Bonny Method of Guided Imagery and Music for patients with depression. J Clin Nurs, 19(7-8), 1139-1148. doi:JCN3140 [pii];10.1111/j.1365-2702.2009.03140.x [doi]. Retrieved from PM:20492059

Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York, NY: Springer.

Mazaheri, M., Mohammadi, N., Daghaghzadeh, H., & Afshar, H. (2014). The effectiveness of emotion regulation intervention on emotional problems and quality of life among patients with functional gastrointestinal disorders. Govaresh, 19(2), 109-117.

Najarian Noosh-Abadi, A., Rezaei, O., & Ebrahimi-Daryani, N. (2014). The Relationship between sexual function and quality of life in patients with irritable bowel syndrome. Govaresh, 18(4), 216-223.

Sadock, B. J., & Sadock, V.A. (2007). Kaplan and Sadock's synopsis of psychiatry: Behavioral sciences/clinical psychiatry (10th ed.). Philadelphia, PA: Lippincott Williams and Wilkins.

Shoarinejad, A. (1996). The culture of behavioral sciences. Tehran, Iran: Amirkabir.

Solati Dehkordy, S. K., Kalantary, P., Adibi, M., & Afshar, H. (2009). Effect of relaxation with drug therapy on the psychological symptoms in patients with irritable bowel syndrome-diarrhea dominant (IBS-D). J Shahrekord Univ Med Sci, 11(3), 1-8.

Thompson, W. G. (2006). The road to rome. Gastroenterology, 130(5), 1552-1556. doi:S0016-5085(06)00546-4 [pii];10.1053/j.gastro.2006.03.011 [doi]. Retrieved from PM:16678568

Zomorodi, S., Rasoulzadeh Tabatabaei, S. K., Mohammad Arbabi, M., Ebrahimi Daryani, N., & Azad Fallah, P. (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), 8-94.




How to Cite

Johari-Fard, R., & Ghafourpour, R. (2015). The Effectiveness of Unified Treatment Approach on Quality of Life and Symptoms of Patients with Irritable Bowel Syndrome Referred to Gastrointestinal Clinics. International Journal of Body, Mind and Culture, 2(2), 85-94.



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