A Comparative Study of Individual and Group Analytical Psychotherapy on Gastrointestinal Symptoms, Perceived Stress, and Perfectionism in IBS Patients
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Objective: A long-term functional problem of the digestive system is irritable bowel syndrome or IBS. This study compared how well individual psychoanalysis and analytical group therapy worked for gastrointestinal symptoms, perceived stress, and perfectionism in irritable bowel syndrome patients.
Methods and Materials: The present study was applied, and the experimental design was a pre-test, post-test, and follow-up with the control group. The study's statistical population included patients to medical centers in Tehran in 2019 with irritable bowel syndrome, among which 68 people were selected based on inclusion and exclusion criteria by available sampling method. Then, 25 subjects were randomly assigned to individual psychoanalysis (n=5), analytical group therapy (n=10) and control group (n=10). Data were obtained using Perceived Stress Scale (Cohen, Kamarak, and Marmalstein, 1983), multidimensional perfectionism scale (Hewitt, & Flett, 1996) and irritable bowel syndrome severity index (Patrick et al., 1998). Repeated measure ANOVA and SPSS.22 software were used for inferential analysis.
Findings: The results showed that the mean of perceived stress, severity of gastrointestinal symptoms, and perfectionism in the individual psychoanalysis group and the analytical group therapy were lower at the end of the post-test than the control group (p<0.01). However, there was no significant difference between individual psychoanalysis and analytic group therapy.
Conclusion: It can be concluded that both individual psychoanalysis and analytical group therapy approaches are effective on perfectionism, perceived stress, and the severity of gastrointestinal symptoms in IBS patients, and both of these therapies can be used to improve psychological problems in patients with irritable bowel syndrome.
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