Effect of writing based on self-compassion on body image and psychological distress among women with systemic lupus erythematosus: a randomized clinical trial.

IF 2.5 Q3 RHEUMATOLOGY
Kimya Amouei, Arpi Manookian, Seyedeh Tahereh Faezi, Leila Sayadi
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引用次数: 0

Abstract

Background: Women with systemic lupus erythematosus (SLE) are at risk for body image (BI) disturbances and its resultant psychological distress (PD). The aim of this study was to examine the effects of self-compassion (SC)-based writing on BI and PD among women with SLE.

Methods: In this randomized clinical trial, which was done in 2022-2023, 86 women with SLE were selected and randomly allocated to an intervention group (IG) and a control group (CG). Participants in the IG were instructed to engage in SC-based writing that emphasized the concepts of common humanity, mindfulness, and self-kindness. Six blank pages were provided, each featuring a question related to self-compassion for participants to address. Conversely, the CG was also provided with papers and asked to respond to questions that were unrelated to SC. Data were collected before, immediately after, and one month after the intervention (T1-T3) using a demographic and clinical characteristics questionnaire, the SLE Disease Activity Index, the Body Image Lupus Scale(BILS), the Depression Anxiety Stress Scale, the Self-Compassion Scale, and the Body Image Quality of Life Inventory(BIQLI). The SPSS software (v. 22.0) was employed for data analysis.

Results: Groups did not significantly differ from each other respecting baseline demographic and clinical characteristics and baseline mean scores of the main study outcomes. However, there were significant between-group differences respecting the mean scores of BI (P = 0.028), stress (P = 0.003), anxiety (P = 0.003), and SC (P < 0.001) at T2 and the mean scores of stress (P = 0.023), anxiety (P = 0.029), and SC (P < 0.001) at T3. Moreover, between-group differences respecting the other study outcomes at T2 and T3 were insignificant (P > 0.05).

Conclusions: SC-based writing significantly increases SC among women with SLE. Patients may be encouraged to engage in SC-based writing through education about this technique. Investigating alternative strategies or implementing the intervention at different time intervals may be beneficial for improving the BILS, PD, and BIQLI.

Trial registration: This study was registered in the Iranian Registry of Clinical Trials in February 14, 2022 (code: IRCT20220107053656N1).

基于自我同情的写作对系统性红斑狼疮女性身体形象和心理困扰的影响:一项随机临床试验
背景:患有系统性红斑狼疮(SLE)的女性有身体形象(BI)障碍及其产生的心理困扰(PD)的风险。本研究旨在探讨以自我同情(SC)为基础的写作对SLE女性BI和PD的影响。方法:在这项于2022-2023年进行的随机临床试验中,选择86名SLE女性,随机分为干预组(IG)和对照组(CG)。IG的参与者被要求进行以sc为基础的写作,强调共同人性、正念和自我仁慈的概念。提供了六张空白页,每张空白页上都有一个与自我同情有关的问题供参与者回答。相反,研究人员也向受试者提供了论文,并要求他们回答与SC无关的问题。在干预前、干预后和干预后1个月(T1-T3),使用人口统计学和临床特征问卷、SLE疾病活动指数、身体形象狼疮量表(BILS)、抑郁焦虑压力量表、自我同情量表和身体形象生活质量量表(BIQLI)收集数据。采用SPSS软件(v. 22.0)进行数据分析。结果:各组之间在基线人口学特征和临床特征以及主要研究结果的基线平均得分方面无显著差异。然而,在BI (P = 0.028)、应激(P = 0.003)、焦虑(P = 0.003)和SC (P = 0.05)的平均得分方面,组间差异有统计学意义。结论:基于SC的书写可显著增加SLE女性的SC。通过对这种技术的教育,可以鼓励患者进行基于sc的写作。研究替代策略或在不同的时间间隔实施干预可能有助于改善BILS、PD和BIQLI。试验注册:本研究于2022年2月14日在伊朗临床试验注册中心注册(代码:IRCT20220107053656N1)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMC Rheumatology
BMC Rheumatology Medicine-Rheumatology
CiteScore
3.80
自引率
0.00%
发文量
73
审稿时长
15 weeks
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