正念认知疗法与神经反馈疗法对肠易激综合征患者生活质量的影响比较

Noura Khosh Chin Gol, B. Akbari, L. Moghtader, I. Shakerinia
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引用次数: 0

摘要

背景:肠易激综合征(IBS)是最常见的胃肠道疾病之一,通常伴有腹痛。本研究旨在比较正念和神经反馈对肠易激综合征患者生活质量的影响。材料与方法:本研究采用前测后测对照组设计,随访2个月。研究人群包括2019年到加兹温市胃肠病学中心和诊所就诊的所有肠易激综合征女性。采用方便抽样法将患者随机分为实验组和对照组各45例。实验组接受正念认知疗法(MBCT)和神经反馈疗法(NFB)。采用Rome-III诊断标准表和WHOQOLBREF。数据分析采用重复测量方差分析。结果:NFB组与对照组在总生活质量及各项指标上均有显著性差异。NFB组总生活质量评分与对照组比较,组间平均差值(MD)后测为21.2±2.58,随访为15.4±2.35 (P<0.05)。MBCT组一般健康分项在测试后(MD= 0.93±0.53)和随访时(MD=0.73±0.53)均与对照组有显著差异(P<0.05)。结论:在随访两个月后,NFB治疗显著改善了IBS患者的生活质量,而与对照组相比,MBCT仅对改善一般健康状况有效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of Mindfulness-Based Cognitive Therapy and Neurofeedback on Quality of Life of Patients With Irritable Bowel Syndrome
Background: Irritable Bowel Syndrome (IBS) is one of the most common gastrointestinal disorders and is usually associated with abdominal pain. This study aimed to compare the effectiveness of mindfulness and neurofeedback on quality of life in patients with irritable bowel syndrome. Materials & Methods: The present study was a pretest-posttest control group design with a two-month follow-up. The study population included all women with irritable bowel syndrome referred to gastroenterology centers and clinics of Qazvin city in 2019. Patients were selected by convenience sampling and randomly assigned into two experimental and one control groups (n=45). The experimental groups underwent Mindfulness-Based Cognitive Therapy (MBCT) and Neurofeedback (NFB). The Rome-III diagnostic criteria form and the WHOQOLBREF were administered. Data were analyzed using repeated measure analysis of variance. Results: There was significant difference between NFB and control group for total quality of life and all its components. The mean between-group difference (MD) of total quality of life score in NFB compared to control group was 21.2±2.58 in post-test and 15.4±2.35 in follow-up (P<0.05). MBCT group was significantly different with the control group in component of general health both in post-test (MD= 0.93±0.53) and follow-up (MD=0.73±0.53), (P<0.05). Conclusion: NFB therapy considerably improved the quality of life of patients with IBS that was remained after two months of follow-up, while MBCT was only effective on improvement of general health in comparison with the control group.
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