اثربخشی درمان شفقت محور (CFT) بر استرس ادراک شده‌ی بیماران مبتلا به سندرم روده‌ی تحریک پذیر: یک مطالعه‌ی تجربی

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 گروه روان‌شناسی بالینی، دانشکده‌ی روان‌شناسی و علوم تربیتی، واحد علوم و تحقیقات تهران (اصفهان)، دانشگاه آزاد اسلامی، اصفهان، ایران

2 دانشیار، گروه روان‌شناسی سلامت، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

3 دانشیار، مرکز تحقیقات گوارش و کبد، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقدمه: سندرم روده‌ی تحریک پذیر، یکی از شایع‌ترین اختلالات عملکردی گوارش است که استرس، نقش محوری در آن دارد. هدف از انجام پژوهش حاضر، بررسی اثربخشی درمان شفقت محور (Compassion-focused therapy یا CFT) بر استرس ادراک شده‌ی بیماران مبتلا به سندرم روده‌ی تحریک پذیر بود.روش‌ها: این پژوهش، در قالب یک طرح پژوهشی آزمایشی از نوع پیش‌آزمون- پس‌آزمون با گروه مورد و شاهد انجام شد. جامعه‌ی آماری شامل کلیه‌ی بیماران مبتلا به سندرم روده‌ی تحریک پذیر مراجعه کننده به مطب متخصصان گوارش و درمانگاه اختلالات عملکردی گوارش، مرکز تحقیقات روان‌تنی اصفهان بود. تعداد 30 نفر به روش نمونه‌گیری در دسترس از بیماران مبتلا به سندرم روده‌ی تحریک پذیر انتخاب شدند و به صورت تصادفی در دو گروه مورد و شاهد قرار گرفتند. گروه مورد، 8 جلسه‌ی 90 دقیقه‌ای درمان شفقت محور Gilbert را دریافت کردند و گروه شاهد تنها  تحت درمان دارویی معمول گوارش بودند. جهت اندازه‌گیری استرس ادراک شده، از مقیاس استرس ادراک Cohen (Perceived stress scale-14 items یا PSS-14) استفاده شد. داده‌ها با استفاده از نرم‌افزار SPSS و با روش ANCOVA تک متغیری و چند متغیری تحلیل شدند.یافته‌ها: درمان شفقت محور همراه با دارو، نسبت به درمان دارویی صرف، دارای اثربخشی بیشتری بر کاهش استرس ادراک شده‌ی بیماران مبتلا به سندرم روده‌ی تحریک پذیر می‌باشد و این تفاوت معنی‌دار است (010/0 > P، 031/5 = F).نتیجه‌گیری: از مداخله‌ی درمانی شفقت محور جهت کاهش استرس ادراک شده در بیماران سندرم روده‌ی تحریک پذیر در شهر اصفهان، می‌توان استفاده نمود و این راهکار درمانی، برای جمعیت ایرانی نیز توجیه پذیر است.

کلیدواژه‌ها

عنوان مقاله [English]

The Effectiveness of Compassion-Focused Therapy (CFT) on Perceived Stress in Patients with Irritable Bowel Syndrome; An Experimental Study

نویسندگان [English]

  • Maedeh Mazi 1
  • Amrollah Ebrahimi 2
  • Hamed Daghaghzadeh 3
  • Hassan Aghaee 1
1 Department of Clinical Psychology, School of Psychology and Educational Sciences, Islamic Azad University, Tehran (Isfahan) Science and Research Branch, Isfahan, Iran
2 Associate Professor, Department of Health Psychology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
3 Associate Professor, Gastroenterology and Liver Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]

Background: Irritable bowel syndrome (IBS) is one of the most common functional gastrointestinal disorders in which stress plays a central role. The aim of this study was to investigate the effectiveness of compassion-focused therapy (CFT) on severity of perceived stress in patients with IBS.Methods: The research was performed in the form of a pretest-posttest quasi-experimental design with control and experimental groups. Statistical population included all patients with IBS referred to the functional Gastroenterology Clinic of Psychosomatic Research Center of Isfahan University of Medical Sciences, Isfahan, Iran, in 2016. Based on the research purpose, 30 patients with IBS were selected through available sampling method, and then randomly divided into two equal experimental and control groups. CFT were held for the experimental group in 8 sessions that any session consisted of 90 minutes. Patients in control group were in waiting list, and they only received routine medical treatment. In order to assess perceived severity of stress, Cohen Perceived Stress Scale-14 items (PSS 14) was used. Data were analyzed using analysis of covariance (ANCOVA) method via SPSS software.Findings: CFT with medication had more effect on perceived stress reduction in patients with IBS than mere drug treatment (F =5.031; P < 0.01).Conclusion: CFT can be used to reduce perceived stress in patients with IBS, and this approach is justified for the Iranian population.

کلیدواژه‌ها [English]

  • Compassion
  • Psychotherapy
  • Irritable Bowel Syndrome
  • Psychological stress

مراجع

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مجله دانشکده پزشکی اصفهان
دوره 38، شماره 588 - شماره پیاپی 588
مهر و آبان 1399
صفحه 602-608

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سابقه مقاله

  • تاریخ دریافت: 01 مهر 1398
  • تاریخ بازنگری: 07 اردیبهشت 1403
  • تاریخ پذیرش: 17 فروردین 1401

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