Journal of Isfahan Medical School

Journal of Isfahan Medical School

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

Document Type : Original Article (s)

Authors
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
10.22122/jims.v38i588.12305
Abstract
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.
Keywords
Compassion
Psychotherapy
Irritable Bowel Syndrome
Psychological stress
  1. Hayat Bakhsh Abbasi M, Safizadeh H, Zahedi M, Darvish Moghadam S, Shafiei pour S, Mohammad Bagheri Rafsanjani A, Mohammad Bagheri Rafsanjani N. Assessment of quality of life in patients with irritable bowel syndrome: a cross – sectional study in south – east Iran. Govaresh 2016; 20: 243-9.[in Persian]
  2. Fedorak RN, Vanner SJ, Paterson WG, Bridges RJ. Canadian Digestive Health Foundation Public Impact Series 3: Irritable bowel syndrome in Canada. Incidnce, prevalace and direct and indirect economic impact. Canadian Journal of Gastroenterology and Hepatology 2012;26(5):252-6.
  3. Iri R, Sheeikhesmaeili F, Fattahi N, Reshadat R, Saeidi B, Shahabbaspoor Z, et al. Epidemiological study of irritable bowel syndrome and its related factors in sanandaj from 2013 to 2014: a population-based study. Scientific Journal of Kurdistan University of Medical Sciences 2017; 87(23):61-71.
  4. Khoshsorour S. The effect of neurofeedback in decreasing anxiety and symptom severity of patients with irritable bowel syndrome(IBS). Urmia Med J 2018; 28(10):1027-3727. [in Persian]
  5. Ghorbani Taghlidabad B, Tasbihsazan Mashhadi R. The relationship between cognitive emotion regulation mechanisms and lifestyle with perceived stress in patients with irritable bowel syndrome. Journal of Thought & Behavior in Clinical Psychology 2016; 10(39):17-26. [in Persian]
  6. Azizi A, Mohammadi J. Effectiveness of dialectical group behavior therapy on perceived stress and depression in patients with irritable bowel syndrome. Journal of Ardabil University of Medical Sciences 2016; 16(1):95-104. [in Persian]
  7. Radmehr P, Yousefvand L. The investigating rate of mindfulness-based cognitive therapy in reduces perceived stress and increase life expectancy in women suffering coronary artery disease. Iran J Health Educ Health Promot 2017; 5(3):164-172. [in Persian]
  8. Reme SE, Kennedy T, Jones R, Darnley S, Chalder T. Predictors of treatment outcome after cognitive behavior therapy and antispasmodic treatment for patients with irritable bowel syndrome in primary care. J Psycho Res 2010; 68:385-8.
  9. Chilcot J, Moss-Morris R. Changes in illness-related cognitive rather than distress mediate improvement in irritable bowel syndrome(IBS) symptoms and disability following a brief cognitive-behavioral therapy intervention. Behave Res Ther 2013;51:690-95.
  10. Lotfi Kashani F, Behzadi S, Yari M. The efficacy of cognitive-behavior group therapy on quality of life and anxiety among patients with irritable bowel syndrome. Medical Sciences 2013; 22(4):301-306. [in Persian]
  11. Pourmohseni-Koluri P, Eslami F. The effectiveness of group cognitive therapy based on mindfulness on mental health and quality of life of patients with irritable bowel syndrome. Health Psychology 2017; 15(20):5-24. [in Persian]
  12. Hashemi F, Gorji Y. Effectiveness of group mindfulness based stress reduction consultation of severity of physical symptoms in women with irritable bowel syndrome. Medical-Surgical Nursing Journal 2016; 5(1):32-39. [in Persian]
  13. Ljotsson B, Andreewitch S, Hedman E, Ruck C, Andersson G, Lindefors N. Exposure and mindfulness based therapy for irritable bowel syndrome-an open pilot study. J Behav Ther Exp Psychiatry 2010; 41(3):185-190.
  14. Ramezani S, Alipour A, Elmimamesh N. Effectiveness Emotional Freedom Techniques(EFT) on stress of women 15. Gilbert P. Compassion focused therapy. The Beginners Guide to Counselling & Psychothrapy 2015, 127.with irritable bowel syndrome (IBS). Journal Management System 2019; 13(52):103-120. [in Persian]
  15. Gilbert P. The origins and nature of compassion focused therapy. British Journal of Clinical Psychology 2014; 53(1):6-41.
  16. Irons C, Lad S. Using compassion focused therapy to work with shame and self criticism in complex truma. Australian Clinical Psychologist 2017; 3(1):47-54.
  17. Heriot-Maitland C, Vidal JB, Ball S, Irons C. A compassionate-focused therapy group approach for acute inpatients: Feasibility, initial pilot outcome data, and recommendations. British Journal of Clinical Psychology 2012; 53(1), 78-94.
  18. Ali Ghanavati S, Bahrami F, Godarzi K, Rozbahani M. Effectiveness of compassion-based therapy on rumination and concern of women with breast cancer. Health Psychology 2018; 7(3):152-168. [in Persian]
  19. Salimi A, Arsalandeh F, Zahrakar K, Davarniya R, Shahkarami M. The effectiveness of compassion-focused therapy on mental health of women with multiple sclerosis. Horizon of Medical Sciences 2018; 24(2):125-131. [in Persian]
  20. Anvari MH, Ebrahimi A, Neshatdoost HT, Afshar H, Abedi A. The Effectiveness of Group-Based Acceptance and Commitment Therapy on Pain-Related Anxiety, Acceptance of Pain and Pain Intensity in Patients with Chronic Pain. J Isfahan Med Sch 2014; 32(295): 1156-65.[in Persian]
  21. Rezaeian M, Ebrahimi A, Zargham M. The Effect of Acceptance and Commitment Therapy on Catastrophic and Disabling Pain in Chronic Pelvic Pain in Females.J Res Cog beh sce 2015;(4):2,17-30. [in Persian]
  22. Brahler C, Gumley A, Harper J, Wallace S, Norrie J, Gillbert P. Exploring change processes in compassion focused therapy in psychosis: results of a feasibility randomized controlled trial. Br J ClinPsychol 2013; 52(2):199-214.
  23. Gilbert P. Introducing Compassion-focused therapy. Advances in Psychiatric Treatment 2009; 15(3):199-208.
  24. Abolghasemi A. Relation between resiliency, stress, self efficiency with life satisfaction among student with high and low academic achievement. Journal of Psychological Studies 2011; 7(3):131-51. [in Persian]
  25. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav 1983; 24(4): 385-96.
  26. Moghadam M, Rashidzadeh S, Shamsalizadeh N, Fallahi B. The impact of stress management training on the coping style and perceived stress in medical students. SJKU 2014; 19(3):52-60. [in Persian]
  27. Ghator Z, Pouryahya SM, Davarniya R, Salimi A, Shakarami M. The effect of compassion focused therapy(CFT) on Resiliency of women with multiple sclerosis(MS). Armaghane-danesh 2018; 23(3):350-363. [in Persian]
  28. Thaddeus WWP, Lobsang TN, Daniel DA, Steven PC, Teresa IS, Timothy DB, Michael JI, Charles LR. Export citations relevance all access types effect of compassion meditation on neuroendocrine, innate immune and behavioral responses to psychosocial stress. Psychoneuroendocrinology 2009; 34(1):87-98.
  29. Neff KD,Germer CK. A pilot study and randomized controlled trial of the mindfull self compassion program. J Clin Psychol 2013; 69(1):28-44.
  30. Hewett ZL, Ransdell LB, Gao Y, Petlichkoff LM, Lucas SH. An examination of the effectiveness of an 8 week bikram yoga program on mindfulness perceived stress and psysical fitness. J Exerc Sci Fit 2011; 9(2):87-92.
Journal of Isfahan Medical School
Volume 38, Issue 588 - Serial Number 588
July and August 2020
Pages 602-608

  • Receive Date 23 September 2019
  • Accept Date 06 April 2022