ABSTRACT
Background: Ulcerative colitis [UC] is a chronic inflammatory disease that because of its unknown and recurring nature can reduce the quality of life of the affected patients. The aim of this study was to investigate the effectiveness of mindfulness-based intervention on disease activity and quality of life in patients with UC
Materials and Methods: This was a clinical trial with control group. In this study, 32 patients with UC were selected through voluntary sampling. The experimental group underwent 10 sessions of 120 minutes of mindfulness-based cognitive therapy. For evaluating the efficacy of the treatment, the Lichtiger Colitis Activity Index [LCAI] and Crohn's and Ulcerative Colitis Questionnaire [CUCQ] were used
Results:The analysis of the results showed that difference between the two groups in terms of decreasing the severity of disease activity and increasing the quality of life was not statistically significant [p > 0.05], but increased quality of life in the experimental group was significant in terms of the three stages of evaluation [p < 0.05]
Conclusion: It can be stated that mindfulness-based interventions may be beneficial in improving physical symptoms and quality of life in patients with UC, which requires future studies, taking into account the limitations of this study
ABSTRACT
The Unified treatment approach [UP], an emotion-focused cognitive-behavioral therapy that holds emotional processes as a central target of treatment, is applicable for disorders with strong emotional components. The aim of this study was to examine the effectiveness of emotion regulation intervention derivative from the UP on emotional problems and quality of life among patients with functional gastrointestinal disorders. The study was a randomized clinical trial. Sixteen patients with functional gastrointestinal disorders were entered in treatment process, in term of the qualification criteria. The intervention was conducted in 12 group sessions during 2 hours. The tests of DASS and SF-36 was used to evaluate the efficiency of intervention. Data were analyzed using descriptive statistics and covariance analysis. The results of the covariance analysis showed that there was significant decrease in severity of depression [p<0.01], anxiety [p <0.05] and stress [p <0.01] and also significant increase in quality of life [p <0.01] in intervention group. Emotional regulation intervention on the basis of the UP was effective in decrease of severity of emotional symptoms [depression, anxiety, stress] and increase of quality of life patients with psychosomatic disorders. So, the UP, transdiagnostic therapy have proper efficacy in improvement emotional regulation and quality of life patients with functional gastrointestinal disorders
ABSTRACT
The purpose of this study was to determine reliability and construct validity of a Persian version of the Gastrointestitnal Symptoms Rating Scale [GSRS] in 2 samples of patients with functional gastrointestinal disorders [FGID] and healthy persons. The clinical sample consisted of 143 patients diagnosed with FGID who were referred to the Psychosomatic Disorders Clinic. Controls consisted of 108 healthy individuals [without digestive diagnoses] matched by age, gender marital and educational status. The results of the factor structure or construct validity that used the principal components analysis with varimax rotation was 4 factors of diarrhea, abdominal pain, constipation, and indigestion in patients with FGID, which showed a 61.53 variance. Among the 6 factors of indigestion, abdominal pain, constipation, and its dimensions were satisfactory with Cronbach-Alpha. The Persian version of the GSRS has favorable reliability and validity
Subject(s)
Humans , Gastrointestinal Diseases/diagnosis , Reproducibility of Results , Psychophysiologic DisordersABSTRACT
Alexithymia means disability in expressing emotions. It is reported in a wide range of psychiatric and medical disorders. This study was conducted to evaluate the relationship of alexithymia with depression and anxiety in psychiatric patients. In this descriptive correlational study, 81 patients [62 females and 19 males] which were referred to a governmental psychiatric clinic in Isfahan city, center of Iran, in 2008, were selected by available sampling method. Samples assessed by Toronto alexithymia scale and hospital anxiety and depression scale. Data were analyzed by descriptive indices, Pearson s correlation coefficient and regression analyses. Pearson s correlation coefficient showed that two dimensions of alexithymia including difficulty in identifying feelings [P=0,001] and difficulty in describing feelings [P<0.014] had significant direct correlation with depression and anxiety, while dimension of externally-oriented thinking was not correlated with depression and anxiety [P=0.96]. Regression analysis showed that dimensions of alexithymia could not predict variations of depression and anxiety. The relationship of alexithymia with depression and anxiety emphasizes its relationship with psychological vulnerability indicators