迈向接受和价值观:对IBD进行ACT的定性研究与IBD心理教育相比
Kathryn Wilkin1, Subhadra Evans1, Leesa Van Niekerk2
1School of Psychology, Deakin University, Geelong, Melbourne, VIC, Australia.
Journal of clinical psychology in medical settings
|February 12, 2024
概括
这项研究检查了患者在炎症性肠病 (IBD) 和心理健康状况下接受和承诺疗法 (ACT) 混合干预的经验. 结果表明,ACT模块有效地减少了痛苦,而精神教育肯定了应对策略.
科学领域:
- 胃肠病学 胃肠病学
- 心理学 心理学 心理学
- 临床试验 临床试验
背景情况:
- 炎症性肠病 (IBD) 经常与焦虑和抑郁症同时发生.
- 心理干预对于管理IBD并发症至关重要.
研究的目的:
- 探索患者对混合接受和承诺疗法 (ACT) 干预IBD与并发性焦虑/抑郁症的患者观点.
- 为了比较ACT干预和主动对照 (精神教育) 之间的经验.
主要方法:
- 在随机对照试验 (RCT) 中嵌入的定性研究.
- 干预后和3个月后进行的半结构面试.
- 用于解释的反思性主题分析.
主要成果:
- 七个主题出现了,包括像"我值得倡导"和"当前时刻是我最大的盟友"这样的共同主题.
- ACT组的主题集中在症状接受和基于价值的行动上.
- 积极控制组的主题强调了"重置和刷新"和"说不行是可以的".
- 人们认为ACT模块对减少心理痛苦有好处.
结论:
- 混合ACT干预措施在治疗IBD患者的心理痛苦方面表现有前途.
- 心理教育可以肯定现有的应对机制.
- 建议通过外部资源和网络来加强与自主导的模块的接触.
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