接受和承诺治疗与炎症性肠病和痛苦生活的成年人:一个随机对照试验
Colette Naude1, David Skvarc1, Bernadette Maunick1
1School of Psychology, Deakin University, Burwood/Geelong, Victoria, Australia.
接受和承诺疗法 (ACT) 在炎症性肠病 (IBD) 患者中改善了生活质量并减少了克罗恩病的活性. 无论是ACT还是心理教育计划都使患者受益,但ACT显示IBD护理的额外优势.
科学领域:
- 胃肠病学 胃肠病学
- 精神病学是一个精神病学.
- 健康心理学 心理健康心理学
背景情况:
- 炎症性肠病 (IBD) 与心理困扰有关.
- 心理治疗干预正在探索IBD.
- 接受和承诺疗法 (ACT) 是一种潜在的干预措施.
研究的目的:
- 为了比较ACT计划与IBD和心理困扰患者的精神教育计划的有效性.
- 评估对生物心理社会结果的影响.
主要方法:
- 120名患有IBD的成年人被随机分为ACT (n=61) 或主动对照 (n=59) 组.
- 这两个在线混合计划都涉及治疗师主导和参与者主导的会议.
- 线性混合模型分析了从基线到3个月后续对结果的变化.
主要成果:
- 与控制组相比,在ACT组中,与健康相关的生活质量显著改善.
- 在ACT组与对照组相比,克罗恩病的活动显著减少.
- 在ACT组中,焦虑和疼痛有所改善;在对照组中,性结肠炎活动和压力有所改善.
结论:
- 无论是ACT还是精神教育计划,都使IBD和痛苦患者受益.
- ACT对生活质量和克罗恩病活动有显著的附加益处.
- 在综合性IBD护理中,ACT可以作为一种有价值的辅助疗法.
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