Emotional awareness and expression training improves irritable bowel syndrome: A randomized controlled trial.
Emotional awareness and expression training improves irritable bowel syndrome: A randomized controlled trial.
复制标题
情绪意识和表达训练可改善肠易激综合症：一项随机对照试验。
DOI：
10.1111/nmo.13143
复制
发表时间：
2017
影响因子：
3.5
通讯作者：
Lumley,MA
中科院分区：
文献类型：
--
作者：
Thakur,ER;Holmes,HJ;Lockhart,NA;Carty,JN;Ziadni,MS;Doherty,HK;Lackner,JM;Schubiner,H;Lumley,MA
背景目前的临床指南确定了几种肠易激综合征（IBS）的心理治疗方法。然而，IBS患者的创伤、生活压力、关系冲突和情绪回避都很高，很少有治疗直接针对这些问题。我们测试了情绪意识和表达训练（EAET）的效果相比，以证据为基础的比较条件放松训练和waitlist control condition.MethodsAdults IBS（N=106; 80%女性，平均年龄=36岁）被随机分配到EAET，放松训练，或waitlist控制。EAET和放松训练均在三次每周50分钟的单独训练中进行。所有患者在治疗前、治疗后2周和10周随访时完成IBS症状严重程度量表（主要结局）、IBS生活质量和简明症状量表（焦虑、抑郁和敌对症状）（主要终点）。EAET和放松训练都改善了随访时的生活质量。最后，EAET并没有减少心理症状，而放松训练减少抑郁症状在随访（和焦虑症状在治疗后）。结论与推论简短的情绪意识和表达训练，有针对性的创伤和情感冲突减少躯体症状和改善生活质量的IBS患者。这种以情绪为中心的方法可以被认为是IBS的另一种治疗选择，尽管研究应该将EAET与完整的认知行为方案进行比较，并确定哪些患者最适合每种方法。在clinicaltrials.gov注册（NCT 01886027）。
BackgroundCurrent clinical guidelines identify several psychological treatments for irritable bowel syndrome (IBS). IBS patients, however, have elevated trauma, life stress, relationship conflicts, and emotional avoidance, which few therapies directly target. We tested the effects of emotional awareness and expression training (EAET) compared to an evidence‐based comparison condition—relaxation training—and a waitlist control condition.MethodsAdults with IBS (N=106; 80% female, Mean age=36 years) were randomized to EAET, relaxation training, or waitlist control. Both EAET and relaxation training were administered in three, weekly, 50‐minute, individual sessions. All patients completed the IBS Symptom Severity Scale (primary outcome), IBS Quality of Life, and Brief Symptom Inventory (anxiety, depressive, and hostility symptoms) at pretreatment and at 2 weeks posttreatment and 10 weeks follow‐up (primary endpoint).Key ResultsCompared to waitlist controls, EAET, but not relaxation training, significantly reduced IBS symptom severity at 10‐week follow‐up. Both EAET and relaxation training improved quality of life at follow‐up. Finally, EAET did not reduce psychological symptoms, whereas relaxation training reduced depressive symptoms at follow‐up (and anxiety symptoms at posttreatment).Conclusions & InferencesBrief emotional awareness and expression training that targeted trauma and emotional conflicts reduced somatic symptoms and improved quality of life in patients with IBS. This emotion‐focused approach may be considered an additional treatment option for IBS, although research should compare EAET to a full cognitive‐behavioral protocol and determine which patients are best suited for each approach. Registered at clinicaltrials.gov (NCT01886027).