Mindfulness training reduces the severity of irritable bowel syndrome in women: results of a randomized controlled trial.
Mindfulness training reduces the severity of irritable bowel syndrome in women: results of a randomized controlled trial.
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正念训练减少了女性肠易激综合症的严重程度：一项随机对照试验的结果。
DOI：
10.1038/ajg.2011.184
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发表时间：
2011-09
期刊：
影响因子：
--
通讯作者：
Whitehead WE
中科院分区：
文献类型：
--
作者：
Gaylord SA;Palsson OS;Garland EL;Faurot KR;Coble RS;Mann JD;Frey W;Leniek K;Whitehead WE
这项前瞻性随机对照试验探讨了正念训练（一种认知行为技术）的团体计划对肠易激综合征（IBS）女性的可行性和有效性。该技术涉及有意关注当下体验和对身体感觉和情绪的非判断性意识的训练。75名女性IBS患者被随机分配到8个每周和一个半天的正念组（MG）训练或支持组（SG）的强化课程。参与者在治疗前后和3个月随访时完成了IBS严重程度量表（主要结局）、IBS生活质量、简明症状量表-18、内脏敏感性指数、治疗可信度量表和五方面正念问卷。与SG相比，MG组女性在训练后即刻（26.4% vs. 6.2%; P= 0.006）和3个月随访时（38.2% vs. 11.8%; P= 0.001）IBS症状严重程度降低更大。两组治疗后即刻的生活质量、心理困扰和内脏焦虑的变化无显著差异，但在3个月随访时，MG的改善明显大于SG。治疗后MG的正念分数显著增加，证实了正念技能的有效学习。在第一次小组会议后测量的参与者对其分配的干预措施的可信度的评级在各组之间没有差异。这项随机对照试验表明，正念训练对肠道症状的严重程度有显著的治疗效果，改善了与健康相关的生活质量，并减少了痛苦。小组训练后，有益效果至少持续3个月。
This prospective, randomized controlled trial explored the feasibility and efficacy of a group program of mindfulness training, a cognitive-behavioral technique, for women with irritable bowel syndrome (IBS). The technique involves training in intentionally attending to present-moment experience and non-judgmental awareness of body sensations and emotions. Seventy-five female IBS patients were randomly assigned to eight weekly and one half-day intensive sessions of either mindfulness group (MG) training or a support group (SG). Participants completed the IBS severity scale (primary outcome), IBS-quality of life, brief symptom inventory-18, visceral sensitivity index, treatment credibility scale, and five-facet mindfulness questionnaire before and after treatment and at 3-month follow-up. Women in the MG showed greater reductions in IBS symptom severity immediately after training (26.4% vs. 6.2% reduction; P= 0.006) and at 3-month follow-up (38.2% vs. 11.8%; P= 0.001) relative to SG. Changes in quality of life, psychological distress, and visceral anxiety were not significantly different between groups immediately after treatment, but evidenced significantly greater improvements in the MG than in the SG at the 3-month follow-up. Mindfulness scores increased significantly more in the MG after treatment, confirming effective learning of mindfulness skills. Participants’ ratings of the credibility of their assigned interventions, measured after the first group session, were not different between groups. This randomized controlled trial demonstrated that mindfulness training has a substantial therapeutic effect on bowel symptom severity, improves health-related quality of life, and reduces distress. The beneficial effects persist for at least 3 months after group training.
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影响因子：
29.4
作者：
Drossman, DA;Toner, BB;Bangdiwala, SI
通讯作者：
Bangdiwala, SI
影响因子：
3.1
作者：
KABATZINN, J;LIPWORTH, L;BURNEY, R
通讯作者：
BURNEY, R
影响因子：
3.3
作者：
Lackner, JM;Quigley, BM;Blanchard, EB
通讯作者：
Blanchard, EB
影响因子：
2.9
作者：
Jha, Amishi P.;Krompinger, Jason;Baime, Michael J.
通讯作者：
Baime, Michael J.
影响因子：
7.6
作者：
Labus, JS;Bolus, R;Naliboff, BD
通讯作者：
Naliboff, BD