The effects of cognitive behavioral therapy in female nursing students with irritable bowel syndrome: a randomized trial
The effects of cognitive behavioral therapy in female nursing students with irritable bowel syndrome: a randomized trial
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DOI：
10.1097/meg.0000000000000140
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发表时间：
2014-08-01
影响因子：
2.1
通讯作者：
Kim, Dong Uk
中科院分区：
文献类型：
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作者：
Jang, Ae Lee;Hwang, Sun-Kyung;Kim, Dong Uk
背景肠易激综合征（IBS）在压力条件下的年轻女性中非常普遍。认知行为疗法（CBT）已被认为是治疗IBS的有效方法。目的本研究旨在评估CBT在女性护理学生IBS患者中的临床效果。这项研究的主要结果措施是肠道症状严重程度量表-IBS版本。患者和方法90名诊断参与者被随机分配到每组在一个随机的前测试后测试对照组设计。实验组接受为期8周的CBT干预，对照组接受IBS的一般信息。在基线和8周、16周和24周后评估肠道症状严重程度、功能失调态度和IBS生活质量。结果实验组（n = 39）和对照组（n = 37）的肠道症状严重程度（频率：P <0.001;痛苦：P <0.001;残疾：P < 0.001）有显著性差异。CBT组的总体IBS生活质量随时间推移而改善（P < 0.001）。认知行为疗法还显示焦虑症有所缓解（P = 0.010），干扰活动（P = 0.031），健康担忧（P = 0.009），以及身体形象的改善（P = 0.008）关系（P = 0.041）结论CBT是改善青年女护生IBS临床症状的有效干预方法。Eur J Gastroenterol Hepatol 26：918-926（C）2014 Wolters Kluwer Health垂直条Lippincott威廉姆斯& Wilkins.
Background Irritable bowel syndrome (IBS) is highly prevalent in young women under stressful conditions. Cognitive behavioral therapy (CBT) has been known to be effective in treating IBS.Aims This study aimed to evaluate the clinical outcomes of CBT in female nursing students with IBS. The primary outcome measure of the study was the Bowel Symptom Severity Scale-IBS version.Patients and methods Ninety diagnosed participants were randomized to each group in a randomized pretest-post-test control group design. The experimental group received an 8-week CBT intervention, and the control group received general information on IBS. Bowel symptom severity, dysfunctional attitudes, and IBS-quality of life were assessed at baseline and after 8, 16, and 24 weeks. Six experimental and eight control participants withdrew during the study because of various reasons.Results Significant effects were found for bowel symptom severity (frequency: P < 0.001; distress: P < 0.001; disability: P < 0.001) between the experimental (n = 39) and the control (n = 37) groups. The overall IBS-quality of life improved over time in the CBT group (P < 0.001). The CBT also showed the alleviation of dysphoria (P = 0.010), interference with activity (P = 0.031), and health worry (P = 0.009), and the improvement of body image (P = 0.008) and relationships (P = 0.041) compared with the control group.Conclusion CBT proved to be an effective intervention for improving the clinical states of IBS in young female nursing students. Eur J Gastroenterol Hepatol 26: 918-926 (C) 2014 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.