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수용전념치료가 과민성대장증후군(IBS)이 있는 사람들의 IBS 증상, 스트레스, 삶의 질 및 수용 행동에 미치는 효과

Effects of Acceptance and Commitment Therapy(ACT) on IBS-Symptoms, Stress, Quality of Life, and Acceptance-Action of People with Irritable Bowel Syndrome

  • Jo, MinKyeong (Dept. of psychology, Chonbuk National University) ;
  • Son, ChongNak (Dept. of psychology, Chonbuk National University)
  • 투고 : 2018.06.29
  • 심사 : 2018.11.20
  • 발행 : 2018.11.28

초록

수용­전념 치료(ACT)가 과민성 대장 증후군이 있는 사람들의 과민성 대장 증후군(IBS) 증상 심도, 지각된 스트레스, 과민성 대장 증후군 특이적 삶의 질 및 수용 행동에 미치는 효과를 알아보았다. 성인 156명에게 과민성 대장 증후군 진단척도를 실시한 뒤 14명을 참가자로 선정하였고, IBS 증상 심도, 지각된 스트레스, 삶의 질 및 수용 행동에 관한 사전 검사를 실시하여 치료 집단에 7명, 통제 집단에 7명을 할당하였다. 프로그램은 주 2회씩 총 10회기가 진행 되었고, 사후 검사 및 4주 후 추적 검사가 실시되었다. 최종 참여자는 치료 집단에 6명, 통제 집단에 6명이다. 연구 결과, 수용 전념 치료 프로그램에 따른 IBS 증상 심도의 변화는 유의하지 않았지만, 지각된 스트레스와 삶의 질 및 수용 행동 상의 변화는 유의하였다. 적은 수의 참가자로 치료 프로그램이 진행되어 참여 인원이 증가된 후속 연구의 필요성은 있겠으나, 과민성 대장 증후군이 있는 사람들의 스트레스 수준을 낮추고 삶의 질과 수용 행동을 높이는데 수용전념치료가 효과적임을 입증하는 경험적인 증거를 제공한다.

The purpose of this study is to explore the effects of acceptance and commitment Therapy(ACT) on IBS-symptoms, stress, quality of life, and acceptance-action of people with irritable bowel syndrome(IBS). After 156 adults completed Rome III Adult Questionnaire, Fourteen participants selected to 7 in ACT group and 7 in the control group. All participants completed IBS Severity Scale, K-IBS-QOL, Acceptance & Action Questionnaire-16 at the pre-test, post-test, and the 4 weeks follow-up. The ACT programme was administered for 10 sessions. Dedicated people who participated in the study were 6 in ACT group, and 6 in the control group. As a result, ACT has positive effects on the change of perceived stress, quality of life, and acceptance-action, while has not on IBS-symptoms. This study suggest empirical evidence to prove that the ACT is effective in reducing stress and improving quality of life, and acceptance-action of IBS peoples. However, The study has only few participants and thus has limitations.

키워드

Table 1. Demographic information on participants

DJTJBT_2018_v16n11_501_t0001.png 이미지

Table 2. Homogeneity test between experiment groups and the control group

DJTJBT_2018_v16n11_501_t0002.png 이미지

Table 3. Results of ANOVA about IBS symptom severity, perceive stress, korea-irritable bowel syndrome quality of life, acceptance & action

DJTJBT_2018_v16n11_501_t0003.png 이미지

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