• Title/Summary/Keyword: 과민성 대장 증후군 삶의 질

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Effects of Acceptance and Commitment Therapy(ACT) on IBS-Symptoms, Stress, Quality of Life, and Acceptance-Action of People with Irritable Bowel Syndrome (수용전념치료가 과민성대장증후군(IBS)이 있는 사람들의 IBS 증상, 스트레스, 삶의 질 및 수용 행동에 미치는 효과)

  • Jo, MinKyeong;Son, ChongNak
    • Journal of Digital Convergence
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    • v.16 no.11
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    • pp.501-509
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    • 2018
  • 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.

The Effects of a Motivation-Enhanced Self-Management Program for Female College Students with Irritable Bowel Syndrome (과민대장증후군 여대생을 위한 동기강화 자가관리 프로그램의 효과)

  • Back, Ju Youn;Jun, Sang-Eun
    • Journal of Korean Biological Nursing Science
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    • v.22 no.2
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    • pp.148-156
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    • 2020
  • Purpose: The purpose of this study was to develop a motivation-enhanced self-management (MESM) intervention for irritable bowel syndrome (IBS) and to evaluate its effects on female college students with IBS. Methods: The program was constructed to reflect the conceptual framework of the self-determination theory including autonomous motivation enhancement strategy through the satisfaction of psychological needs. The experimental group (n= 24) participated in the all eight weekly MESM sessions, and the control group (n= 25) received one hour education of IBS. Primary outcome measures were the IBS symptom severity scale (IBS-SSS) and the IBS specific quality of life (IBS-QOL), and assessed at the baseline and at eight and 16 weeks after the allocation. Others were autonomous motivation, self-determined behavior, and psychological distress assessed at the baseline and at eight weeks. Results: The experimental group showed improvement in the IBS-SSS (p< .001) at 16 weeks compared to the control group. They showed markedly more improvement in the IBS QOL (p= .008), but the magnitude of this difference decreased at 16 weeks. The experimental group showed improvements in autonomous motivation (p= .035), self-determined behavior (p= .023), and psychological distress (p= .044) compared to the control group. Conclusion: Study results suggest that the MESM intervention for female college students may effectively improve the IBS-SSS and the QOL.

A Study on the Difference of Psychosocial Characteristics and Quality of Life according to the Type of Functional Gastrointestinal Disorder (기능성 위장질환의 종류에 따른 정신사회적 특성 및 삶의 질의 차이에 관한 연구)

  • Park, Seung-Kyu;Lee, Sang-Yeol;Ryu, Han-Seung;Choi, Suck-Chei;Yang, Chan-Mo;Jang, Seung-Ho;Yeom, Dong Han;Lee, Kuy-Haeng
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.1
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    • pp.58-66
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    • 2021
  • Objectives : The purpose of this study is to compare the psychosocial characteristics of patients diagnosed with functional gastrointestinal disorder (FGID) by classifying them into irritable bowel syndrome (IBS), functional dyspepsia (FD), functional constipation (FC), functional heartburn (FH) groups, and overlap group (two or more functional diseases) and to examine the factors associated with the quality of life (QoL) of patients with FGID. Methods : A total of 144 patients who were diagnosed with FGID were selected as the subjects. The demographical factors were investigated; Korean-Beck Depression Inventory-II (K-BDI-II), Korean-Beck Anxiety Inventory (K-BAI), Korean version of Childhood Trauma Questionnaire (K-CTQ), Multi-dimensional Scale of Perceived Social Support (MSPSS), Korean Version of Connor-Davidson Resilience Scale (K-CD-RISC), and World Health Organization Quality of Life Assessment Instrument Brief Form (WHOQOL-BREF) were used to evaluate the psychosocial factors. Results : TThe overlap group had a significantly higher K-BDI-II score (F=11.09, p<0.001) and K-BAI score (F=8.93, p<0.001) compared to other groups. In childhood trauma, the IBS patients had a difference in emotional neglect (F=2.54, p=0.04) than the FD patients. The QoL of FGID patients had a negative correlation with depression (r=-0.196, p<0.01), anxiety (r=-0.235, p<0.01), and childhood trauma (r=-0.222, p<0.01), and a positive correlation with social support (r=0.512, p<0.01) and resilience (r=0.581, p<0.01). Conclusions : Overlap group had a higher level of depression and anxiety, and the IBS patient group had a higher level of emotional neglect than the FD patient group in terms of childhood trauma.