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Comparison of the Effect of Dialectical Behavior Therapy, Mindfulness Based Cognitive Therapy and Positive Psychotherapy on Perceived Stress and Quality of Life in Patients with Irritable Bowel Syndrome: a Pilot Randomized Controlled Trial.

The Psychiatric quarterly
September 1, 2019
Javad Mohamadi et al. (3 authors)
Comparative StudyJournal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to compare the effects of MBCT, DBT, and PPT on perceived stress and quality of life in patients with irritable bowel syndrome (IBS).

Results Summary

MBCT significantly reduced perceived stress compared to other groups, while PPT showed higher quality of life improvements. The study found statistically significant differences in outcomes between the intervention groups.

Population

Patients with IBS diagnosed using Rome-IV criteria (46 female, 27 male).

Effective Dosage

8 group sessions (specific duration per session not mentioned).

Duration

8 weeks.

Interactions

None mentioned.

Extracted Claims (10)
InterventionDirectionEndpointPopulationDosageImpactClaim #
dialectical behavior therapy (DBT)
decrease
perceived stress (PS)
patients with irritable bowel syndrome (IBS)
-
significant differences
#1
dialectical behavior therapy (DBT)
increase
quality of life (QOL)
patients with irritable bowel syndrome (IBS)
-
significant differences
#2
mindfulness based cognitive therapy (MBCT)
decrease
perceived stress (PS)
patients with irritable bowel syndrome (IBS)
-
significant differences
#3
mindfulness based cognitive therapy (MBCT)
increase
quality of life (QOL)
patients with irritable bowel syndrome (IBS)
-
significant differences
#4
positive psychotherapy (PPT)
decrease
perceived stress (PS)
patients with irritable bowel syndrome (IBS)
-
significant differences
#5
positive psychotherapy (PPT)
increase
quality of life (QOL)
patients with irritable bowel syndrome (IBS)
-
significant differences
#6
mindfulness based cognitive therapy (MBCT)
decrease
levels of PS
patients with irritable bowel syndrome (IBS)
-
significantly lower
#7
positive psychotherapy (PPT)
increase
QOL variables
patients with irritable bowel syndrome (IBS)
-
higher scores
#8
mindfulness based cognitive therapy (MBCT)
decrease
PS decrease
patients with irritable bowel syndrome (IBS)
-
more effective
#9
positive psychotherapy (PPT)
increase
QOL improvement
patients with irritable bowel syndrome (IBS)
-
more effective
#10
Abstract

This study aimed to compare dialectical behavior therapy (DBT), mindfulness based cognitive therapy (MBCT) and positive psychotherapy (PPT) effects on perceived stress (PS) and quality of life (QOL) among patients with irritable bowel syndrome (IBS). Seventy six eligible patients with a Rome- IV diagnosis were randomly allocated in DBT (n = 18), MBCT (n = 20), PPT (n = 18), and control groups (n = 20). All the patients were evaluated for PS by perceived stress scale (PSS) and QOL by irritable bowel syndrome quality of life (IBS-QOL) on the studied groups at the time of their inclusion in the study and 8 weeks after it. Each of the intervention groups took part in 8 group sessions. Conversely, the control group were evaluated without any intervention. 46 female and 27 male in 4 groups completed the study. The results showed significant differences between the groups based on the variables of the PSS and IBS-QOL (p < 0.05). In addition, levels of PS were significantly lower for the MBCT intervention compared with the other groups; besides, the significant effects of the QOL variables represented the higher scores of the PPT compared to the treatment groups. The interventions could not be generalized to other samples. Some other limitations included the lack of conducting a follow-up plan. This study provides initial evidence that MBCT and PPT are more effective than other treatment groups on PS decrease and QOL improvement among patients with IBS, respectively.

Medical Subject Headings (MeSH)
AdultCognitive Behavioral TherapyDialectical Behavior TherapyFemaleHumansIrritable Bowel SyndromeMaleMindfulnessPilot ProjectsQuality of LifeStress, PsychologicalYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations17
Citations/Year2.8
Relative Citation Ratio1.35
NIH Percentile61.3%
Research Impact Scores
APT Score0.75
Weight Score2.16
Normalized Score0.69
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