Effect of cognitive behavior therapy combined with exercise intervention on the cognitive bias and coping styles of diarrhea-predominant irritable bowel syndrome patients  

作　　者：Shi-Rui Zhao Xiao-Mei Ni Xin-An Zhang Hong Tian 

机构地区：[1]College of Kinesiology,Shenyang Sport University,Shenyang 110102,Liaoning Province,China [2]Department of Psychotherapy and Counseling,Shenyang Mental Health Center,Shenyang 110168,Liaoning Province,China [3]Department of Digestion,The 4th People’s Hospital of Shenyang,Shenyang 110031,Liaoning Province,China

出　　处：《World Journal of Clinical Cases》2019年第21期3446-3462,共17页世界临床病例杂志

基　　金：Supported by the National Nature Science Foundation of China,No.81572243;Scientific Research Funds Project of Liaoning Education Department,No.LJC2019ST02

摘　　要：BACKGROUND Irritable bowel syndrome(IBS)is a common digestive system disease with a high incidence rate and is common in women.The cause of IBS remains unclear.Some studies have shown that mental and psychological diseases are independent risk factors for IBS.At present,the treatment of IBS is mainly symptomatic treatment.Clinically,doctors also use cognitive behavioral therapy to improve patients'cognitive ability to diseases and clinical symptoms.In recent years,exercise therapy has attracted more and more attention from scholars.Improving the symptoms of IBS patients through psychosomatic treatment strategy may be a good treatment method.AIM To explore the effects of an intervention of cognitive behavioral therapy combined with exercise(CBT+E)on the cognitive bias and coping styles of patients with diarrhea-predominant irritable bowel syndrome(IBS-D);and to provide a theoretical reference for the management of IBS.METHODS Sixty IBS-D patients and thirty healthy subjects were selected.The 60 IBS-D patients were randomly divided into experimental and control groups.The experimental group was treated with the CBT+E intervention,while the control group was treated with conventional drugs without any additional intervention.The cognitive bias and coping styles of the participants were evaluated at baseline and after 6 wk,12 wk and 24 wk using the Automatic Thoughts Questionnaire(ATQ),Dysfunctional Attitudes Scale(DAS)and Pain Coping Style Questionnaire(CSQ)instruments,and the intervention effect was analyzed using SPSS 17.0 statistical software.RESULTS At baseline,the scores on the various scales showed that all subjects had cognitive bias and adverse coping styles.The IBS Symptom Severity Scale(IBSSSS)scores,ATQ total scores,DAS scores and CSQ scores of the two groups were not significantly different(P>0.05).Compared with baseline,after 6 wk of the CBT+E intervention,there were significant differences in the ATQ scores,the dependence and total scores on the DAS,and the catastrophization,distraction and prayer scorBACKGROUND Irritable bowel syndrome(IBS) is a common digestive system disease with a high incidence rate and is common in women.The cause of IBS remains unclear.Some studies have shown that mental and psychological diseases are independent risk factors for IBS.At present, the treatment of IBS is mainly symptomatic treatment.Clinically, doctors also use cognitive behavioral therapy to improve patients’ cognitive ability to diseases and clinical symptoms.In recent years, exercise therapy has attracted more and more attention from scholars.Improving the symptoms of IBS patients through psychosomatic treatment strategy may be a good treatment method.AIM To explore the effects of an intervention of cognitive behavioral therapy combined with exercise(CBT+E) on the cognitive bias and coping styles of patients with diarrhea-predominant irritable bowel syndrome(IBS-D); and to provide a theoretical reference for the management of IBS.METHODS Sixty IBS-D patients and thirty healthy subjects were selected.The 60 IBS-D patients were randomly divided into experimental and control groups.The experimental group was treated with the CBT+E intervention, while the control group was treated with conventional drugs without any additional intervention.The cognitive bias and coping styles of the participants were evaluated at baseline and after 6 wk, 12 wk and 24 wk using the Automatic Thoughts Questionnaire(ATQ), Dysfunctional Attitudes Scale(DAS) and Pain Coping Style Questionnaire(CSQ) instruments, and the intervention effect was analyzed using SPSS 17.0 statistical software.RESULTS At baseline, the scores on the various scales showed that all subjects had cognitive bias and adverse coping styles.The IBS Symptom Severity Scale(IBSSSS) scores, ATQ total scores, DAS scores and CSQ scores of the two groups were not significantly different(P > 0.05).Compared with baseline, after 6 wk of the CBT+E intervention, there were significant differences in the ATQ scores, the dependence and total scores on the DAS, and the catastrophization, d

关 键 词：IRRITABLE BOWEL syndrome COGNITIVE BEHAVIORAL therapy EXERCISE COGNITIVE bias COPING style 

分 类 号：R57[医药卫生—消化系统]