Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Comparison of the Effectiveness of Mindfulness Therapy and Interoceptive Exposure on Symptom Severity of Patients With Irritable Bowel Syndrome Publisher



Nouri HR1 ; Ansarishahidi M1 ; Rahnejat AM2 ; Raisi M3 ; Khanzadeh M4
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of Psychology, School of Human Sciences, Najafabad Branch, Islamic Azad University, Najafabad, Iran
  2. 2. Department of Clinical Psychology, School of Medicine, AJA University of Medical Sciences, Tehran, Iran
  3. 3. Poursina Hakim Digestive Diseases Research Center AND Gastroenterology and Hepatology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  4. 4. Department of Psychology, School of Humanities, Feizoleslam Non-Governmental Non-Profit Institute of Higher Education, Khomeinishahr, Iran

Source: Journal of Health System Research Published:2023


Abstract

Background: Irritable bowel syndrome (IBS) is a debilitating chronic disease due to major changes in the health status and lifestyle of people in recent years; it has been one of the common and significant problems in the field of healthcare and medical professionals, which requires psychological interventions besides the biological treatments due to the accompanying psychological complications. The aim of this study was to compare the effectiveness of mindfulness therapy and interoceptive exposure on symptom severity of patients with IBS. Methods: This was a clinical trial study and statistical population consisted of all patients with IBS referred to specialized centers in Isfahan, Iran. The research sample consisted of 45 patients who were selected by availability sampling method and randomly assigned to three experimental and control groups. The experimental groups were subjected to cognitive-behavioral interventions based on mindfulness and cognitive-behavioral interventions based on interoceptive exposure, respectively. The research data were collected with the help of the IBS Symptom Severity Scale (IBS-SSS) and were analyzed using the statistical method of repeated measures analysis of variance (ANOVA). Findings: Mindfulness therapy and interoceptive exposure therapy were effective on the severity of symptoms in the experimental groups compared to the control group (P < 0.01). In addition, a significant difference was found between the two educational strategies in the post-test and follow-up stages (P < 0.01). Mindfulness therapy was more effective on the severity of the symptoms of the patients and a greater reduction was obtained in the averages of the two stages. Conclusion: Mindfulness therapy and interoceptive exposure therapy led to improvement of severity of patients' symptoms and physicians can use these psychological methods as a complement to biological therapies. © 2023, Isfahan University of Medical Sciences(IUMS). All rights reserved.
Related Docs
View other Related Docs
1. The Effectiveness of Mindfulness-Based Therapy on Quality of Life, Anxiety, and Depression in Individuals With Irritable Bowel Syndrome: A Systematic Review and Meta-Analysis, Middle East Journal of Rehabilitation and Health Studies (2025)
2. Effectiveness of Mindfulness-Based Cognitive-Therapy on Psychological Signs Women With Irritable Bowel Syndrome, Koomesh (2014)
3. The Relationship Between Illness Perception and Symptom Severity in Patients With Irritable Bowel Syndrome, Journal of Isfahan Medical School (2011)
4. The Efficacy of Cognitive-Behavior Group Therapy on Health-Related Quality of Life, Health Anxiety and Depression in Patients With Diarrhea-Predominant Irritable Bowel Syndrome, Pakistan Journal of Medical Sciences (2011)
5. Difficulties in Emotion Regulation and Mindfulness in Psychological and Somatic Symptoms of Functional Gastrointestinal Disorders, Iranian Journal of Psychiatry and Behavioral Sciences (2015)
6. The Effectiveness of Coping Strategies Training on Symptom Severity, Quality of Life and Psychological Symptoms Among Patients With Irritable Bowel Syndrome, Journal of Isfahan Medical School (2010)
7. The Effectiveness of Compassion-Focused Therapy (Cft) on Perceived Stress in Patients With Irritable Bowel Syndrome: An Experimental Study, Journal of Isfahan Medical School (2020)
8. Effectiveness of Mindfulness-Based Intervention on the Disease Activity and Quality of Life of Patients With Ulcerative Colitis, Govaresh (2018)
Experts (# of related papers)
View all Related Experts
Peyman Adibi (34)
Hamed Daghaghzadeh (21)
Other Related Docs
9. Comparing the Effect of Internet-Delivered Short-Term Progressive Muscle Relaxation and Psychoeducation on Mindful Ability, Visceral Hypersensitivity and Symptoms of Patients With Irritable Bowel Syndrome, Journal of Education and Health Promotion (2023)
10. Exploring New Subgroups for Irritable Bowel Syndrome Using a Machine Learning Algorithm, Scientific Reports (2023)
11. Comparison of the Effectiveness of Self-Efficacy-Based Training and Compassion-Focused Therapy on Depression, Self-Care Behaviors, and Quality of Life of Patients With Irritable Bowel Syndrome, International Journal of Body, Mind and Culture (2021)
12. Relations Between Coping Skills, Symptom Severity, Psychological Symptoms, and Quality of Life in Patients With Irritable Bowel Syndrome, International Journal of Preventive Medicine (2019)
13. Where Does Hypnotherapy Stand in the Management of Irritable Bowel Syndrome? a Systematic Review, Journal of Alternative and Complementary Medicine (2006)
14. The Association Between Adherence to the Mind Diet and Irritable Bowel Syndrome, Digestive Diseases (2022)
15. Model of Predicting Psychosocial Adaptation to Disease According to Perceived Stress and Sense of Coherence With the Mediation Role of Self-Compassion in the Patients With Irritable Bowel Syndrome, Journal of Applied Psychological Research (2024)
16. Behavioral Activation System and Behavioral Inhibition System in Patients With Irritable Bowel Syndrome, Journal of Isfahan Medical School (2011)
17. The Role of Positive Personality Traits in Emotion Regulation of Patients With Irritable Bowel Syndrome (Ibs), Iranian Journal of Public Health (2015)
18. Psychometric Properties of Persian Version of Irritable Bowel Syndrome- Behavioral Responses Questionnaire (Ibs-Brq), Gastroenterology and Hepatology from Bed to Bench (2023)
19. Comparing Anxiety Sensitivity and Metacognition Beliefs in Patients With Irritable Bowel Syndrome and Coronary Heart Diseases; a Case-Control Study, Archives of Psychiatry and Psychotherapy (2021)
20. The Structural Model of Pain, Cognitive Strategies, and Negative Emotions in Functional Gastrointestinal Disorders, Journal of Research in Medical Sciences (2016)
21. The Effect of Mindfulness-Based Stress Reduction Program on Physical Symptoms in Patients With Psoriasis, Journal of Isfahan Medical School (2017)
22. The Effectiveness of Neuro-Feedback on the Severity of Gastrointestinal Symptoms, Depression, Anxiety, Stress and Quality of Life in Patients With Irritable Bowel Syndrome (Ibs): A Randomized Controlled Clinical Trial; [اثزبخشی نوروفیذبک بز شذت علائم گوارشی، افسزدگی، اضطزاب، استزس و کیفیت سنذگی بیماران مبتلا به سنذرم روده ی تحزیک پذیز: یک کارآسمایی بالینی تصادفی با گزوه گواه], Journal of Isfahan Medical School (2023)
23. Relationship Between Negative Affectivity and Severity of Irritable Bowel Syndrome (Ibs) Symptoms, Journal of Babol University of Medical Sciences (2012)
24. Effectiveness of Anise Oil for Treatment of Mild to Moderate Depression in Patients With Irritable Bowel Syndrome: A Randomized Active and Placebo-Controlled Clinical Trial, Journal of Evidence-Based Complementary and Alternative Medicine (2017)
25. Comparison Study of Behavioral Activation System and Behavioral Inhibition System in Irritable Bowel Syndrome Patients and Normal Individuals, Journal of Babol University of Medical Sciences (2012)
26. Effect of Online Mindfulness-Based Cognitive Therapy on Pain Severity and Life Quality in Women Receiving Treatment for Breast Cancer; [تأثیر آموزش مجازي درمان شناختی مبتنی بر ذهنآگاهی بر شدت درد و کیفیت زندگی زنان تحت درمان سرطان پستا ن], Iranian Journal of Breast Diseases (2025)
27. Metabolomics Analysis Revealed Metabolic Changes in Patients With Diarrhea-Predominant Irritable Bowel Syndrome and Metabolic Responses to a Synbiotic Yogurt Intervention, European Journal of Nutrition (2019)
28. Effects of Venlafaxine on Gastrointestinal Symptoms, Depression, Anxiety, Stress, and Quality of Life in Patients With the Moderate-To-Severe Irritable Bowel Syndrome, Journal of Research in Medical Sciences (2020)
29. Evaluation of Anti-Colitic Effect of Fluvoxamine Against Acetic Acid-Induced Colitis in Normal and Reserpinized Depressed Rats, European Journal of Pharmacology (2015)
30. Epidemiological Features of Irritable Bowel Syndrome and Its Subtypes Among Iranian Adults, Annals of Gastroenterology (2015)
31. Comparison of Mindfulness Based Therapy and Pharmacotherapy on Trauma Related Symptoms, Trauma Monthly (2018)
32. Type D Personality and Quality of Life in Patients With Irritable Bowel Syndrome, Journal of Research in Medical Sciences (2011)
33. Dietary Acid Load and Its Association With Psychological Disorders and the Odds of Disease in Diarrhea-Predominant Irritable Bowel Syndrome: A Case-Control Study; [ار اسیدی رژیم غذایی و ارتباط آن با اختالالت روان شناختی و شانس ابتال به بیماری در یماران مبتال به سندرم روده تحریک پذیر با اسهال غالب: یک مطالعه ی مورد - شاهدی], Govaresh (2022)
34. Efficacy of Duloxetine Add on in Treatment of Inflammatory Bowel Disease Patients: A Double-Blind Controlled Study, Journal of Research in Medical Sciences (2015)
35. Adherence to a Low Fodmap Diet in Relation to Symptoms of Irritable Bowel Syndrome in Iranian Adults, Digestive Diseases and Sciences (2018)
36. Evaluation of the Effects of 12 Weeks Mindfulness‑Based Stress Reduction on Glycemic Control and Mental Health Indices in Women With Diabetes Mellitus Type 2, Advanced Biomedical Research (2020)
37. Worldwide Prevalence and Burden of Functional Gastrointestinal Disorders, Results of Rome Foundation Global Study, Gastroenterology (2021)
38. Consumption of Spicy Foods and the Prevalence of Irritable Bowel Syndrome, World Journal of Gastroenterology (2013)
39. The Relationship of Psychlogical Hardiness With Alexithymia and Severity of Gastrointestinal Symptoms in Patients With Functional Gastrointestinal Disorders, Journal of Isfahan Medical School (2015)
40. Relationship Between Illness Perceptions and Quality of Life in Patients With Irritable Bowel Syndrome, Journal of Mazandaran University of Medical Sciences (2012)
41. Efficacy of Mindfulness-Based Stress Reduction Training on Social Adjustment and Self-Care Behaviors in Cardiac Patients With Signs of Depression (After Open Surgery), Journal of Applied Psychological Research (2022)
42. The Effect of Internet-Delivered Mindfulness Stress Reduction Combined With Acceptance and Commitment Therapy on Health Anxiety and Quality of Life of Caregiver of Patients Infected by Covid-19: A Randomized Clinical Trial, International Journal of Community Based Nursing and Midwifery (2023)
43. Efficacy of Emotion Focused Therapy on Quality of Life and Sleep in Irritable Bowel Syndrome, Govaresh (2015)
44. Psychological Status in Iranian Patients With Ulcerative Colitis and Its Relation to Disease Activity and Quality of Life, Journal of Research in Medical Sciences (2015)
45. Factors Associated With Adherence to Treatment in Iranian Patients With Inflammatory Bowel Disease, Journal of Research in Medical Sciences (2021)
46. Nutritional Interventions in Adult Patients With Irritable Bowel Syndrome: An Umbrella Review of Systematic Reviews and Meta-Analyses of Randomized Clinical Trials, Nutrition Reviews (2025)
47. The Effectiveness of Mindfulness-Integrated Cognitive Behavior Therapy on Depression, Anxiety, and Stress in Females With Multiple Sclerosis: A Single Blind Randomized Controlled Trial, Iranian Red Crescent Medical Journal (2017)
48. Effects of Psychotherapy in Combination With Pharmacotherapy, When Compared to Pharmacotherapy Only on Blood Pressure, Depression, and Anxiety in Female Patients With Hypertension, Journal of Health Psychology (2016)
49. Effectiveness of Mindfulness-Based Supportive Psychotherapy on Posttraumatic Growth, Resilience, and Self-Compassion in Cancer Patients: A Pilot Study, Wiener Klinische Wochenschrift (2022)
50. Psychological Distress, Perceived Stress and Nocebo Effect (Multifood Adverse Reaction) in Irritable Bowel Syndrome Patients, Journal of Education and Health Promotion (2023)