مقایسه اثربخشی درمان کاهش استرس مبتنی بر ذهن آگاهی و درمان متمرکز بر شفقت بر سواد تغذیه‌ای و حساسیت گوارشی بیماران مبتلا به سندروم روده تحریک پذیر

سیدعلیرضا سیدابراهیمی; منیژه  فیروزی; مریم  آفرینی بادی

Authors

SeyedAliReza SeyedEbrahimi PhD Student in Health Psychology, Caspian International Campus, University of Tehran Author https://orcid.org/0009-0009-3017-7505
Manijeh Firoozi Associate Professor, Department of Psychology, Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, Iran https://orcid.org/0000-0003-1368-7545
Maryam Afarini Badi Assistant Professor, Department of Neurology, Isfahan University of Medical Sciences, Isfahan, Iran Author https://orcid.org/0009-0009-3743-1262

Keywords:

سندروم روده تحریک‌پذیر؛ کاهش استرس مبتنی بر ذهن‌آگاهی؛ درمان متمرکز بر شفقت؛ سواد تغذیه‌ای؛ حساسیت گوارشی.

Abstract

Objective: The present study aimed to compare the effectiveness of Mindfulness-Based Stress Reduction (MBSR) and Compassion-Focused Therapy (CFT) on nutritional literacy and gastrointestinal sensitivity in patients with Irritable Bowel Syndrome (IBS).

Methods: This quasi-experimental study employed a pretest–posttest and follow-up design with a control group. The study population consisted of patients with IBS who were referred to selected healthcare centers. Following screening and application of the inclusion and exclusion criteria, eligible participants were randomly assigned to three groups: MBSR, CFT, and a control group. Data were collected at three time points using validated questionnaires assessing nutritional literacy and gastrointestinal sensitivity. The data were analyzed using appropriate statistical methods.

Results: The findings indicated that both mindfulness-based and compassion-focused interventions resulted in significant improvements in nutritional literacy and significant reductions in gastrointestinal sensitivity among patients with IBS. In the comparison between the two intervention groups, MBSR demonstrated a relative advantage in improving nutritional literacy at the posttest stage and a more pronounced advantage over CFT at the follow-up stage. Furthermore, both interventions were more effective than the control condition.

Conclusion: The findings suggest that both mindfulness-based and compassion-focused therapeutic approaches are effective interventions for improving various aspects of physical and psychological health in patients with IBS. However, evidence of relatively greater and more sustained effectiveness of MBSR was observed for certain outcomes, particularly over the longer term. These findings may provide useful guidance for developing and implementing more effective clinical interventions for patients with IBS.

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