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Comparing the Effectiveness of Emotion-Oriented Therapy and Acceptance and Commitment-Based Therapy on Self-Criticism, Pain Catastrophizing and Severity of Gastrointestinal Symptoms in Patients with Irritable bowel Syndrome
Mojtaba Aghili * , Masoumeh Safarinezhad
Department of Psychology, Payam Noor University, Tehran, Iran , aghili@pnu.ac.ir
Abstract:   (332 Views)
Introduction: Among functional digestive disorders, irritable bowel syndrome is one of the most common and debilitating functional disorders. This research was conducted to compare the effectiveness of emotion-oriented therapy and acceptance and commitment-based therapy on self-criticism, pain catastrophizing, and severity of gastrointestinal symptoms in patients with irritable bowel syndrome. Materials and Methods: The research method was semi-experimental with a pre-test-post-test design and a control group. The statistical population of this study consisted of patients with irritable bowel syndrome who were referred to specialized gastroenterology clinics in Gorgan, Iran, in 2023. A total of 45 patients were randomly selected and assigned to three groups: experimental group 1 (emotion-focused therapy), experimental group 2 (acceptance and commitment therapy), and a control group. The first experimental group received 10 sessions of 60-minute emotion-oriented therapy, and the second experimental group received 8 sessions of 60-minute therapy based on acceptance and commitment, but the control group did not receive any intervention until the end of the study. The research instruments included the Self-Criticism Questionnaire developed by Gilbert and colleagues (2004), the Pain Catastrophizing Scale by Sullivan and colleagues (1995), and the Gastrointestinal Symptom Severity Index by Francis and colleagues (1997). Results: The results indicated that both emotion-focused therapy and acceptance and commitment therapy were effective in reducing self-criticism, pain catastrophizing, and the severity of gastrointestinal symptoms in patients with irritable bowel syndrome. Furthermore, acceptance and commitment therapy demonstrated greater effectiveness than emotion-focused therapy in improving these outcomes. Conclusion: Our findings suggest that acceptance and commitment therapy, by enhancing psychological flexibility, promoting emotional regulation strategies, clarifying personal values, and fostering a sense of shared humanity, leads to reductions in self-criticism, pain catastrophizing, and the severity of gastrointestinal symptoms in patients with irritable bowel syndrome.
 
Keywords: emotion-oriented therapy, acceptance and commitment-based therapy, self-criticism, pain catastrophizing, irritable bowel syndrome
Full-Text [PDF 1730 kb]   (71 Downloads)    
Type of Study: Research --- Open Access, CC-BY-NC | Subject: Psycology
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