Therapeutic mechanisms of a mindfulness-based treatment for IBS: effects on visceral sensitivity, catastrophizing, and affective processing of pain sensations.

Irritable bowel syndrome (IBS) is a prevalent functional disorder characterized by abdominal pain and hypervigilance to gastrointestinal sensations. We hypothesized that mindfulness training (MT), which promotes nonreactive awareness of emotional and sensory experience, may target underlying mechani...

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Publicado en:Journal of Behavioral Medicine Vol. 35; no. 6; pp. 591 - 603
Autores principales: Garland, Eric, Gaylord, Susan, Palsson, Olafur, Faurot, Keturah, Douglas Mann, J., Whitehead, William
Formato: research tables/charts Journal Article
Publicado: Springer Nature Dec2012
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Therapeutic mechanisms of a mindfulness-based treatment for IBS: effects on visceral sensitivity, catastrophizing, and affective processing of pain sensations.
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          Garland, Eric
          Gaylord, Susan
          Palsson, Olafur
          Faurot, Keturah
          Douglas Mann, J.
          Whitehead, William
        affil: College of Social Work, Trinity Institute for the Addictions, Florida State University, 296 Champions Way Tallahassee 32306-2570 USA
      sug:
        subj:
          Irritable Bowel Syndrome Therapy
          Pain Psychosocial Factors
          Mind Body Techniques Evaluation
          Funding Source
          Human
          Female
          Adult
          Middle Age
          Aged
          Scales
          Coefficient alpha
          Descriptive Statistics
          Data Analysis Software
          Coping Strategies Questionnaire
          Brief Symptom Inventory
          Paired T-Tests
          Path Analysis
          Chi Square Test
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
      ab: Irritable bowel syndrome (IBS) is a prevalent functional disorder characterized by abdominal pain and hypervigilance to gastrointestinal sensations. We hypothesized that mindfulness training (MT), which promotes nonreactive awareness of emotional and sensory experience, may target underlying mechanisms of IBS including affective pain processing and catastrophic appraisals of gastrointestinal sensations. Seventy five female IBS patients were randomly assigned to participate in either 8 weeks of MT or a social support group. A theoretically grounded, multivariate path model tested therapeutic mediators of the effect of MT on IBS severity and quality of life. Results suggest that MT exerts significant therapeutic effects on IBS symptoms by promoting nonreactivity to gut-focused anxiety and catastrophic appraisals of the significance of abdominal sensations coupled with a refocusing of attention onto interoceptive data with less emotional interference. Hence, MT appears to target and ameliorate the underlying pathogenic mechanisms of IBS.
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    language: English
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