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 

作者机构：College of KinesiologyShenyang Sport UniversityShenyang 110102Liaoning ProvinceChina Department of Psychotherapy and CounselingShenyang Mental Health CenterShenyang 110168Liaoning ProvinceChina Department of DigestionThe 4th People’s Hospital of ShenyangShenyang 110031Liaoning ProvinceChina 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2019年第7卷第21期

页      面：3446-3462页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

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

主　　题：Irritable bowel syndrome Cognitive behavioral therapy Exercise Cognitive bias Coping style 

摘      要：BACKGROUND Irritable bowel syndrome(IBS)is a common digestive system disease with a high incidence rate and is common in *** cause of IBS remains *** studies have shown that mental and psychological diseases are independent risk factors for *** present,the treatment of IBS is mainly symptomatic ***,doctors also use cognitive behavioral therapy to improve patients cognitive ability to diseases and clinical *** recent years,exercise therapy has attracted more and more attention from *** the symptoms of IBS patients through psychosomatic treatment strategy may be a good treatment *** 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 *** Sixty IBS-D patients and thirty healthy subjects were *** 60 IBS-D patients were randomly divided into experimental and control *** experimental group was treated with the CBT+E intervention,while the control group was treated with conventional drugs without any additional *** 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 *** At baseline,the scores on the various scales showed that all subjects had cognitive bias and adverse coping *** IBS Symptom Severity Scale(IBSSSS)scores,ATQ total scores,DAS scores and CSQ scores of the two groups were not significantly different(P0.05).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 t