바로가기메뉴

본문 바로가기 주메뉴 바로가기

The Korean Journal of Health Psychology

The effect of mindfulness meditation on symptoms and psychological features in patients with irritable bowel syndrome

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2004, v.9 no.4, pp.1041-1060



Abstract

Irritable Bowel Syndrome(IBS) is a functional disorder of the lower gastrointestinal (GI) tract in the absence of structural abnormalities. Psychological factors play a role in the etiology and maintenance of IBS. This study examined the effect of mindfulness meditation on symptoms and psychological states in patients with IBS. Twenty patients with IBS were referred by a local physician or self-referred and assigned to either a meditation condition(n=10) or a wait list symptom monitoring condition(n=10). Patients(n=8) of the meditation group participated in a 7-week group mindfulness meditation sessions and were instructed to practice 10~25 min of meditation daily. The wait list group did not receive any treatment. Pre-and Post intervention data were collected by using IBS symptom diaries, STAI(State-Trait Anxiety Inventory), ASI(Anxiety Sensitivity Inventory), BDI(Beck's Depression Inventory), and Multidimentional Health Locus of Control Scale(MHLC). Results showed that the difference between the mindfulness meditation group and waiting group on CPSR(Composite Primary Symptom Reduction) score failed to reach statistical significance but the ratio of clinically improved partipants in the mindfulness meditation group was higher. In addition, within-subject improvements of mindfulness meditation group were noted for abdominal tenderness, constipation, bloating, nausea, flatulence, and average degree of general symptoms at post-treatment. Significant within-subject changes of mindfulness meditation group were noted for state anxiety, anxiety sensitivity, Internal health locus of control in IBS patients at post-treatment. There was no statistically significant improvement in the wait list group.

keywords
Irritable bowel syndrome, Mindfulness meditation, Gastrointestinal (GI) symptom, Anxiety, Anxiety sensitivity, Health locus of control, 과민성대장증후군, 마음챙김명상, 위-장 증상, 불안, 불안민감성, 건강 통제감, Irritable bowel syndrome, Mindfulness meditation, Gastrointestinal (GI) symptom, Anxiety, Anxiety sensitivity, Health locus of control

Reference

1.

(1978) 명상의 심리학적 일 고찰,

2.

(2003) 호흡마음챙김명상이 과민성대장증후군 환자들의 심리건강에 미친 효과 , 덕성여자대학교 학생생활연구소

3.

(2003) 마음챙김명상이 측두하악장애 환자들의 통증과 기능장애의 감소에 미치는 효과, 덕성여자대학교

4.

(1994a) 인지과학과 명상,

5.

(1994b186-206) 구조주의 심리학과 불교의 사념처 수행의 비교,

6.

(1995) 마음챙김명상의 소집단 수행에 관한 연구 , 덕성여자대학교 학생생활연구소

7.

(1996a) 한국의 경험적 명상연구에 대한 고찰 사회과학연구 덕성여자대학교 사회과학연구소,

8.

(1996b) 위빠싸나 명상의 심리학적 고찰 사회과학연구 덕성여자대학교 학생생활연구소,

9.

(2002) 과민성대장증후군(Irritable Bowel Syndrome; IBS)을 위한 호흡마음챙김명상프로그램의 실제. , 덕성여자대학교 학생생활연구소.

10.

(2003) 호흡마음챙김명상이 과민성대장증후군의 증상에 미친 효과 예비적 연구,

11.

(1995) 한국판 공황장애 척도 개발 연구,

12.

(1991) 정신치료와 수도 정신분석과 선을 중심으로,

13.

(1991) 이영호와 송종용 MMPI-D 척도의 신뢰도 및 타당도에 대한 연구,

14.

(2001) 이진희와 윤호균 통찰명상 중의 경험내용에 대한 질적분석 알아차림을 중심으로 ,

15.

(1993) Spielberger 상태-특성 불안 검사의 표준화 학생지도연구 성균관대학교 학생생활연구소,

16.

(1999) 인지행동프로그램과 명상훈련 프로그램이 여중생의 신체상 불만족과 폭식의 개선 및 체중감소에 미치는 효과,

17.

(2003) Irritable Bowel syndrome,

18.

(1996) Role of anxiety sensitivity in pain-related fear and avoidance ,

19.

(1985) Comparison of psychological and medical treatment of the irritable bowel syndrome,

20.

(2001) Irritable Bowel Syndrome- Psychosocial Assessment and Treatment, American Psychological Association

21.

(1993) Relaxation training for irritable bowel syndrome,

22.

(1987) Adaptation of a multi-component treatment for irritable bowel syndrome to a small-group format,

23.

(1988) Clinically significant changes in behavioral medicine,

24.

(1988) Two-year follow-up of behavioral treatment of irritable bowel syndrome,

25.

(1985) Transcendental meditation in the treatment of post Vietnam adjustment disorder with mixed anxiety and depressed mood Journal of Counseling and Development,

26.

(2001) The effects of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients: 6-month follow-up. ,

27.

(1984) Modern forms of meditation Prindiples and practice of stress management, The Guilford Press

28.

(1978) Effect of meditation on blood cholesterol and blood pressure,

29.

(1974) The spectrum of suffering,

30.

(1988) The relationship of locus of control th pain coping strategies and psychological distress in chronic pain patients,

31.

(1998) The relationship between daily stress and symptoms of irritable bowel: a time-series approach. ,

32.

(1995) The relationship between hassles, uplifts and irritable bowel syndrome: a prelimininary study. ,

33.

(1999) Review article: an integrated approach to the irritable bowel syndrome. ,

34.

(1998) The treatment of irritable bowel syndrome with hypnotherapy. ,

35.

(1980) A Book of Reading, University Associates

36.

(1976) Meditation as an intervention in stress reactivity,

37.

(2002) Hypnotherapy in irritable bowel syndrome A large-scale audit of a clinical service with examination of factors influencing responsiveness ,

38.

(1994) Cognitive Therapy for Irritable Bowel Syndrome Journal of Consulting and Clinical Psychology,

39.

(1991) A controlled trial of psychological treatment for the irritable bowel syndrome,

40.

(1998) 명상과 자기치유 상, 하(Full Catastrophe Living), 학지사

41.

(1992) Effectiveness of a meditation based stress reduction program in the treatment of anxiety disorders American Journal of Psychiatry,

42.

(2001) The effects of relaxation response meditation on the symptoms of irritable bowel syndrome: results of a controlled treatment study.,

43.

(2002) A one year follow-up of relaxation response meditation as a treament for irritable bowel syndrome,

44.

(1989) The impact of religion on men's blood pressure Journal of Religion and Health,

45.

(1989) A controlled behavior treatment study of irritable bowel syndrome,

46.

(1995192-200) Three-year follow-up and clinical implications of a mindfulness meditation- based stress reduction intervention in the treatment of anxiety disorders,

47.

(1987) A multicomponent treatment for irritable bowel syndrome,

48.

(1995) A controlled comparison of cognitive therapy and self-help support groups in the treatment of irritable bowel syndrome ,

49.

(1991) Expectancy model of fear,

50.

(1985) The expectancy model of fear Theoretical issues in behavior therapy, Academic Press

51.

(1986) and the prediction of fearfulness,

52.

(1980) Self-regulation strategy & altered state of consciousness, Aldine Publishing

53.

(1991) Modern insights into ancient medicine Journal of American Medical Association,

54.

(2000) A randomized, wait-list controlled clinical trial: the effect of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients. ,

55.

(1970) STAI Manual for the State-trait Anxiety Inventory, Consulting Psychologist Press

56.

(2002) Meditation as a moderator of the effect of optimism on positive coping for cancer patients, Columbia University

57.

(1978) Who multidimensional health locus of control scale,

58.

(1984) Controlled hypnotherapy in the treatment of severe refractory irritable bowel syndrome,

The Korean Journal of Health Psychology