마음챙김명상이 과민성대장증후군 환자들의 증상과 심리적 특성에 미치는 효과 = The effect of mindfulness meditation on symptoms and psychological features in patients with irritable bowel syndrome

다국어 초록 (Multilingual 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.

국문 초록 (Abstract)

본 연구에서는 마음챙김명상이 과민성대장증후군 환자들의 증상과 심리적 특성에 미치는 효과를 알아보았다. 연구를 위해 내과 혹은 대장항문과에서 전문의의 검진과 의학적 검사를 통해 과민성대장증후군으로 진단받은 성인 남성과 여성 20명을 대상으로 마음챙김명상을 적용한 치료집단과 대기자 집단의 두 집단을 구성하였다. 마음챙김명상은 7주 동안 총 8회기를 진행하였다. 과민성대장증후군 증상과 심리적 특성들을 측정하고자 증상일지, 상태-특성 불안척도, 불안민감성 척도, 우울 척도, 건강 통제감 척도를 사용하여 사전과 사후 점수를 구하여 차이검증을 실시하였다. 연구 결과는 다음과 같다. 첫째, 과민성대장증후군의 주증상의 감소 정도에 있어서 집단 간 차이가 유의수준에 접근하였으며, 마음챙김명상집단에서는 개별 증상 중 복부민감(복부 불편감), 변비, 복부팽만, 미식거림, 가스참 및 전체적 평가 점수가 통계적으로 유의하게 감소하였다. 둘째, 마음챙김명상을 적용한 치료집단은 상태불안과 불안민감성이 통계적으로 유의하게 감소되었고, 건강에 대한 내적 통제감이 통계적으로 유의하게 증가하였다. 특성불안과 우울에서는 통계적으로 유의한 차이를 보이지 않았다. 한편, 대기자 집단은 모든 점수들에 대하여 사전-사후 간에 통계적으로 유의한 차이가 없었다. 본 연구의 결과는 마음챙김명상이 과민성대장증후군의 관리에 유용한 치료기법이 될 수 있음을 시사한다. 마지막으로 본 연구의 의의와 제한점 및 후속 연구를 위한 제언을 논하였다.

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