마음챙김명상이 과민성대장증후군에 미치는 효과 : 여자중학생을 대상으로 = The Effects of Mindfulness Meditation on Irritable Bowel Syndrome in Adolescents

국문 초록 (Abstract)

본 연구에서는 마음챙김명상이 과민성 대장 증후군(Irritable Bowel Syndrome: IBS)으로 고통받는 청소년들의 증상 및 심리적 특성에 긍정적 영향을 미치는지 평가했다. 연구의 대상은 서울 소재 B 중학교에 재학중이며 IBS의 진단 기준에 맞는 여학생 12명으로서 마음챙김명상 집단과 대기-통제 집단에 각 6명씩 배치되었으나 대기-통제 집단에서 1명이 초기탈락하여 총 11명이 남았다. 마음챙김명상 집단은 8주 간 주 1-2회 10회기 동안 각 1시간 정도 진행되었다. 마음챙김명상 집단의 프로그램이 진행되는 동안 대기-통제 집단은 아무런 처치도 이루어지지 않았다. 명상훈련이 모두 끝난 뒤 대기-통제 집단과 주증상의 호전정도를 비교한 결과, 마음챙김명상 집단은 대기-통제 집단에 비해 복통, 변비, 복부팽만 등의 주요 IBS증상과 전체 증상이 통계적으로 유의하게 감소하였다. 그러나 학업스트레스 상황 및 반응, 자기효능감, 특성-상태 불안과 우울 검사에서는 유의한 차이가 없었다. 본 연구의 결과의 결과를 토대로 시사점과 제한점을 논의하였다.

다국어 초록 (Multilingual Abstract)

Irritable Bowel Syndrome(IBS) is a functional disorder of the lower gastrointestinal tract in the absence of structural abnormalities. Psychological factors play a role in the etiology and maintenance of IBS. This study evaluated the efficacy of mindfulness meditation for the treatment of symptoms of IBS in middle school students. Twelve subjects were selected from a middle school in Seoul, Korea and assigned to either an 8 week group meditation condition(n=6) or a wait list symptom monitoring condition(n=6). The meditation group participated in 10 breathing-mindfulness meditation sessions 1-2 times a week, for about 8 weeks. Measures included symptom diaries, Academic Stress Test, Self-efficacy Scale, STAI(State-Trait Anxiety Inventory), and Children's Depression Inventory. The results were as follows. The differences between two groups on relief of abdominal pain, constipation, bloating and total symptom score were statistically significant, but there was no difference on psychological measures. These results suggest that mindfulness meditation is efficacious in reducing symptoms of IBS.

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