Skip to main content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Mindfulness 2/2020

10-12-2019 | ORIGINAL PAPER

Dispositional Mindfulness in Irritable Bowel Syndrome: the Mediating Role of Symptom Interference and Self-Compassion

Auteurs: Gillian K. Potter, Paulette V. Hunter, Todd G. Morrison

Gepubliceerd in: Mindfulness | Uitgave 2/2020

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Objectives

Irritable bowel syndrome (IBS) is a disorder of gut-brain interaction and is associated with psychological distress. Promising support is emerging for mindfulness-based interventions (MBIs) in IBS; however, mechanistic models of mindfulness are needed for this population. Based on available research, it is hypothesized that mindfulness may promote psychological well-being in IBS by reducing symptom reactivity, and targeting shame and negative thought patterns. This study examined symptom interference and self-compassion in relation to dispositional mindfulness and psychological distress in IBS.

Methods

A cross-sectional design was used, assessing the following in an IBS convenience sample (N = 144; 80.6% women): demographics, Five Facet Mindfulness Questionnaire, Self-Compassion Scale, Depression Anxiety Stress Scale-21, IBS symptom frequency, and IBS symptom interference. Statistical analyses included bivariate correlations, tests of two hypothesized statistical mediation models, and an exploratory test of statistical moderation.

Results

Mindfulness significantly correlated with psychological distress, self-compassion, and symptom interference. Symptom interference and self-compassion were significant mediators of the observed relationship between mindfulness and psychological distress. Further, mindfulness significantly moderated the relationship between IBS symptom frequency and interference.

Conclusions

Mindfulness is associated with low symptom interference, high self-compassion, and low distress in IBS. The observed association between mindfulness and low distress is partly related to high self-compassion and low symptom interference. The observed association between symptom frequency and interference is not as strong among those reporting high levels of mindfulness. Overall, this study strengthens justification for the use of MBIs in IBS.
Literatuur
go back to reference Drossman, D. A., Patrick, D. L., Whitehead, W. E., Toner, B. B., Diamant, N. E., Hu, Y., et al. (2000). Further validation of the IBS-QOL: a disease-specific quality-of-life questionnaire. American Journal of Gastroenterology, 95(4), 999–1007. CrossRef Drossman, D. A., Patrick, D. L., Whitehead, W. E., Toner, B. B., Diamant, N. E., Hu, Y., et al. (2000). Further validation of the IBS-QOL: a disease-specific quality-of-life questionnaire. American Journal of Gastroenterology, 95(4), 999–1007. CrossRef
go back to reference Faurot, K. K. R., Gaylord, S., Palsson, O. S., Garland, E. L., Mann, J. D., & Whitehead, W. E. (2014). 715 mindfulness meditation has long-term therapeutic benefits in women with irritable bowel syndrome (IBS): Follow-up results from a randomized controlled trial. [abstract]. DDW Abstract Gastroenterology, 146, 124. https://​doi.​org/​10.​1016/​S0016-5085(14)60447-9. CrossRef Faurot, K. K. R., Gaylord, S., Palsson, O. S., Garland, E. L., Mann, J. D., & Whitehead, W. E. (2014). 715 mindfulness meditation has long-term therapeutic benefits in women with irritable bowel syndrome (IBS): Follow-up results from a randomized controlled trial. [abstract]. DDW Abstract Gastroenterology, 146, 124. https://​doi.​org/​10.​1016/​S0016-5085(14)60447-9. CrossRef
go back to reference Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. New York: Guilford Press. Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. New York: Guilford Press.
go back to reference Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: Random House Inc.. Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: Random House Inc..
go back to reference Khokhar, N., & Niazi, A. K. (2013). A long-term profile of patients with irritable bowel syndrome. Journal of the College of Physicians and Surgeons Pakistan, 23(6), 388–391. PubMed Khokhar, N., & Niazi, A. K. (2013). A long-term profile of patients with irritable bowel syndrome. Journal of the College of Physicians and Surgeons Pakistan, 23(6), 388–391. PubMed
go back to reference Lembo, T., Fullerton, S., Diehl, D., Raeen, H., Munakata, J., Naliboff, B., & Mayer, E. A. (1996). Symptom duration in patients with irritable bowel syndrome [abstract]. American Journal of Gastroenterology, 91(5), 898. Lembo, T., Fullerton, S., Diehl, D., Raeen, H., Munakata, J., Naliboff, B., & Mayer, E. A. (1996). Symptom duration in patients with irritable bowel syndrome [abstract]. American Journal of Gastroenterology, 91(5), 898.
go back to reference Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343. CrossRefPubMed Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343. CrossRefPubMed
go back to reference Sauer, S. & Baer, R. A. (2010). Mindfulness and decentering as mechanisms of change in mindfulness and acceptance-based interventions. In Baer (Ed.), Assessing mindfulness and acceptance processes in clients: illuminating the theory and practice of change (pp. 25–50). Oakland: New Harbinger Publications Inc. Sauer, S. & Baer, R. A. (2010). Mindfulness and decentering as mechanisms of change in mindfulness and acceptance-based interventions. In Baer (Ed.), Assessing mindfulness and acceptance processes in clients: illuminating the theory and practice of change (pp. 25–50). Oakland: New Harbinger Publications Inc.
go back to reference Zomorodi, S., Abdi, S., & Tabatabaee, S. K. R. (2014). Comparison of long-term effects of cognitive-behavioral therapy versus mindfulness-based therapy on reduction of symptoms among patients suffering from irritable bowel syndrome. Gastroenterology and Hepatology from Bed to Bench, 7(2), 118–124. PubMedPubMedCentral Zomorodi, S., Abdi, S., & Tabatabaee, S. K. R. (2014). Comparison of long-term effects of cognitive-behavioral therapy versus mindfulness-based therapy on reduction of symptoms among patients suffering from irritable bowel syndrome. Gastroenterology and Hepatology from Bed to Bench, 7(2), 118–124. PubMedPubMedCentral
Metagegevens
Titel
Dispositional Mindfulness in Irritable Bowel Syndrome: the Mediating Role of Symptom Interference and Self-Compassion
Auteurs
Gillian K. Potter
Paulette V. Hunter
Todd G. Morrison
Publicatiedatum
10-12-2019
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 2/2020
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-019-01282-9

Andere artikelen Uitgave 2/2020

Mindfulness 2/2020 Naar de uitgave