Effect of Biofeedback Combined with Psychotherapy on Functional Constipation Complicated with Anxiety and Depression.

IF 2.2 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Applied Psychophysiology and Biofeedback Pub Date : 2024-11-21 DOI:10.1007/s10484-024-09670-1
Zhou Hongyu, Liao Nana, Han Mingwei, Zhu Feifei, Zhang Yan, Liu Tiantian, Chen Yeqing
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Abstract

Biofeedback combined with psychotherapy has been recognized as a potential treatment for patients with functional constipation, anxiety and depression disorder. To validate the therapeutic effect of the biofeedback therapy, 120 patients with a clear diagnosis of functional constipation combined with anxiety and depression disorder were recruited, and then randomly divided into the control group (patients received gastrointestinal medication and anti-anxiety and depression medication) and the treatment group (patients received combined biofeedback and psychotherapy on the basis of the control group's treatment program). The treatment group was treated with biofeedback exercise twice a day for 7 days, supplemented with psychotherapy for a period of 2 months (half-month intervals for one time). Intestinal medications in the treatment group were stopped after one month of treatment. While for the control group, patients were maintained with gastrointestinal motivational drugs, probiotics, anti-anxiety and depression medications. Both groups reduced the dosage of anxiolytics and depressants after 3 months. The control and the treatment group were both effective and the latter had a more significant effect compared to the former. Moreover, the anxiety/depression symptom for patients in the treatment group was significantly milder than those in the control group. Notably, compared with pre-treatment symptoms, the treatment group showed a significant reduction in Pittsburgh sleep quality index (PSQI) scores in the sixth month (F = 0.008, P = 0.008). In summary, biofeedback combined with psychotherapy may improve relieve constipation patients' clinical symptoms, anxiety/depression state and sleep quality. The treatment is durable, safe, and easy to implement, so it is suitable for widely used.

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生物反馈疗法与心理疗法相结合对伴有焦虑和抑郁的功能性便秘的影响
生物反馈疗法与心理疗法相结合,被认为是治疗功能性便秘、焦虑症和抑郁症患者的一种潜在方法。为了验证生物反馈疗法的治疗效果,研究人员招募了120名明确诊断为功能性便秘并伴有焦虑和抑郁障碍的患者,然后将其随机分为对照组(患者接受胃肠道药物治疗和抗焦虑、抑郁药物治疗)和治疗组(患者在对照组治疗方案的基础上接受生物反馈和心理治疗的联合治疗)。治疗组接受生物反馈运动治疗,每天两次,共 7 天,辅以心理治疗,为期 2 个月(每次间隔半个月)。治疗组患者在治疗一个月后停用肠道药物。而对照组患者则继续服用胃肠道激励药物、益生菌、抗焦虑和抑郁药物。3 个月后,两组患者都减少了抗焦虑和抑郁药物的用量。对照组和治疗组都有效,而且后者的效果比前者更显著。此外,治疗组患者的焦虑/抑郁症状明显轻于对照组。值得注意的是,与治疗前的症状相比,治疗组患者的匹兹堡睡眠质量指数(PSQI)得分在第 6 个月出现了显著下降(F = 0.008,P = 0.008)。总之,生物反馈疗法与心理疗法相结合,可改善缓解便秘患者的临床症状、焦虑/抑郁状态和睡眠质量。该疗法持久、安全、易于实施,适合广泛应用。
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来源期刊
CiteScore
5.30
自引率
13.30%
发文量
36
期刊介绍: Applied Psychophysiology and Biofeedback is an international, interdisciplinary journal devoted to study of the interrelationship of physiological systems, cognition, social and environmental parameters, and health. Priority is given to original research, basic and applied, which contributes to the theory, practice, and evaluation of applied psychophysiology and biofeedback. Submissions are also welcomed for consideration in several additional sections that appear in the journal. They consist of conceptual and theoretical articles; evaluative reviews; the Clinical Forum, which includes separate categories for innovative case studies, clinical replication series, extended treatment protocols, and clinical notes and observations; the Discussion Forum, which includes a series of papers centered around a topic of importance to the field; Innovations in Instrumentation; Letters to the Editor, commenting on issues raised in articles previously published in the journal; and select book reviews. Applied Psychophysiology and Biofeedback is the official publication of the Association for Applied Psychophysiology and Biofeedback.
期刊最新文献
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