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Effect of acceptance and commitment therapy on body image flexibility and body awareness in patients with psychosomatic disorders: a randomized clinical trial

机译:接受和承诺治疗对心身疾病患者身体影像柔韧性和身体意识的影响:一项随机临床试验

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Objective The aim of this research was to examine the effectiveness of the acceptance and commitment therapy (ACT) for body image flexibility and body awareness in these patients. Methods A randomized clinical trial was conducted at Kashan University of Medical Sciences clinics in Kashan, Iran, from December 1, 2017 to March 30, 2018. A sample of 75 patients with psychosomatic disorders was selected by convenience sampling. The selected patients were randomly divided into three 25-member groups. The experimental group received medicinal treatment combined with the (ACT). The active control group received the usual treatment plus psycho education in general psychology, and the treatment group solely received the medicinal treatment usually used in the treatment centers. The results were obtained using the following scales in the pretest and posttest phases and the two-month follow-up: the demographic questionnaire; Shields’ body awareness questionnaire; and Sandoz’s body image flexibility questionnaire. The data were analyzed using the descriptive statistics tests (mean and standard deviation) and the repeated measures analysis of variance and chi-square tests in IBM-SPSS version 21. Results There was no significant difference among the three groups in terms of body image flexibility, body awareness, somatic symptoms, and demographic variables. The results of the posttest and follow-up examinations suggested that the ACT group more effectively and significantly improved body image flexibility and body awareness as compared to both of the control groups (p=0.02). Conclusions The ACT successfully improves body image flexibility and body awareness in patients with psychosomatic disorders. Clinical trial registration This research was registered at the Iranian Registry of Clinical Trials ( http://www.irct.ir ) with the IRCT ID: IRCT2017092532057N2. Funding Research and Technology Department of Kashan University of Medical Sciences funded the study (Ref: 96053).
机译:目的这项研究的目的是检查接受和承诺治疗(ACT)对这些患者的身体图像柔韧性和身体意识的有效性。方法于2017年12月1日至2018年3月30日在伊朗喀山的喀山医科大学诊所进行了一项随机临床试验。通过便利性抽样选择了75例心身疾病患者。选择的患者被随机分为三个25人小组。实验组接受药物治疗并联合(ACT)治疗。主动对照组接受常规治疗,并接受一般心理学方面的心理教育,治疗组仅接受治疗中心通常使用的药物治疗。在前测和后测阶段以及两个月的随访中,使用以下量表获得了结果:人口统计学问卷; Shields的身体意识问卷;和Sandoz的身体影像灵活性问卷。使用描述性统计检验(均值和标准差)以及IBM-SPSS 21版中的方差和卡方检验的重复测量分析对数据进行了分析。结果在人体图像灵活性方面,三组之间没有显着差异,身体意识,躯体症状和人口统计变量。事后测试和随访检查的结果表明,与两个对照组相比,ACT组更有效且显着改善了身体图像的柔韧性和身体意识(p = 0.02)。结论ACT成功改善了心身疾病患者的身体影像灵活性和身体意识。临床试验注册该研究已在伊朗临床试验注册中心(http://www.irct.ir)进行了注册,其IRCT ID:IRCT201709252532057N2。喀山医科大学的资助研究技术部资助了这项研究(参考号:96053)。

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