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Journal of Behavioral Medicine

Erschienen in:

01.12.2012

Therapeutic mechanisms of a mindfulness-based treatment for IBS: effects on visceral sensitivity, catastrophizing, and affective processing of pain sensations

verfasst von: Eric L. Garland, Susan A. Gaylord, Olafur Palsson, Keturah Faurot, J. Douglas Mann, William E. Whitehead

Erschienen in: Journal of Behavioral Medicine | Ausgabe 6/2012

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Abstract

Irritable bowel syndrome (IBS) is a prevalent functional disorder characterized by abdominal pain and hypervigilance to gastrointestinal sensations. We hypothesized that mindfulness training (MT), which promotes nonreactive awareness of emotional and sensory experience, may target underlying mechanisms of IBS including affective pain processing and catastrophic appraisals of gastrointestinal sensations. Seventy five female IBS patients were randomly assigned to participate in either 8 weeks of MT or a social support group. A theoretically grounded, multivariate path model tested therapeutic mediators of the effect of MT on IBS severity and quality of life. Results suggest that MT exerts significant therapeutic effects on IBS symptoms by promoting nonreactivity to gut-focused anxiety and catastrophic appraisals of the significance of abdominal sensations coupled with a refocusing of attention onto interoceptive data with less emotional interference. Hence, MT appears to target and ameliorate the underlying pathogenic mechanisms of IBS.

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Titel: Therapeutic mechanisms of a mindfulness-based treatment for IBS: effects on visceral sensitivity, catastrophizing, and affective processing of pain sensations
verfasst von: Eric L. Garland
Susan A. Gaylord
Olafur Palsson
Keturah Faurot
J. Douglas Mann
William E. Whitehead
Publikationsdatum: 01.12.2012
Verlag: Springer US
Erschienen in: Journal of Behavioral Medicine / Ausgabe 6/2012
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-011-9391-z

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