COMPARISON OF THE EFFECTIVENESS OF MINDFULNESS-BASED COGNITIVE THERAPY AND ACCEPTANCE AND COMMITMENT THERAPY ON HEALTH-PROMOTING BEHAVIORS IN PATIENTS WITH ULCERATIVE COLITS

Abstract

Background and Aim: Gastrointestinal symptoms are the most common complaints among in public and domestic clinics. Today, due to urbanization and development of countries, inflammatory bowel diseases are increasing, which can greatly affect on the quality of life in the patients. Health-promoting behaviors was an important variable in determining the effects of the disease on the lives of patients with ulcerative colitis. Psychotherapy was a useful intervention for this patients. Therefore, the aim of this study was to comparison the effectiveness of mindfulness-based cognitive therapy and treatment based on acceptance and commitment on the promoting health lifestyle in patients with ulcerative colitis.
Method: The present study was a quasi-experimental with pre-test-post-test design with a control group. The study population was people with ulcerative colitis in 1400. By purposive sampling method, 36 person them people met the inclusion and exclusion criteria in 3 groups of 12, one group of cognitive therapy based on mindfulness, the second group of treatment based on Acceptance and commitment and the third group was the control group. 2 experimental groups, were exposed to mindfulness-based cognitive therapy and acceptance and commitment therapy in 8 sessions of 90 minutes, but the control group did not receive treatment. Two months later was done the follow up stage.To gather information was used From the Health Promoting Lifestyle Questionnaire Walker& et al. Data were analyzed using spss 23software And by multivariate analysising of covariance(ANCOVA)and the follow up stage was used analysising variance with repeated measurements.
Results: The results of multivariate analysising of covariance and analysising variance with repeated measurements showed that both interventions of mindfulness-based cognitive therapy and acceptance and commitment-based therapy had a significant effect on health-promoting behaviors in patients with ulcerative colitis and acceptance-commitment therapy had a greater effect on improvement health-promoting behaviors than mindfulness-based cognitive therapy.
Conclusion: Cognitive therapy based on mindfulness and on acceptance and commitment therapy increased health-promoting behaviors in patient with ulcerative colitis. The useing of these interventions is recommended to improvement the health-promoting lifestyle in these patients.