Journal of Psychiatry

The effects of Cognitive-Behaviour Therapy in the improvement of Psychological and Somatic symptoms in patients with Dyssynergic defecation

25^th World Summit on Psychology, Psychiatry & Psychotherapy

October 19-20, 2017 | San Francisco, USA

Afsaneh Nikjooy, Aniss Khoshlahjeh Sedgh, Bahar Mahjoubi and Rezvan Mirzaei

Iran University of Medical Sciences, Iran
Islamic Azad University, Iran

Scientific Tracks Abstracts: J Psychiatry

Abstract:

Statement of the Problem: Dyssynergic defecation (DD) is a common digestive complaint which has an adverse impact on psychological health and quality of life of the patients. DD or paradoxical puborectalis contraction syndrome, which is one of the most common functional defecation disorders, has an unclear etiology. The abnormal pattern of muscle activity may be a result of an acquired behavioural and cognitive defecation disorder. This study aimed at determining the effects of cognitive-behaviour therapy on physical and mental health of the DD patients. Methodology & Theoretical Orientation: In a randomized clinical trial, 45 patients were divided into three study groups that received biofeedback therapy with cognitive-behaviour therapy, biofeedback therapy and standard therapy. In order to assess the effects of cognitive-behaviour therapy on the somatic symptoms, the culturally-adapted version of Short Form-36 and Beck Depression Inventory questionnaires were used, before and after treatment. Also, symptomatic changes were measured according to a constipation scoring system, i.e. the Agachan scoring system with minimum score of 0 and maximum of 30, which represented the severity of the constipation. Digital rectal examination was used to assess the presence of paradoxical contraction of the puborectalis muscle. Findings: The results showed that improvement of dyssynergic defecation and quality of life and decrease of depression in cognitivebehavioural therapy with biofeedback therapy group were more than the other two groups. Conclusion & Significance: Inability to overcome the cycle of disease and treatment efforts will lead to increased depression. Cognitive behavioural therapy with the reconstruction process of beliefs and cognitions about disability and disease can decrease depression and improve the quality of life. Enhancement of mood and quality of life affect the individual care which leads to decrease in the recovery process.

Biography :

Afsaneh Nikjooy is working as an Assistant Professor of Physical Therapy at the Department of Physical Therapy, Iran University of Medical Sciences, Tehran, Iran. She is a Member of the International Continence Society (ICS) and Iranian Continence Society (IrCS). She has worked in Pelvic Floor Physical Therapy for more than 14 years. She has managed several courses of Pelvic Floor Physical Therapy for Master’s students in this field in Faculty of Rehabilitation, Iran University of Medical Sciences.