Abstract
Background: Irritable Bowel Syndrome (IBS) is a functional gastrointestinal disorder that affects social, occupational, communicational, and psychological functioning. Therefore, the aim of this research was to determine the effect of emotional regulation and distress tolerance skills based on Dialectical Behavior Therapy (DBT) on anxiety sensitivity and emotion regulation difficulties among women with IBS.
 Methods: In order to conduct this study, a sample of 30 women with IBS who referred to Tehran healthcare centers was selected using the convenience sampling. Then, participants were assigned to experimental and control groups randomly. In this pretest-posttest semi-experimental study, we used anxiety sensitivity index questionnaire and the emotion regulation questionnaire. The experimental group received the educational intervention in 10 sessions during two and a half months. Data were analyzed by SPSS software.
 Results: The results showed that DBT had a significant effect on anxiety sensitivity and emotional regulation difficulties in women with IBS (P-value < 0.001). So, this treatment could reduce the anxiety sensitivity and emotional regulation difficulties in with IBS women.
 Conclusion: According to the results, DBT educations can reduce the anxiety sensitivity and negative emotion regulation and increase the positive emotion regulation.
Highlights
Irritable Bowel Syndrome (IBS) is one of the chronic digestive disorders characterized by abdominal pain and bloating as well as change in bowel patterns in the absence of pathological and chemical disorders
The main issue of the current research was to investigate whether education of emotion regulation and tolerance distress skills based on Dialectical Behavior Therapy (DBT) affects anxiety sensitivity and emotion regulation difficulties among women with IBS?. In this semi-experimental pretest-posttest study, the independent variable was training of emotion regulation and distress tolerance skills based on DBT and the dependent variables included anxiety sensitivity and difficulties of emotion regulation among women with IBS
The participants consisted of the women with IBS who referred to Tehran healthcare centers in 2016
Summary
Irritable Bowel Syndrome (IBS) is one of the chronic digestive disorders characterized by abdominal pain and bloating as well as change in bowel patterns (diarrhea and constipation) in the absence of pathological and chemical disorders. A lot of patients and doctors are not satisfied with the effect of medical and pharmaceutical treatments.[3] According to mentioned reasons, a great deal of effort has been taken in recent years to diagnose the adaptive mechanisms Through these adaptive mechanisms people with chronic pain can achieve their psychological health and functional ability.[4] It should be noted that IBS is a chronic disease,[5] which affects individuals' social health, lifestyle, and job.[6] Abdominal pain and discomforts with impaired excretion and bowel habits are symptoms of IBS.[7] Patients often complain about abdominal pain or discomfort.[8] This pain has a chronic nature and negative impact on the life quality of patients.[9]. Conclusion: According to the results, DBT educations can reduce the anxiety sensitivity and negative emotion regulation and increase the positive emotion regulation
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