Cognitive-Behavioral Group Therapy for Irritable Bowel Syndrome: Effects and Long-Term Follow-Up
Cognitive-Behavioral Group Therapy for Irritable Bowel Syndrome: Effects and Long-Term Follow-Up
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肠易激综合症的认知行为团体疗法：效果和长期随访
DOI：
10.1097/00006842-199609000-00013
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发表时间：
1996
影响因子：
3.3
通讯作者：
G. Bleijenberg
中科院分区：
文献类型：
--
作者：
A. M. Dulmen;J. Fennis;G. Bleijenberg
关于认知行为治疗对肠易激综合征患者群体的有效性知之甚少。以往的研究仅使用小样本，缺乏长期随访的研究。本研究的目的是调查：a）与等待名单对照条件相比，认知行为团体治疗在减轻腹部不适方面的有效性；b）认知行为团体治疗的长期有效性。在研究 1 中，我们对 25 名处于分组治疗条件下的患者和 20 名处于等待名单对照条件下的患者进行了对照研究。治疗包括为期 3 个月的八次每次 2 小时的小组治疗。在研究2中，所有患者在完成团体治疗后均接受治疗并随访平均2.25年（范围6个月至4年）。发现接受治疗的患者的腹部主诉比等待治疗的患者的主诉有显着改善。此外，与治疗目的一致，与等待名单对照组相比，治疗组成功应对策略的数量增加更多，患者的回避行为减少更多。在随访期间，积极的变化似乎持续存在。认知行为团体治疗可有效缓解肠易激综合症、刺激应对策略和减少回避行为。在长期随访中，与治疗前评估相比，腹部主诉、成功应对策略的数量和回避行为仍有改善。
Little is known about the effectiveness of cognitive-behavioral treatment for patients with irritable bowel syndrome on a group basis. Previous studies have used only small samples, and studies with long term follow-up are lacking. The aim of the present study was to investigate: a) the effectiveness of a cognitive-behavioral group treatment compared with a waiting list control condition in alleviating abdominal complaints and b) the long term effectiveness of cognitive-behavioral group treatment. In study 1, we performed a controlled study with 25 patients in the group treatment condition and 20 patients in the waiting list control condition. Treatment consisted of eight 2-hour group sessions over a period of 3 months. In study 2, all patients were treated and followed up for an average of 2.25 years (range 6 months-4 years) after the completion of the group treatment. The abdominal complaints of the patients who underwent treatment were found to improve significantly more than the complaints of the patients awaiting treatment. Moreover, in agreement with the purpose of the therapy, the number of successful coping strategies was found to increase more and patients' avoidance behavior was found to decrease more in the treatment group than in the waiting list control group. The positive changes appeared to persist during follow-up. Cognitive-behavioral group treatment is effective in alleviating irritable bowel syndrome, in stimulating coping strategies, and in reducing avoidance behavior. At long term follow-up, the abdominal complaints, the number of successful coping strategies, and the avoidance behavior were still improved compared with the pretreatment assessment.
对肠易激综合征患者进行行为治疗：四年随访。
影响因子：
4.1
作者：
Schwarz,SP;Taylor,AE;Scharff,L;Blanchard,EB
通讯作者：
Blanchard,EB
医疗结果研究中身心健康之间的四年交叉滞后关联。
影响因子：
5.9
作者：
Hays,RD;Marshall,GN;Wang,EY;Sherbourne,CD
通讯作者：
Sherbourne,CD