Psychological therapies in inflammatory bowel disease.
Psychological therapies in inflammatory bowel disease.
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炎症性肠病的心理治疗。
DOI：
10.1016/s2468-1253(23)00229-7
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Shin,Andrea
中科院分区：
文献类型：
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作者：
Shin,Andrea
因此，没有观察到对疾病活动指数（旨在捕捉缓解期患者炎症症状）的可测量影响并不奇怪。使用替代工具来捕获非炎症症状并评估肠-脑相互作用的重叠障碍可以改善对静止性 IBD 患者的疾病活动和症状控制的概念化。 IBD 心理疗法正在取得有意义的进展。这些发现表明，较传统 CBT 更强调变化过程的第三波疗法 11 可能特别有用。未来对提供心理治疗和选择 IBD 患者进行心理治疗的方法的改进将加强对这些人的个性化护理。 Riggott 及其同事提供了对 IBD 患者心理治疗的最新理解，同时强调了主要的知识差距，包括缺乏对活动性 IBD 患者或重叠 IBD 和 IBS 患者的前瞻性试验，以及缺乏检查克罗恩病和溃疡性结肠炎之间差异的研究。尽管存在这些限制，但应接受生物心理社会观点，并应重新考虑在提供 IBD 护理时定义个人健康和保健的方式。
Therefore, that measurable effects on disease activity indices (which are designed to capture symptoms of inflammation among people in remission) were not observed is not surprising. Use of alternative tools to capture non-inflammatory symptoms and assess overlapping disorders of gut–brain interaction could improve how disease activity and symptom control in people with quiescent IBD are conceptualised. Meaningful advancements in psychological therapies for IBD are under way. These findings suggest that newer third-wave therapies11 that place greater emphasis on the processes of change than traditional CBT could be particularly useful. Future refinements in approaches to delivering psychological therapies and selecting people with IBD for psychological treatment will enhance individualised care for these people. Riggott and colleagues offer an updated understanding of psychological therapy in people with IBD while highlighting major knowledge gaps, including the lack of prospective trials of people with active IBD or over lapping IBD and IBS and the lack of research examining differences between Crohn’s disease and ulcerative colitis. Despite these limitations, biopsychosocial perspectives should be embraced and the ways that the health and wellness of a person are defined when delivering IBD care should be reconsidered.