A CONTROLLED TRIAL OF PSYCHOLOGICAL TREATMENT FOR THE IRRITABLE-BOWEL-SYNDROME
A CONTROLLED TRIAL OF PSYCHOLOGICAL TREATMENT FOR THE IRRITABLE-BOWEL-SYNDROME
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DOI：
10.1016/0016-5085(91)90215-7
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发表时间：
1991-02-01
期刊：
影响因子：
29.4
通讯作者：
TOMENSON, B
中科院分区：
文献类型：
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作者：
GUTHRIE, E;CREED, F;TOMENSON, B
对102例肠易激综合征患者进行了心理治疗的对照试验，其中包括心理治疗、放松和标准药物治疗，并与单纯标准药物治疗进行比较。只有在过去6个月内接受标准医疗治疗后症状没有改善的患者才会被选中。治疗3个月后，胃肠病科医生和患者的腹泻和腹痛评分治疗组明显优于对照组，但便秘评分变化不大。良好的预后因素包括明显的精神症状和因压力而加剧的间歇性疼痛，而持续腹痛的患者通过这种治疗几乎没有帮助。这项研究表明，对于三分之二对标准药物治疗无效的肠易激综合征患者，心理治疗是可行和有效的。
One hundred two patients with irritable bowel syndrome were studied in a controlled trial of psychological treatment involving psychotherapy, relaxation, and standard medical treatment compared with standard medical treatment alone. Patients were only selected if their symptoms had not improved with standard medical treatment over the previous 6 months. At 3 months, the treatment group showed significantly greater improvement than the controls on both gastroenterologists' and patients' ratings of diarrhea and abdominal pain, but constipation changed little. Good prognostic factors included overt psychiatric symptoms and intermittent pain exacerbated by stress, whereas those with constant abdominal pain were helped little by this treatment. This study has demonstrated that psychological treatment is feasible and effective in two thirds of those patients with irritable bowel syndrome who do not respond to standard medical treatment.