Evaluation of a psychological treatment for inflammatory bowel disease.
Evaluation of a psychological treatment for inflammatory bowel disease.
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DOI：
10.1016/0005-7967(91)90045-5
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发表时间：
1991
影响因子：
4.1
通讯作者：
S. P. Schwarz;E. Blanchard
中科院分区：
文献类型：
--
作者：
S. P. Schwarz;E. Blanchard
炎症性肠病(IBD)包括两种相关的胃肠道疾病，溃疡性结肠炎(UC)和克罗恩病(CD)。这项研究是一项随机对照试验，将包括IBD教育、渐进性肌肉放松、热生物反馈和认知应对策略训练在内的多成分行为治疗包(n=11)的有效性与症状监测的有效性(n=10)作为对照条件进行比较；8名对照组随后完成治疗。在治疗后，治疗组的5项症状平均减少，而症状监测对照组的所有8项症状的平均减少。在总症状变化的指标上，对照组比治疗组有更多的改善；治疗后的对照组在所有8个症状上都有增加。然而，接受治疗的受试者认为自己更好地应对了IBD，感觉到与IBD相关的压力较少，经历的抑郁和焦虑也较少。据推测，CD和UC受试者之间可能存在内在差异，这可能导致治疗反应的差异。
Inflammatory bowel disease (IBD) encompasses two related gastrointestinal-tract diseases, ulcerative colitis (UC) and Crohn's Disease (CD). This study, a randomized controlled trial, compared the effectiveness of a multi-component behavioral treatment package (n= 11), which included IBD education, progressive muscle relaxation, thermal biofeedback, and training in use of cognitive coping strategies, to the effectiveness of symptom-monitoring (n= 10) as a control condition; 8 controls subsequently completed treatment.At posttreatment, the treatment group showed mean reductions on 5 symptoms, while the symptom monitoring controls showed mean reductions on all 8 symptoms. On a measure of Total Symptomatic change, the controls showed more improvement than the treated group; the treated controls at posttreatment, showed increases on all 8 symptoms. However, treated subjects perceived themselves as coping better with IBD, as feeling less IBD-related stress, and as experiencing less depression and anxiety. It is hypothesized that inherent differences may have existed between CD and UC subjects which could have led to the differences seen in treatment responses.