Behavioural medicine and gastrointestinal disorders: the promise of positive psychology
Behavioural medicine and gastrointestinal disorders: the promise of positive psychology
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DOI：
10.1038/s41575-018-0001-1
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发表时间：
2018-06-01
影响因子：
65.1
通讯作者：
Keefer, Laurie
中科院分区：
文献类型：
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作者：
Keefer, Laurie
与脑-肠失调相关的心理社会风险因素在胃肠道疾病谱中普遍存在，并与患者预后不良相关。行为干预科学和脑肠轴领域的可靠和可重复数据导致了患者护理的重大进步，包括常规使用脑肠心理疗法来管理消化症状和优化应对。对于新兴的心理胃肠病学领域来说，合乎逻辑的下一步是制定一个科学框架，能够识别那些缓冲患者对慢性胃肠道疾病的负面心理影响的个体特征和应对方式。转向力量为基础的，积极的心理科学的胃肠道疾病，可以促进整合早期，有效的心理护理到胃肠病学实践。在这个角度来看，我讨论了三个人的力量与胃肠道健康相关的潜在作用-弹性，乐观和自我调节-以及如何通过现有或新兴的脑肠心理疗法培养这三个结构。
Psychosocial risk factors linked to brain-gut dysregulation are prevalent across the spectrum of gastrointestinal disorders and are associated with poor patient outcomes. Robust and reproducible data in the areas of behavioural intervention science and the brain-gut axis have led to major advances in patient care, including the routine use of brain-gut psychotherapies to manage digestive symptoms and optimize coping. The logical next step for the emerging field of psychogastroenterology is to develop a scientific framework that enables the identification of those individual characteristics and coping styles that buffer patients against the negative psychological effects of chronic gastrointestinal disorders. A shift towards a strength-based, positive psychological science of gastrointestinal disorders could facilitate the integration of early, effective psychological care into gastroenterology practice. In this Perspective, I discuss the potential role of three human strengths with relevance to gastrointestinal health-resilience, optimism and self-regulation-and how these three constructs can be cultivated through existing or emerging brain-gut psychotherapies.