Psychological Interventions for Irritable Bowel Syndrome and Inflammatory Bowel Diseases.
Psychological Interventions for Irritable Bowel Syndrome and Inflammatory Bowel Diseases.
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DOI：
10.1038/ctg.2016.69
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发表时间：
2017-01-19
影响因子：
3.6
通讯作者：
Keefer L
中科院分区：
文献类型：
--
作者：
Ballou S;Keefer L
心理干预已被设计并有效地实施在广泛的医疗条件，包括肠易激综合征（IBS）和炎症性肠病（IBD）。具有最强证据基础的IBS和IBD的心理治疗包括：认知行为疗法，催眠和基于正念的疗法。这些疗法的证据在这里审查IBS和IBD。总的来说，与IBD相比，有更强大和更大的证据基础支持在IBS中使用心理干预。这可能是由于与IBS相关的高水平精神共病以及IBS症状表现中的应激反应的参与。进一步研究IBD的心理社会干预是必要的。最后，在生物心理社会模型中概念化IBS和IBD的重要性进行了讨论，并提供了访问临床健康心理学材料和转诊的几个资源。
Psychological interventions have been designed and implemented effectively in a wide range of medical conditions, including Irritable Bowel Syndrome (IBS) and Inflammatory Bowel Diseases (IBD). The psychological treatments for IBS and IBD with the strongest evidence base include: cognitive behavioral therapy, hypnosis, and mindfulness-based therapies. The evidence for each of these therapies is reviewed here for both IBS and IBD. In general, there is a stronger and larger evidence base to support the use of psychological interventions in IBS compared with IBD. This is likely due to the high level of psychiatric comorbidity associated with IBS and the involvement of the stress-response in symptom presentation of IBS. Further research in psychosocial interventions for IBD is necessary. Finally, the importance of conceptualizing both IBS and IBD in a biopsychosocial model is discussed and several resources for accessing Clinical Health Psychology materials and referrals are provided.