The interface of psychiatry and irritable bowel syndrome.
The interface of psychiatry and irritable bowel syndrome.
复制标题
DOI：
10.1007/s11920-004-0066-0
复制
发表时间：
2004-06-01
影响因子：
6.7
通讯作者：
Folks, David G
中科院分区：
文献类型：
--
作者：
Folks, David G
精神病学和肠易激综合征（IBS）的界面已经建立，精神科合并症接近20%至60%。焦虑症、抑郁症和躯体形式障碍是更常见的共病。此外，心理社会压力和创伤和虐待史在IBS症状的发作和持续中起着重要作用。IBS的精神管理更有效地使用心理健康从业者和初级保健临床医生或胃肠病学家之间的协作方法。精神病治疗包括使用抗抑郁药或抗焦虑药的药物治疗、心理治疗和关注心理社会压力源。精神病学干预一直被证明在减少IBS症状和改善患者功能方面有效。
The interface of psychiatry and irritable bowel syndrome (IBS) is well established, with psychiatric comorbidity approaching 20% to 60%. Anxiety disorders, depressive disorders, and somatoform disorders are the more frequently occurring comorbid conditions. Moreover, psychosocial stressors and history of trauma and abuse play a significant role in the onset and perpetuation of IBS symptoms. The psychiatric management of IBS more effectively uses a collaborative approach between a mental health practitioner and a primary care clinician or gastroenterologist. Psychiatric treatment includes the use of pharmacotherapy with antidepressants or anxiolytics, psychotherapy, and attention to psychosocial stressors. Psychiatric interventions have consistently demonstrated effectiveness in reducing IBS symptoms and improvement of patient functioning.