Implementing psychological therapies for gastrointestinal disorders in pediatrics.

Implementing psychological therapies for gastrointestinal disorders in pediatrics.
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DOI:
10.1080/17474124.2020.1806055
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发表时间:
2020-11
影响因子:
3.9
通讯作者:
van Tilburg MAL
van Tilburg MAL
中科院分区:
医学3区
文献类型:
--
作者:
Reed B;Buzenski J;van Tilburg MAL

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脑-肠轴是指影响胃肠道内症状表现和病程的复杂和相互作用。包括在功能性胃肠道疾病(FGID)以及慢性肠道疾病(包括炎症性肠病(IBD))治疗中的心理疗法解决了影响患者症状和整体功能的环境和心理因素。采用生物心理社会的方法,这篇评论的重点是在儿科胃肠道疾病的心理治疗的证据和实施。通过开发适用于儿科胃肠道疾病的循证心理治疗的工作知识,临床医生有机会全面治疗患者的症状和痛苦。儿科胃肠病临床医生和心理治疗提供者之间的定期沟通和协调为成功实施心理治疗提供了最大的可能性。
The brain-gut axis refers to complex and reciprocal interactions that impact symptom presentation and disease course within the GI tract. Psychological therapies included in the treatment of functional gastrointestinal disorders (FGIDs) as well as chronic gut disorders including inflammatory bowel disease (IBD) address environmental and psychological factors impacting patients’ symptoms and overall functioning. Employing a biopsychosocial approach, this review focuses on the evidence for and implementation of psychological therapies across pediatric gastrointestinal disorders. By developing a working knowledge of evidence-based psychological therapies applicable to pediatric gastrointestinal disorders, clinicians have the opportunity to comprehensively treat patients’ symptoms and distress. Regular communication and coordination between pediatric gastroenterology clinicians and providers of psychological therapies offers the greatest likelihood for successfully implementing psychological therapies into treatment plans.
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