受け入れ,コミットメント,認知改善 (ACCORD) 研究: 簡潔なオンライン認知介入は食道疾患の患者の結果を改善できますか?
Madison Simons1, Sara H Marchese1, Alyse Bedell2
1Division of Gastroenterology & Hepatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Neurogastroenterology and motility
|September 1, 2025
まとめ
新しい遠隔医療療法により 患者の認知機能の柔軟性が向上し 消化管の症状と不安が軽減されました 消化器疾患の患者の生活の質を 改善する見込みがあるのです
科学分野:
- 胃腸内科と心理学
- 神経胃腸内科
- 行動医学
背景:
- 認知と心理的な不柔軟性は食道症候群の解釈と患者の結果に悪影響を及ぼします.
- 脳腸行動療法 (BGBT) は,消化器疾患における精神的柔軟性を高める可能性を示しています.
- 消化管疾患の患者の認知および心理的な不柔軟性に対処するためのパイロット介入が開発されました.
研究 の 目的:
- 消化管疾患の患者を対象に 短期的な介入を試みる
- 遠隔医療で投与される新しい4週間のBGBT (ACCORD) の実行可能性と可決性を評価する.
- 副次的な目的は食道症状,気分,生活の質 (QoL),過剰警戒,症状不安の軽減でした.
主な方法:
- 新規に診断された食道疾患を持つ80人の成人は,ランダム化されていない公開試験に参加しました.
- ACCORD (Acceptance, Commitment and Cognitive RemeDiation) プログラムは4週間にわたって遠隔医療を通じて実施されました.
- 評価には食道症候群の重症度,認知/心理的柔軟性,高警戒性,症状不安,および治療開始時および治療後のQOLが含まれていた.
主要な成果:
- 参加者の89.9%がACCORDの介入を完了しました.
- 認知および心理的な柔軟性マーカーにおいて,中等から決定的な改善が観察されました.
- 症状と症状不安の有意な減少と,健康関連生活の質の向上 (HRQoL) が達成されました.
結論:
- 食道疾患の患者の認知と心理的な柔軟性をターゲットにした新しい4セッションのBGBT (ACCORD) は実行可能で受け入れられます.
- この介入は,症状の重度,症状不安,HRQoLの改善の可能性を示しています.
- BGBTの遠隔医療の提供は,アクセスの障壁を克服し,さらなる調査を正当化することができます.
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