因为我快乐 - - 积极影响及其对炎症性肠道疾病患者未来疾病活动的预测价值:一项回顾性队列研究
Brian M Lang1,2, Martina Ledergerber3, Sebastian Bruno Ulrich Jordi3,4
1Department of Biosystems Science and Engineering, ETH Zurich, Basel, Switzerland.
炎症性肠病 (IBD) 患者的积极情绪与更好的结果有关. 更高的积极影响与减少疼痛,更少的抑郁症状和更长的IBD无发作生存时间相关.
科学领域:
- 精神病体医学是一种精神病体医学.
- 胃肠病学 胃肠病学
- 临床心理学 临床心理学
背景情况:
- 有限的研究存在于积极情绪在炎症性肠病 (IBD) 的影响.
- 之前的研究主要集中在对IBD患者生活质量和疾病进展的负面情绪影响上.
研究的目的:
- 调查IBD患者积极影响的促成因素.
- 确定积极情绪对IBD疾病过程的预测价值.
主要方法:
- 追溯队列研究分析流行病学,心理社会和IBD疾病特征.
- 使用马尔堡问卷评估的积极情绪;通过线性回归识别的预测因素.
- 积极情绪对疾病过程的长度影响,使用考克斯比例危险模型进行分析.
主要成果:
- 具有较高积极情绪的患者报告说,医疗治疗的强度较小,疼痛减少,抑郁症状较少.
- 疼痛和抑郁症状是积极影响的重要预测因素.
- 较高的阳性影响评分 (>/=3.5) 与明显更长的无发作生存时间相关 (aHR:0.39,p<0.05).
结论:
- 没有疼痛和抑郁症状是IBD中积极影响的关键驱动因素.
- 增加的积极影响是炎症性肠病患者更长的无病生存时间的重要预测因素.
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