基于认知行为疗法的干预措施,用于肠-大脑相互作用的胃肠肠疾病:系统性审查
Mikaela Law1, Isabella Pickering2, Esme Bartlett3
1The Department of Surgery, The University of Auckland, New Zealand; Alimetry Ltd., Auckland, New Zealand.
Journal of psychosomatic research
|October 13, 2023
概括
认知行为疗法 (CBT) 在治疗肠-大脑相互作用障碍方面表现有前途. 这种疗法有效地改善了患者的胃肠道症状和心理健康.
科学领域:
- 胃肠病学 胃肠病学
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
背景情况:
- 肠-大脑相互作用障碍 (DGBIs) 越来越多地通过认知行为疗法 (CBT) 进行管理.
- 证据证明CBT在胃肠DGBIs中的有效性需要系统的审查.
研究的目的:
- 审查基于CBT的干预措施的证据,对患有胃肠DGBIs的患者.
- 评估CBT对胃肠道和心理结果的影响.
主要方法:
- 在2022年7月的主要数据库 (Medline,Embase,PubMed,Cochrane,Scopus) 进行系统的文献搜索.
- 纳入关于胃肠DGBIs的CBT的研究,评估干预前后的结果.
- 描述结果的综合和计算标准化效果大小,如果可能的话.
主要成果:
- 分析了9项研究 (七项RCT,2项前/后) 涉及602名患有功能性消化不良,反综合征或胃上的患者.
- 干预措施,方法和结果异质,偏差风险中等至高,学率高.
- 在胃肠道症状,焦虑,抑郁和生活质量方面观察到显著改善,效果大小中等,持续长达一年.
结论:
- 在改善胃肠道症状和胃肠道DGBI患者的心理结果方面,CBT显示出有前途的有效性.
- 异质性,偏见风险和报告限制凸显了对更严格和标准化的研究的需求.
- 建议进一步进行高质量的研究,以确认和完善CBT在管理这些疾病中的作用.
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