在患有自身免疫性肝炎的患者中感知到耻辱感
Jessica P Naftaly1,2, Estée C H Feldman3, Rachel N Greenley4
1Department of Internal Medicine-Gastroenterology, Michigan Medicine, University of Michigan, 1500 E. Medical Center Drive, Floor 3, Reception D, Ann Arbor, MI, 48109, USA. jnaftaly@med.umich.edu.
Journal of clinical psychology in medical settings
|December 21, 2023
概括
患有自身免疫性肝炎 (AIH) 的患者经历了显著的感知耻辱 (PS),影响了他们的健康. 通过提供者查和心理学家来解决PS可以改善AIH患者的结果.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 感知耻辱 (PS) 对慢性肝病 (CLD) 的心理社会和疾病结果产生负面影响.
- 自免疫性肝炎 (AIH) 患者可能因对疾病起源的误解而面临PS.
- 了解PS的患病率和AIH中的相关性对于患者护理至关重要.
研究的目的:
- 为了确定被诊断为AIH的患者PS的频率.
- 为了比较AIH,原发性胆道胆道炎 (PBC) 和一般的CLD群体之间的PS率.
- 为了确定与AIH患者PS相关的人口因素.
主要方法:
- 在线问卷对262名成年AIH患者 (95%为女性,平均年龄为51.53岁) 进行了管理.
- 收集的数据包括人口统计,疾病信息和感知到的耻辱程度.
- 统计分析检查了PS频率,比较率和人口相关性.
主要成果:
- 54-68%的AIH患者报告患有PS,通常涉及选择性披露,不披露或隐他们的诊断.
- 与PBC患者相比,AIH患者的PS率更高.
- 在AIH患者中,PS的流行率低于其他各种类型的CLD患者. 年龄显示与PS的反向关系.
结论:
- 显著比例的AIH患者经历PS,需要有针对性的干预.
- 建议提供者对PS进行查,并将临床健康心理学家纳入AIH患者支持.
- 这些干预措施可以帮助识别和管理PS,潜在地改善心理社会和疾病的结果.
相关概念视频
Gastritis-II: Pathophysiology
339
Gastritis is marked by disruption of the mucosal barrier that usually protects the stomach tissue from digestive juices and manifests in acute and chronic forms.
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
339
Autoimmune Disorders
446
Autoimmune diseases are a group of disorders in which the body's immune system mistakenly attacks its own cells, tissues, and organs. This results from an overactive immune response against substances and tissues normally present in the body. Let's delve into the concept and mechanism of autoimmune diseases from an immune system point of view, explore different causes and examples of such diseases, and discuss potential solutions.
Concept and Mechanism of Autoimmune Diseases
The immune...
Concept and Mechanism of Autoimmune Diseases
The immune...
446
Gastritis-I: Introduction and Types
452
Gastritis, defined by the inflammation or irritation of the stomach lining or gastric mucosa, manifests in several distinct forms: acute, chronic, reactive, and a specific subtype known as autoimmune metaplastic atrophic gastritis.
Acute gastritis presents as a sudden inflammation triggered by various stressors to the stomach lining, such as exposure to corrosive agents, local irritants like aspirin and other NSAIDs, alcohol consumption, radiation therapy, physical trauma, severe burns, sepsis,...
Acute gastritis presents as a sudden inflammation triggered by various stressors to the stomach lining, such as exposure to corrosive agents, local irritants like aspirin and other NSAIDs, alcohol consumption, radiation therapy, physical trauma, severe burns, sepsis,...
452
Gastritis III: Clinical Manifestations and Management
271
The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
271
Diseases of the Liver and Gallbladder
555
Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
555


