刺激性肠综合征的心理治疗:一个系统的审查
Ethan Slouha1, Bansari Patel2, Ahmed Mohamed3
1Anatomical Sciences, St. George's University School of Medicine, St. George's, GRD.
Cureus
|January 23, 2024
概括
心理治疗,包括认知行为疗法,在控制易怒肠综合征 (IBS) 症状和改善生活质量方面表现有前途. 这种方法也可能降低IBS患者的整体治疗成本.
科学领域:
- 胃肠病学 胃肠病学
- 心理学 心理学 心理学
- 卫生经济学 卫生经济学
背景情况:
- 刺激性肠综合征 (IBS) 是一种普遍存在的胃肠道疾病,影响了12%的美国成年人,每年产生重大成本.
- IBS诊断依赖于基于症状的标准 (罗马IV),通常与焦虑和压力等心理困扰同时发生.
- 目前的IBS治疗方法,包括药物治疗,并不总是有效,强调需要改进管理策略.
研究的目的:
- 评估心理治疗在改善IBS各个方面的有效性.
- 评估心理治疗的潜力,以减少与IBS治疗相关的经济负担.
- 探索心理治疗如何影响患者对IBS的感知和调整.
主要方法:
- 审查现有的关于心理治疗对体征症状的应用文献.
- 对研究认知行为疗法 (CBT) 和其他心理治疗方法对IBS的影响的分析.
- 检查患者报告的结果,生活质量指标和成本效益数据.
主要成果:
- 心理治疗,特别是CBT,在管理IBS症状和相关的心理痛苦方面表现出有效性.
- 有证据表明,心理治疗可以增强患者的应对机制,改善生活质量,改变疾病感知.
- 表明心理治疗作为IBS管理的成本效益组件的潜力.
结论:
- 心理治疗提供了一个可行的,整体的方法来管理易怒肠综合征,解决生理和心理两个维度.
- 将心理治疗纳入IBS治疗计划可以改善患者的治疗结果,并可能降低医疗保健支出.
- 进一步的研究是有必要的,以充分阐明心理治疗IBS的长期益处和成本效益.
相关概念视频
01:30Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
163
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
163
01:17Irritable Bowel Syndrome I: Introduction
276
Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
276
01:30Irritable Bowel Syndrome III: Medical and Nursing Management
208
Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
208
01:17Drugs for Treatment of Diarrhea-Predominant IBS
176
Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
176
01:21Drugs for Treatment of Constipation-Predominant IBS
170
Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
170
01:17Chronic Bowel Disorders: Introduction
455
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
455