应对态度对创伤和胃肠道症状之间的关联产生调解作用
Boukje Y S Nass1,2, Pauline Dibbets3, C Rob Markus1
1Department of Neuropsychology and Psychopharmacology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands.
概括
创伤性生活经历可以通过促进被动应对策略,加剧炎症性肠病 (IBD) 和刺激性肠综合征 (IBS). 这些应对方式调解了创伤和胃肠道症状严重程度之间的联系.
科学领域:
- 胃肠病学 胃肠病学
- 心理学 心理学 心理学
- 创伤研究 创伤研究
背景情况:
- 炎症性肠病 (IBD) 和刺激性肠综合征 (IBS) 是胃肠道疾病,往往因过去的创伤而加剧.
- 创伤可能会通过损害应对机制和促进对压力的被动反应来影响肠道健康.
研究的目的:
- 研究应对倾向在IBD和IBS患者的创伤和疾病活动之间的关系中的调解作用.
- 通过应对风格,研究创伤如何影响胃肠道病理的易感性.
主要方法:
- 一项涉及189名肠道患者 (IBD和IBS) 和92名对照者的横截面研究.
- 评估累积的创伤,无法控制的感觉,应对策略和胃肠道疾病的活动.
- 使用了等级回归和调解分析.
主要成果:
- 与对照组相比,GI患者报告累积创伤,失控性和被动应对能力较高.
- 被动应对方式,特别是行为脱离,显著介导了创伤和胃肠道症状严重程度之间的关联.
- 减少对社会支持应对的依赖也调解了创伤-胃肠道症状联系.
- 神经症被确定为影响行为脱离和随后的胃肠道活动的因素.
结论:
- 消极的应对方式,特别是行为脱离,在过去的创伤和IBD和IBS中胃肠道症状的严重程度之间起着重要的调解作用.
- 与创伤相关的心理因素,包括神经病症和减少社会支持利用,有助于胃肠道疾病活动的表现.
- 了解这些途径可以为旨在改善创伤相关肠道疾病患者应对机制的干预措施提供信息.
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