心理治疗对抗性刺激性肠综合征的使用:系统性审查
Ethan Slouha1, Ahmed Mohamed2, Bansari Patel2
1Anatomical Sciences, St. George's University School of Medicine, St. George's, GRD.
Cureus
|March 15, 2024
概括
认知行为疗法 (CBT) 和肠导向性催眠疗法 (GDH) 有效地治疗耐火性刺激性肠综合征 (IBS),改善生活质量和症状. 通过电话交付的CBT与通过网络交付的选项相比显示出更好的结果.
科学领域:
- 胃肠病学 胃肠病学
- 精神病学是一个精神病学.
- 健康心理学 心理健康心理学
背景情况:
- 刺激性肠综合征 (IBS) 是一种慢性疾病,严重影响患者的生活质量.
- 药物治疗经常失败,导致耐火性IBS.
- 对于耐火性IBS,越来越多地探索心理治疗干预措施.
研究的目的:
- 系统地审查心理治疗方法对耐火性刺激性肠综合征 (IBS) 的有效性.
- 评估认知行为疗法 (CBT) 和肠道导向催眠疗法 (GDH) 在改善IBS症状和生活质量方面.
主要方法:
- 在遵守PRISMA指南的基础上进行系统审查.
- 包括2003-2023年同行评审的实验或观察研究.
- 从PubMed,ScienceDirect和ProQuest数据库中识别的21个出版物的分析.
主要成果:
- 认知行为疗法 (CBT) 持续改善了IBS症状的严重程度,频率,生活质量以及相关的焦虑/抑郁.
- 通过电话提供的CBT被发现比通过网络提供的CBT更有效.
- 肠导向催眠疗法 (GDH) 和生物反疗法显著改善了所有IBS领域.
- 接受和承诺治疗改善了相关症状,但没有改善生活质量.
- 综合性小组治疗在任何领域都没有显著改善.
结论:
- 心理治疗方法,特别是CBT和GDH,为耐火性IBS患者提供了显著的好处.
- 对CBT影响有效性的交付方法,以电话为基础的干预措施显示承诺.
- 对各种治疗方式的进一步研究对于推进IBS治疗和改善患者生活质量至关重要.
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