一个关于焦虑和抑郁症状的随访研究,用于刺激性肠综合征
Arka Banerjee1, Sujit Sarkhel2, Gopal Krishna Dhali1
1Department of Gastroenterology, IPGME and R, Kolkata, West Bengal, India.
Indian journal of psychiatry
|March 25, 2024
概括
这项研究发现,与焦虑和抑郁症一起治疗易怒肠综合征 (IBS) 显著降低了患者的症状严重程度. 对IBS和精神疾病的有效管理可以改善患者的治疗结果.
科学领域:
- 胃肠病学 胃肠病学
- 精神病学是一个精神病学.
- 临床医学 临床医学
背景情况:
- 刺激性肠综合征 (IBS) 是一种功能性胃肠疾病,与压力密切相关.
- 焦虑和抑郁是IBS患者常见的并发症.
- 印度IBS患者焦虑和抑郁症的长期数据有限.
研究的目的:
- 使用罗马四号标准对IBS亚型进行分类.
- 为了评估一年多的IBS患者的焦虑和抑郁症状.
- 评估治疗IBS和并发性精神症状对整体严重性的影响.
主要方法:
- 招募了18-65岁的IBS患者.
- 评估了IBS的亚型和严重程度.
- 使用汉密尔顿评分尺度 (HAM-A,HAM-D) 测量焦虑和抑郁.
- 提供常规的IBS治疗与同时进行精神病症状管理.
- 在1年内跟踪患者.
主要成果:
- 37名患者完成了1年的随访.
- IBS-D是最常见的亚型 (84%).
- 在基线,中度至重度焦虑 (HAM-A:27.8±6.4) 和抑郁 (HAM-D:19.7±6.6) 的高发病率.
- 在1年内,IBS,焦虑和抑郁症得分的统计显著改善 (P=0.000).
- 在IBS严重程度和HAM-A (r=0.536) 和HAM-D (r=0.604) 分数之间存在正相关性.
结论:
- 焦虑和抑郁症在IBS患者中非常普遍.
- 综合治疗IBS和并发性焦虑抑郁症状显著减少所有条件的严重程度.
- 这种方法改善了IBS管理中的整体患者结果.
相关概念视频
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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:
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Altered...
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