刺激性肠道综合征的肠导向催眠和催眠疗法:一个迷你回顾
1Department of Psychosomatic Medicine and Psychotherapy, Technical University Munich, Munich, Germany.
Frontiers in psychology
|June 18, 2024
概括
肠导向性催眠是一种有效的治疗刺激性肠综合征 (IBS),这是大脑-肠轴的障碍. 它被推作为二线治疗,可以作为轻度IBS的自我管理工具.
科学领域:
- 胃肠病学 胃肠病学
- 精神病学是一个精神病学.
- 行为医学是一种行为医学.
背景情况:
- 刺激性肠综合征 (IBS) 是一种常见的功能性胃肠疾病,其特点是呈现异质,对生活质量产生影响.
- IBS被理解为大脑-肠轴的障碍,受生物心理社会因素的影响.
- 心理社会因素可以导致IBS倾向,症状触发和慢性.
研究的目的:
- 审查肠导向催眠作为刺激性肠综合征治疗选择的证据和作用.
- 根据目前的指导方针,强调肠导向催眠作为IBS推的二线治疗方法.
主要方法:
- 审查当前的欧洲和北美胃肠病学指南.
- 对控制试验的分析,评估IBS的脑肠行为疗法.
- 检查肠道导向的催眠,包括标准化和个性化催眠疗法方法.
主要成果:
- 肠导向的催眠,与认知行为干预一起,在IBS中表现出显著的短期和长期疗效.
- 标准化肠道导向的催眠可以通过录音带和数字健康应用程序进行自我管理.
- 肠导向性催眠可以作为轻度IBS的第一线治疗方法,也可以作为严重病例的跨学科治疗方法.
结论:
- 肠导向性催眠是一种得到良好支持的IBS行为疗法,主要胃肠病学指南推使用.
- 治疗可以适应自我管理或作为综合治疗计划的一部分.
- 个性化催眠疗法在更广泛的IBS管理策略中提供量身定制的心理支持.
相关概念视频
Irritable Bowel Syndrome I: Introduction
268
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...
268
Irritable Bowel Syndrome III: Medical and Nursing Management
194
Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
194
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
156
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:
156
Drugs for Treatment of Diarrhea-Predominant IBS
157
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...
157
Drugs for Treatment of Constipation-Predominant IBS
155
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...
155
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
331
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
331


