一种系统的认知行为治疗方法,用于小儿肠-大脑相互作用的疾病
Leigh P Chancey1, Joel B Winnick2, Jessica Buzenski3
1Department of Outpatient Behavioral Health, Division and Mental Health and Well-Being, WakeMed Health and Hospitals, Raleigh, North Carolina, USA.
Neurogastroenterology and motility
|August 5, 2024
概括
认知行为疗法 (CBT) 在患有肠-大脑相互作用障碍 (DGBIs) 的儿科患者中显著降低了功能障碍,疼痛,抑郁和焦虑. 这种系统的CBT方法在综合性GI诊所中是可以接受和有效的.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 儿童心理学 儿童心理学
- 行为医学是一种行为医学.
背景情况:
- 肠-大脑相互作用障碍 (DGBIs) 显著影响儿科生活质量.
- 认知行为疗法 (CBT) 在治疗青少年DGBI方面表现有前途.
- 需要加强证据,并确定儿科DGBI的治疗机制.
研究的目的:
- 评估儿童DGBI系统性CBT方法的临床实用性和有效性.
- 评估儿童胃肠病学提供者中CBT的可接受性.
- 确定影响儿科DGBI患者治疗反应的因素.
主要方法:
- 对42名患有DGBI的儿科患者 (11-17岁) 的回顾性研究.
- CBT涉及10个会话,由心理学家在一个综合的儿童胃肠道诊所进行.
- 提供者调查评估了CBT方法的可接受性和有效性.
主要成果:
- 在CBT后观察到自我报告的功能障碍,腹痛,抑郁和焦虑的显著减少.
- 与恶心/吐患者相比,患有较高抑郁症状或腹痛的患者表现出较小的功能改善.
- 儿童胃肠病学提供者报告说,他们对CBT治疗方法感到满意.
结论:
- 在综合性胃肠道环境中,系统的CBT方法对于儿科DGBI是可以接受和有效的.
- 需要进一步的研究来确定关键的治疗机制和影响反应的因素.
- 这项研究支持将心理干预整合到儿科胃肠病学护理中.
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