内心的沉默斗争:在易怒肠综合征中揭露的亚历克西西米亚:系统性审查和元分析
Abdulrahman Ismaiel1, Paul Foucambert1, Mohamed Ismaiel2
12nd Department of Internal Medicine, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.
刺激性肠综合征 (IBS) 与亚历克西西米亚的风险更高,这种疾病的特征是难以识别和描述情绪. 这项研究发现IBS和炎症性肠病患者之间的alexithymia得分没有显著差异.
科学领域:
- 胃肠病学 胃肠病学
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 亚历克西西米亚,即难以识别和描述情绪的困难,越来越多地在患有刺激性肠综合征 (IBS) 的患者中被认可.
- 关于IBS和alexithymia之间关联的现有研究缺乏最终的结论.
- 这项研究解决了对这种关系更清楚地理解的需要.
研究的目的:
- 系统地审查和对现有的观察性研究进行元分析.
- 量化评估刺激性肠综合征和alexithymia之间的关联.
主要方法:
- 在PubMed,EMBASE和Scopus数据库中进行了系统的搜索.
- 包括的研究使用了罗马标准来诊断IBS和20项多伦多alexithymia尺度 (TAS-20)来评估alexithymia.
- 研究质量使用纽卡斯尔-太华尺度进行评估,TAS-20平均得分作为主要结果.
主要成果:
- 纳入了7项涉及1513名参与者的研究,其中6项为分析做出了贡献.
- 与健康对照组相比,IBS患者的TAS-20分数显著更高 (平均差异:8.063).
- 在IBS和炎症性肠病 (IBD) 患者之间没有发现TAS-20得分的显著差异 (平均差异:0.884).
结论:
- 刺激性肠综合征与患alexithymia的风险增加有关.
- 该研究没有发现IBS和IBD患者之间的alexithymia水平有显著差异.
- 这些发现强调了在IBS管理中考虑情绪处理的重要性.
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