在患有易怒肠综合征的患者中,体化症状及其与压力的关联
Saira Akhlaq1, Nosheen Kazmi2, Syed Murtaza Hassan Kazmi3
1Shifa School of Health Professions Education, Shifa Tameer-e-Millat University, Islamabad, Pakistan.
PloS one
|January 6, 2025
概括
压力在刺激性肠综合征 (IBS) 患者的体化症状中起着显著的作用. 建议有针对性的心理社会干预措施来缓解这些体化投诉并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.
- 精神病体医学是一种精神病体医学.
背景情况:
- 刺激性肠综合征 (IBS) 和体化症状障碍 (SSD) 涉及引起痛苦的体化症状.
- 压力,体化和IBS之间的关系尚未完全理解.
- 压力是IBS症状的一个已知的贡献者.
研究的目的:
- 调查与压力相关的体征症状与IBS,SSD和SSD的IBS患者的体化之间的关联.
- 为了确定压力是否介导IBS患者的体化症状.
主要方法:
- 在伊斯兰堡Shifa国际医院进行的横截面研究.
- 有目的的抽样招募了患有IBS,SSD或IBS-SSD的参与者.
- 使用了患者健康问卷 (PHQ-15) 和体力应激反应量表 (SSRS).
主要成果:
- 在所有组中,体化症状 (PHQ-15分数≥15) 普遍存在.
- 在IBS患者中,与压力相关的体征症状 (SSRS得分) 与体质化的投诉正相关.
- 在所有样本中,PHQ-15得分显著预测了SSRS得分 (R2范围:66.0%69.6%).
- 在老年IBS人群中观察到更高的体化得分.
结论:
- 与压力相关的体质症状与IBS患者的体质化显著相关.
- 心理社会干预可以有效地减轻IBS患者的体化效应.
- 需要进一步的研究来阐明IBS中的压力-体化途径.
相关概念视频
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