压力,应对机制和心理症状对炎症性肠病活动的影响:回顾性病例控制分析
Javad Shokri Shirvani1, Seyed Taher Hashemi Petrodi2, Hoda Shirafkan3
1Department of Internal Medicine, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
概括
管理心理压力和采用有效的应对策略对于减少炎症性肠病 (IBD) 发作至关重要. 这项研究强调了生活压力和应对方式对克罗恩病和性结肠炎患者疾病活动的影响.
科学领域:
- 胃肠病学 胃肠病学
- 心理学 心理学 心理学
- 健康心理学 心理健康心理学
背景情况:
- 心理压力是炎症性肠病 (IBD) 症状的已知触发因素和加重因素.
- IBD包括克罗恩病 (CD) 和性结肠炎 (UC),这些都是影响消化道的慢性疾病.
研究的目的:
- 研究IBD患者的压力因素,应对机制,心理症状和疾病活动之间的关系.
- 确定影响CD和UC疾病恶化的特定心理因素.
主要方法:
- 一项追溯病例控制研究,涉及138名IBD患者 (76名CD,62名UC),分为活跃和不活跃的疾病组.
- 利用经过验证的评估,包括生活困境清单 (LDI) 和应对压力状况清单 (CISS-21).
- 采用后勤回归来分析疾病活动的预测因素.
主要成果:
- 与不活跃的IBD患者相比,IBD患者报告生活压力和心理症状显著增加.
- 活跃疾病患者更容易使用以情绪为中心和避免应对策略.
- 生活压力和以情绪为中心的应对被确定为疾病活动的重要预测因素,而以任务为中心的应对显示出保护作用.
结论:
- 有效的压力管理和适应性应对策略对于减轻IBD疾病活动和预防爆发至关重要.
- 医疗保健提供者应将心理干预措施纳入IBD综合管理计划中.
相关概念视频
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
306
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...
306
Chronic Bowel Disorders: Introduction
385
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
385
Inflammatory Bowel Disease II: Crohn's Disease
172
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
172
Irritable Bowel Syndrome I: Introduction
234
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...
234
Inflammatory Bowel Disease I: Ulcerative Colitis
127
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
127
Psychoneuroimmunology: Cardiovascular Disease
25
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
25


