与代谢功能障碍相关的脂肪性肝病的心理风险
Hanne Åström1, Christine Takami Lageborn2, Hannes Hagström1,3
1Department of Medicine, Huddinge, Karolinska Institutet, Stockholm, Sweden.
Expert review of gastroenterology & hepatology
|February 15, 2025
概括
与代谢功能障碍相关的脂肪性肝病 (MASLD) 与心理社会挑战如抑郁症和生活质量下降有关,特别是在低SES个体中. 解决这些问题对于有效管理MASLD至关重要.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 与代谢功能障碍相关的脂肪性肝病 (MASLD) 的患病率在全球范围内正在上升.
- MASLD不成比例地影响具有较低社会经济地位 (SES) 的个人.
- 与MASLD相关的心理社会挑战未得到充分承认,缺乏临床指导方针.
研究的目的:
- 审查MASLD中关于心理社会风险的现有文献.
- 确定有关严重精神障碍和MASLD的知识差距.
- 强调需要针对心理社会逆境的临床指导方针.
主要方法:
- 从2004年到2024年进行了全面的PubMed搜索.
- 关键词包括MASLD,心理社会风险,污名化,精神病相关疾病,SES和生活质量 (QoL).
主要成果:
- MASLD患者经常经历心理社会逆境,包括较低的SES和抑郁症.
- 减少生活质量 (QoL) 在MASLD患者中很常见.
- MASLD与严重精神障碍之间的关联需要进一步调查.
结论:
- 心理社会逆境可以阻碍对MASLD管理的基本生活方式修改.
- 跨领域的合作是必要的,以及时检测和治疗风险人群中MASLD.
- 需要临床指导方针来应对心理社会挑战,并改善MASLD患者的治疗结果.
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