刺激性肠综合征的注意:对受影响的领域和大脑-肠轴相互作用的系统审查
Reyhaneh Akbari1, Yeganeh Salimi2, Fateme Dehghani-Aarani1
1Department of Psychology, Faculty of Psychology and Education, University of Tehran, Tehran, Iran.
刺激性肠综合征 (IBS) 患者表现出注意力缺陷,包括对胃肠道症状和大脑活动变化的偏见. 这些注意力问题可能会加剧IBS症状和情绪困扰.
科学领域:
- 神经科学是一个神经科学.
- 胃肠病学 胃肠病学
- 心理学 心理学 心理学
背景情况:
- 刺激性肠综合征 (IBS) 涉及肠-大脑相互作用,导致疼痛和改变肠道习惯.
- IBS显著影响患者的生活质量.
- 注意力缺陷可能会影响IBS的症状感知和情绪困扰.
研究的目的:
- 系统地审查注意力和IBS之间的关系.
- 在IBS中识别受影响的注意领域.
- 在IBS中探索大脑-肠轴相互作用.
主要方法:
- 进行了全面的文献搜索 (MEDLINE/PubMed,PsychINFO,Scopus,1990-2024 年).
- 包括使用经过验证的工具评估成人IBS患者注意力的研究.
- 分析了24项使用神经成像和行为方法的研究.
主要成果:
- IBS患者表现出持续注意力受损和对胃肠道刺激的注意力偏差.
- 观察到对威胁和疼痛线索的高度警.
- 在insula,ACC和杏仁体中大脑活动的改变表明感知意识和认知负载的增加.
结论:
- 在IBS中存在特定的注意力缺陷和偏差.
- 这些注意力问题可能会导致症状恶化和情绪困扰.
- 对机制和疗法的进一步研究是有必要的.
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