胃肠道认知:刺激性肠综合征的痛苦灾难化,墨西哥的一项横截面研究
Bryan Adrian Priego-Parra1,2, Sara Alejandra Reyes-Diaz1, Héctor Ricardo Ordaz-Alvarez1
1Departamento de Fisiología Digestiva y Motilidad Gastrointestinal, Instituto de Investigaciones Médico-Biológicas, Universidad Veracruzana, Veracruz, Mexico.
Neurogastroenterology and motility
|March 24, 2025
概括
疼痛灾难化在刺激性肠综合征 (IBS) 患者中比健康个体更为普遍. 解决这些认知模式对于全面的IBS管理至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 心理学 心理学 心理学
- 临床研究 临床研究
背景情况:
- 与健康人相比,刺激性肠综合征 (IBS) 患者的疼痛灾难性更为常见.
- 在拉丁美洲患有IBS的人群中,疼痛灾难性的患病率和影响尚未得到充分研究.
研究的目的:
- 为了比较IBS患者和健康对照人群之间的疼痛灾难性的患病率.
- 调查IBS患者疼痛灾难化,症状严重程度和心理痛苦之间的关联.
主要方法:
- 一项涉及920名参与者 (IBS患者和健康对照组) 的横截面研究,从第三级护理中心招募.
- 使用罗马四号标准,IBS诊断得到证实.
- 参与者填写了经过验证的问卷,包括疼痛灾难化量表 (PCS),医院焦虑和抑郁量表 (HAD) 和刺激性肠综合征严重性评分系统 (IBS-SSS).
主要成果:
- 与健康受试者相比 (11%,p < 0.0001),IBS患者的临床显著疼痛灾难化 (22.5%) 的患病率较高 (11%,p < 0.0001).
- 在IBS患者中,52.2%的严重症状报告显著灾难性,相比之下,25.3%的中度症状和14.7%的轻度症状 (p < 0.0001).
- 焦虑 (OR 2.5),抑郁 (OR 1.7) 和疼痛灾难化 (OR 2.3) 与IBS有显著的关联.
结论:
- 疼痛灾难化在墨西哥IBS患者中很普遍,与胃肠道症状严重程度增加和心理痛苦相关.
- 对IBS的综合管理策略应结合认知干预措施与标准治疗一起,以应对疼痛灾难化.
相关概念视频
01:17Irritable Bowel Syndrome I: Introduction
263
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...
263
01:30Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
152
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
152
01:17Assessment of the Gastrointestinal System I: Subjective Data
160
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
160
01:17Chronic Bowel Disorders: Introduction
414
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...
414
01:29Assessment of the Gastrointestinal System II: Health Perception Pattern
87
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
87
01:30Irritable Bowel Syndrome III: Medical and Nursing Management
187
Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
187