炎症性肠道疾病 (IBD) 患者的性功能:认知行为疗法 (CBT) 的患病率,预测因素和潜在益处
Vicky Lehmann1, Dunja Bastiaens1, Jos Bosch1,2
1Department of Medical Psychology, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Scandinavian journal of gastroenterology
|May 16, 2025
概括
近一半的炎症性肠病 (IBD) 患者经历性功能障碍,通常与抑郁症有关. 特定于IBD的认知行为疗法 (CBT) 通过减少抑郁症状来改善性功能.
科学领域:
- 胃肠病学 胃肠病学
- 精神病学是一个精神病学.
- 性医学性医学性医学性医学
背景情况:
- 炎症性肠病 (IBD) 显著影响患者的生活质量,包括性健康.
- 患有IBD的患者经常报告由于他们的病情而对亲密性和性功能感到担忧.
- 性功能障碍在IBD的临床治疗中是一个未被充分解决的问题.
研究的目的:
- 评估IBD患者性功能障碍的患病率和性质.
- 评估一项为期8周的IBD特异性认知行为疗法 (CBT) 干预措施对性功能的影响.
- 探索心理因素 (如抑郁症) 在IBD和性健康之间关系中的调解作用.
主要方法:
- 一个多中心随机对照试验 (RCT) 涉及118名IBD患者.
- 干预组接受了为期8周的IBD特异性CBT;对照组在等待名单上.
- 标准化措施评估了性功能 (IBDQ),抑郁/焦虑 (HADS),生活质量 (SF-36),以及IBD活动 (P-SCCAI,P-HBI).
- 用重复测量和调解分析进行横截面和纵向分析的数据.
主要成果:
- 在基线时,近50%的IBD患者报告有性问题,其中10.2%因IBD而禁欲.
- 性功能与抑郁,焦虑和身体健康投诉有负相关性.
- 从长度来看,IBD特异性的CBT显著改善了性功能,改善的媒介是抑郁症状减少 (R2=32.9%).
结论:
- 性功能障碍在IBD患者中非常普遍,并与心理痛苦,特别是抑郁症有关.
- 在IBD患者护理中,解决性健康问题至关重要.
- 特定于IBD的CBT通过改善心理健康结果,特别是抑郁症状,有望缓解性功能障碍.
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