在喉喉逆流症的心理干预:一个机构经验
Sanjay Kumar1, Anghusman Dutta2, Ran Singh3
1Department of ENT-HNS, AFCME, Delhi, India.
概括
心理社会干预,包括CBT和MBSR,显著减少喉回流 (LPR) 症状和痛苦. 整合这些疗法可以改善LPR患者的治疗反应和生活质量.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 胃肠病学 胃肠病学
- 心理学 心理学 心理学
背景情况:
- 喉回流 (LPR) 呈现为慢性咳,喉清和发声障碍,通常缺乏典型的胃食道回流疾病症状.
- 标准的质子抑制剂 (PPI) 治疗对LPR具有可变的疗效.
- 心理困扰越来越被认为是导致LPR症状持续的一个因素,但其在治疗结果中的作用需要进一步调查.
研究的目的:
- 评估将心理社会干预与管理LPR的标准治疗相结合的疗效.
- 评估认知行为疗法 (CBT) 和基于正念的压力减轻 (MBSR) 对LPR症状严重程度和心理痛苦的影响.
主要方法:
- 一项前性,观察性队列研究,涉及两年100名LPR患者.
- 患者被分配到标准治疗或心理社会干预组 (CBT和MBSR).
- 在基线和随访间隔测量了LPR严重程度 (RSS,RSA) 和心理困扰 (GAD-7,PHQ-9,PSS).
主要成果:
- 与标准治疗组相比,心理社会干预组在LPR症状 (RSS,RSA) 中显示出明显更大的减少.
- 在干预组中,心理痛苦得分显著下降.
- 通过心理社会干预,治疗响应率从65%提高到85%,生活质量从50%提高到70%.
结论:
- 心理社会困扰是LPR患者治疗耐药性的重要预测因素.
- 将CBT和MBSR与标准LPR管理相结合,可以增强症状缓解,改善患者的生活质量.
- 建议在LPR治疗中采用包含心理社会干预的多学科方法.
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