打破循环:儿科功能性胃肠道疾病的心理和社会维度
Mohammed Al-Beltagi1,2, Nermin K Saeed3,4, Adel S Bediwy5,6
1Department of Paediatrics, Faculty of Medicine, Tanta University, Tanta 31511, Alghrabia, Egypt.
World journal of clinical pediatrics
|June 10, 2025
概括
儿童的功能性胃肠道疾病 (FGID) 与通过肠-大脑轴功能障碍的焦虑和抑郁等心理健康问题有关. 生物心理社会方法对于有效管理和改善结果至关重要.
科学领域:
- 儿科胃肠病学和精神病学
- 肠-大脑轴研究研究
- 神经发育障碍 神经发育障碍
背景情况:
- 儿童的功能性胃肠道疾病 (FGID) 涉及没有结构异常的慢性胃肠道症状.
- FGID与肠-大脑轴功能障碍,肠道微生物群变化和心理社会压力有关.
- 这些疾病经常与精神病相关疾病 (如焦虑和抑郁症) 一起发生.
研究的目的:
- 调查儿科FGID的精神影响,重点关注焦虑和抑郁.
- 探索肠-大脑轴,情绪失调和压力在FGID和相关神经发育障碍中的作用.
- 评估家庭动态和应对策略对FGID症状严重程度和精神疾病的影响.
主要方法:
- 进行了来自PubMed,Scopus和Google Scholar (过去20年) 的328项研究的叙事审查.
- 包括对儿科FGID (功能性便秘,IBS等) 的研究. ),肠-大脑机制,精神病并发症和心理社会因素.
- 分析了常见儿科FGIDs的心理影响.
主要成果:
- 在FGID和精神症状之间存在强烈的关联,由肠-大脑轴功能障碍,微生物群失调和中央敏感化介导.
- 生理学障碍增加了患有FGID的儿童对焦虑和抑郁的脆弱性.
- 心理社会因素如慢性压力,创伤和不适应的家庭动态加剧了胃肠道和情绪上的痛苦.
结论:
- 有效的FGID管理需要一种生物心理社会方法,整合医疗,心理和饮食干预措施.
- 父母教育,早期干预和多学科护理对于减轻长期心理影响至关重要.
- 一个整体的策略可以改善儿科FGID的胃肠道和心理健康结果.
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