在炎症性肠病和易怒肠综合征中比较疾病感知
Kate MacKrill1, Christopher Bass2, Keith Petrie3
1Department of Psychological Medicine, Faculty of Medical and Health Sciences, University of Auckland, Auckland 1142, New Zealand; Department of Psychological Medicine, Division of Medicine, Middlemore Hospital, Auckland 2025, New Zealand.
Journal of psychosomatic research
|August 2, 2025
概括
患有刺激性肠综合征 (IBS) 的患者比患有炎症性肠病 (IBD) 的患者更负面地看待自己的状况. 在IBS患者中,这些负面的疾病感知显著影响症状报告和焦虑水平.
科学领域:
- 胃肠病学 胃肠病学
- 心理学 心理学 心理学
- 健康心理学 心理健康心理学
背景情况:
- 在功能性和有机性胃肠道疾病之间,疾病的感知可能会有所不同.
- 功能性疾病,如刺激性肠道综合征 (IBS),缺乏客观的症状原因,可能导致比如炎症性肠道疾病 (IBD) 等有机疾病更不利的疾病感知.
研究的目的:
- 为了比较被诊断患有IBS和IBD的患者之间的疾病感知.
- 研究这些疾病感知对两组患者的症状报告和症状特异性焦虑的影响.
主要方法:
- 一项涉及70名IBS患者和198名IBD患者的横截面研究.
- 利用简短的疾病感知问卷来评估患者的感知.
- 采用独立样本t测试和回归分析来比较群体并检查结果效应.
主要成果:
- 与IBD患者相比,IBS患者对个人控制,治疗控制,时间表和一致性的感知明显较低.
- IBS患者认为与他们的病情相关的后果和身份更大.
- 疾病认同和情绪反应显著预测了症状报告和焦虑,在IBS患者中观察到更强的效果.
结论:
- 与IBD患者相比,患有IBS的患者表现出更多不良的疾病感知.
- 这些感知与IBS患者的症状报告和焦虑更强烈相关.
- 医疗保健提供者应该考虑功能性诊断对患者感知和功能的影响.
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