在肠道与大脑相互作用的疾病中,羞耻对患者报告的结果的影响
Inês A Trindade1, Amanda Blomsten2, Sanna Nybacka2
1Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; EMBRACE Lab, Center for Health and Medical Psychology, Örebro University, Örebro, Sweden.
Gastroenterology
|August 21, 2025
概括
羞耻会对患有肠道与大脑相互作用障碍 (DGBI) 的人产生重大影响,使焦虑,抑郁和生活质量恶化. 通过同情和治疗来解决羞耻问题对于管理DGB患者的结果至关重要.
科学领域:
- 心理医学
- 胃肠病学
- 临床心理学
背景情况:
- 肠道与大脑相互作用障碍 (DGBI) 受到严重的污名化,
- 现有的文献承认耻辱和羞耻之间存在联系, 但缺乏对肠道DGBI内羞耻的具体关注.
研究的目的:
- 调查羞耻对肠道和大脑相互作用的影响.
- 检查羞耻如何调解肠道症状与心理社会结果之间的关系.
主要方法:
- 使用两个瑞典人口样本的横截面研究:肠道DGBI (n=537) 和匹配的对照组 (n=1881).
- 使用验证的自我报告量表进行了在线调查.
- 用结构方程建模进行调解分析,并进行调节分析.
主要成果:
- 与对照组相比,患有肠道DGBI的个体报告了明显更高的羞耻感.
- 羞耻是肠道症状与一般焦虑,抑郁症状,生活质量和活动障碍之间的联系的媒介.
- 羞耻加剧了肠道症状对肠道特异性焦虑,抑郁症状和生活质量的影响.
结论:
- 愧是肠道DGBI症状的重要情感后果,影响了患者报告的结果.
- 建议医生和患者之间建立同情的关系,并采取心理干预措施来应对肠道DGBI.
- 需要对DGBI的心理影响进行进一步的研究.
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