接受,承诺和认知改善 (ACCORD) 研究:简短的在线认知干预可以改善食道疾病患者的结果吗?
Madison Simons1, Sara H Marchese1, Alyse Bedell2
1Division of Gastroenterology & Hepatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Neurogastroenterology and motility
|September 1, 2025
概括
新的远程医疗改善了患者的认知灵活性,减少了食道症状和焦虑. 这种大脑肠道行为疗法有望改善消化系统疾病患者的生活质量.
科学领域:
- 胃肠病学与心理学
- 神经胃肠病学
- 行为医学
背景情况:
- 认知和心理不灵活会对食道症状的解释和患者的结果产生负面影响.
- 大脑肠道行为疗法 (BGBT) 显示在消化系统疾病中增强精神灵活性.
- 一项试点干预措施旨在解决食道疾病患者的认知和心理不灵活性问题.
研究的目的:
- 试验一项针对食道疾病患者认知和心理不灵活性的简短干预措施.
- 通过远程医疗评估新的4周BGBT (ACCORD) 的可行性和可接受性.
- 其次目标包括改善食道症状,情绪,生活质量 (QoL),减少过度警和症状焦虑.
主要方法:
- 80名新诊断的食道疾病的成年人参与了一项非随机的,开放的试验.
- 接受,承诺和认知恢复 (ACCORD) 计划通过远程医疗提供了4周的时间.
- 评估包括食道症状严重程度,认知/心理灵活性,高警觉性,症状焦虑和治疗开始和治疗后的质量.
主要成果:
- 89.9%的参与者完成了ACCORD干预.
- 在认知和心理灵活性标志物中观察到中等到决定性的改善.
- 症状和症状焦虑的显著减少,以及与健康相关的生活质量 (HRQoL) 的提高.
结论:
- 针对食道疾病患者的认知和心理灵活性的一种新的四次BGBT (ACCORD) 是可行的和可接受的.
- 这种干预显示出改善症状严重程度,症状焦虑和HRQoL的潜力.
- 通过远程医疗提供BGBT可以克服接入障碍,因此需要进一步调查.
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