系统审查:与炎症性肠病相关的耻辱感
Suprabhat Giri1, Sidharth Harindranath2, Sanjay Chandnani3
1Department of Gastroenterology and Hepatology, Kalinga Institute of Medical Sciences, Bhubaneswar, India.
Alimentary pharmacology & therapeutics
|November 4, 2025
概括
耻辱显著影响炎症性肠病 (IBD) 患者,影响生活质量和治疗. 通过提高认识和支持来解决耻辱是改善患者结果和弹性至关重要的.
科学领域:
- 胃肠病学 胃肠病学
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 耻辱感,包括感知,执行和内化形式,对于患有炎症性肠病 (IBD) 的人来说是一个重要的问题.
- 这种耻辱会对患者的生活质量产生负面影响,延迟必要的医疗治疗,并破坏社会互动.
- 了解IBD耻辱的多面性质对于开发有效的干预措施至关重要.
研究的目的:
- 对与炎症性肠病 (IBD) 相关的耻辱现有研究进行全面审查.
- 总结有关IBD流行,评估方法,促成因素和耻辱的后果的数据.
主要方法:
- 在包括MEDLINE,Embase和Scopus在内的主要数据库中进行了系统的文献搜索.
- 搜索涵盖了报告IBD患者患病率,评估,预测因素和耻辱的结果的研究,从数据库的开始到2025年9月.
- 总共分析了73项研究,以综合IBD污名的发现.
主要成果:
- 由于缺乏标准化尺度,在耻辱评价方法中存在显著的异质性.
- 感知到的耻辱感非常普遍,影响到85.6%的成年人和87%的儿童患有IBD.
- 耻辱表现为对判断的恐惧,对身体形象的担忧,人际关系的困难和工作场所的歧视,报告的行为和内化耻辱率较低.
结论:
- 审查强调了需要标准化研究方法来准确评估IBD的耻辱感.
- 提高公众对IBD的认识和知识对于减少耻辱至关重要.
- 建议采取专注于增强患者性和应对机制的干预措施,以减轻耻辱的负面影响.
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