在炎症性肠病中揭开一个新的创伤:不平等的心理负担
Sara Massironi1, Silvio Danese1,2
1Department of Medicine and Surgery, Vita e Salute San Raffaele University, Via Olgettina, 58, Milan, 20132, Italy.
在炎症性肠道疾病中,创伤后应激障碍对黑人和拉丁裔患者产生了不成比例的影响. 解决创伤经历和提供创伤信息的护理对于减少健康不平等至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 精神病学是一个精神病学.
- 健康 公平 卫生 公平
背景情况:
- 炎症性肠病 (IBD) 可以导致严重的心理困扰,包括创伤后应激障碍 (PTSD).
- 在IBD相关PTSD的患病率和严重性方面存在种族和种族差异,特别是影响黑人和拉丁裔人口.
- 这些差异的根本驱动因素尚未完全理解,但可能涉及多种因素的复杂相互作用.
研究的目的:
- 确定导致黑人和拉丁裔患者中IBD相关的PTSD负担不成比例的关键因素.
- 强调需要有针对性的干预措施和改进的护理策略来解决这些不平等问题.
主要方法:
- 本研究综合了有关IBD相关PTSD的当前研究,重点关注促成因素和差异.
- 它强调了创伤性疾病经历,累积逆境和潜在的未测量药物效应的作用.
主要成果:
- 与IBD相关的PTSD不成比例地影响黑人和拉丁裔患者.
- 创伤性疾病经历和累积的逆境是这些人群中IBD相关PTSD的重要驱动因素.
- 未测量的药物效应也可能起到作用.
结论:
- 识别在少数群体中驱动IBD相关PTSD的具体因素至关重要.
- 实施PTSD常规查和采用创伤信息化的护理方法是关键步骤.
- 这些干预措施是必要的,以改善患者的治疗结果,并减少IBD护理中的健康不平等.
更多相关视频
09:55Use of a Psychophysiological Script-driven Imagery Experiment to Study Trauma-related Dissociation in Borderline Personality Disorder
Published on: March 8, 2018
08:25Polar Histogram Visualization of Acute Stress Disorder Scale Scores for Comprehensive Clinical Assessment
Published on: December 6, 2024
相关概念视频
Inflammatory Bowel Disease II: Crohn's Disease
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Chronic Bowel Disorders: Introduction
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome I: Introduction
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
Inflammatory Bowel Disease I: Ulcerative Colitis
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Post-traumatic Stress Disorder
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
