认知行为疗法对肠道疾病患者的感知实用性肠-大脑相互作用
Diego Izquierdo Veraza1, Mohammed Rayyan Waseem2, John Venezia2
1Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Neurogastroenterology and motility
|March 8, 2026
概括
认知行为疗法 (CBT) 在肠道干扰性肠脑相互作用 (DGBI) 方面未得到充分利用. 患有DGBI的患者尽管有相似的看法,但却较少被转诊接受CBT,这凸显了改善接入和文化能力护理的需要.
科学领域:
- 胃肠病学 胃肠病学
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 认知行为疗法 (CBT) 是一种有效的治疗肠道疾病的肠-大脑相互作用 (DGBI).
- 在管理DGBI方面,CBT仍未得到充分利用.
- 了解患者和提供者的看法对于改善CBT整合至关重要.
研究的目的:
- 检查成年人有或没有肠道DGBI或其他胃肠道 (GI) 疾病对CBT的态度和看法.
- 在不同患者群体中比较CBT熟悉度和转诊率.
- 确定影响CBT接受和使用的因素.
主要方法:
- 一项在线调查评估了人们对CBT的看法和经验.
- 罗马四号标准确定了患有肠道DGBI的个人.
- 在各组中对答案进行了比较:肠道DGBI,其他肠道疾病和对照组.
- 小组分析包括刺激性肠综合征 (IBS),功能性便秘 (FC) 和功能性腹 (FDr).
主要成果:
- 70.2%的参与者认为CBT可能有帮助;障碍包括缺乏专业人员,成本和时间.
- 与对照组相比,患有肠道DGBI的人更熟悉CBT,但不太可能被提供CBT.
- 患有其他胃肠道疾病的患者被提供CBT的几率明显更高.
- 社会文化因素影响了人们的看法,非白人,非黑人个人不太可能认为CBT有帮助,而黑人参与者更愿意尝试CBT.
结论:
- 患有肠道DGBI的患者比患有其他肠道疾病的患者更少接受CBT,尽管他们的看法相似.
- 社会文化差异影响人们的信仰和参与CBT的意愿.
- 扩大获取,促进早期转诊,确保文化上有能力的护理对于将CBT整合到DGBI管理中至关重要.
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