摘要
本文旨在总结心理学与炎症性肠病(IBD)相互关系的文献。尤其是,第一部分是专门揭示心理因素在疾病发病机制的作用、它的发展和治疗的疗效;而第二部分分析了现有文献对心理干预对IBD患者的治疗作用。虽然对IBD患者心理因素的作用是有争议的,文献似乎可分辨疾病的起因(压力和生活方式的方式)、病程中潜在的调节(家庭功能,依恋风格,应对策略和疾病的认知)和IBD治疗效果和并发因素(焦虑、抑郁和生活质量)。四种类型的心理干预措施是:压力管理、心理动力学、认知行为和催眠。IBD患者心理干预疗效和作用的数据显示,几乎没有证据表明疾病的活动水平降低和心理学行为变化之间的关系。心理干预治疗似乎在短期内是有益的,尤其是对青少年。讨论了从更广泛的视角考虑心理学和IBD之间联系的重要性,并反映多层次的复杂现象。
关键词: 临床心理学,克罗恩病,炎症性肠病,心理干预治疗,心理关联,心理治疗,溃疡性结肠炎。
Current Drug Targets
Title:State of the Art: Psychotherapeutic Interventions Targeting the Psychological Factors Involved in IBD
Volume: 15 Issue: 11
Author(s): Daniela Leone, Julia Menichetti, Gionata Fiorino and Elena Vegni
Affiliation:
关键词: 临床心理学,克罗恩病,炎症性肠病,心理干预治疗,心理关联,心理治疗,溃疡性结肠炎。
摘要: The present article aims to review the literature on the relationship between psychology and inflammatory bowel disease (IBD). In particular, the first section is dedicated to explore the role of psychological factors in the etiopathology of the disease, its development and the efficacy of treatments, while the second analyzes existing literature on the role of psychological interventions in the care of IBD patients. Although the role of psychological factors in IBD appears controversial, literature seems to distinguish between antecedents of the disease (stress and lifestyle behavior), potential mediators of disease course (family functioning, attachment style, coping strategies, and illness perception), outcomes of IBD and concurrent factors (anxiety, depression and quality of life). Four types of psychological interventions are described: Stress management, Psychodynamic, Cognitive behavioral and Hypnosis based. Data on the role and efficacy of psychological interventions in IBD patients show little evidence both on reduction of the disease activity and benefits on psychological variables. Psychological interventions seem to be beneficial in the short term especially for adolescents. The importance of considering the connections between psychology and IBD from a broader perspective reflecting the complexity of the phenomenon at multiple levels is discussed.
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Cite this article as:
Leone Daniela, Menichetti Julia, Fiorino Gionata and Vegni Elena, State of the Art: Psychotherapeutic Interventions Targeting the Psychological Factors Involved in IBD, Current Drug Targets 2014; 15 (11) . https://dx.doi.org/10.2174/1389450115666140627151702
DOI https://dx.doi.org/10.2174/1389450115666140627151702 |
Print ISSN 1389-4501 |
Publisher Name Bentham Science Publisher |
Online ISSN 1873-5592 |
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