Sasaki D, Sutoh T, Abe T
Health Administration Center, Hirosaki Univ.
Nihon Rinsho. 1992 Nov;50(11):2758-63.
Irritable bowel syndrome (IBS) may be defined as a psychosomatic disease. Most primary care physicians do not want to undertake psychosomatic treatment, but may find it necessary in refractory patients. Brief psychosomatic treatments, providing patients with betterways to cope with stress, reduce the symptoms. The literature on the psychosomatic treatment for IBS is summarized. Supportive therapy and autogenic training that produce relaxation response appear to be effective. Other special psychological therapies that require specialized training, such as hypnosis, biofeedback, cognitive therapy, transactional analysis may be used for IBS but adequately controlled trials are lacking. It is certain that psychosomatic treatment take part in the management of IBS. Additional studies are needed to verify the effectiveness of these treatment for IBS.
肠易激综合征（IBS）可被定义为一种身心疾病。大多数初级保健医生不想进行身心治疗，但在难治性患者中可能会发现有必要进行。简短的身心治疗为患者提供更好的应对压力的方法，从而减轻症状。本文总结了关于IBS身心治疗的文献。产生放松反应的支持性疗法和自生训练似乎是有效的。其他需要专门训练的特殊心理疗法，如催眠、生物反馈、认知疗法、交互分析，可用于IBS，但缺乏充分对照试验。可以肯定的是，身心治疗参与了IBS的管理。需要更多的研究来验证这些治疗对IBS的有效性。
