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炎症性肠病中的心理支持与治疗:医患关系

[Psychological support and treatment in inflammatory bowel disease: the physician-patient relationship].

作者信息

Camacho Martel Laura

机构信息

Departamento de Personalidad, Evaluación y Tratamientos Psicológicos, Universidad de Málaga, Málaga, España.

出版信息

Gastroenterol Hepatol. 2009 Oct;32 Suppl 2:13-8. doi: 10.1016/S0210-5705(09)72600-7.

DOI:10.1016/S0210-5705(09)72600-7
PMID:19900623
Abstract

Inflammatory bowel disease (IBD) interferes with the daily activities of affected individuals and impairs their quality of life. The psychological factors related to IBD play an important role since they negatively affect the course of the disease and the patients' general wellbeing. Thus, stress, anxiety and depressed mood are highly frequent in patients with IBD and are associated with an increase in recurrences and symptom severity. Psychological treatments have been shown to improve the course of the disease by decreasing emotional distress. In addition, a good physician-patient relationship favors communication, trust and joint decision making. IBD requires a multidimensional approach in which psychological treatment forms part of the effective management of the disease.

摘要

炎症性肠病(IBD)会干扰患者的日常活动并损害其生活质量。与IBD相关的心理因素起着重要作用,因为它们会对疾病进程和患者的整体健康产生负面影响。因此,压力、焦虑和抑郁情绪在IBD患者中非常常见,并且与复发率增加和症状严重程度相关。心理治疗已被证明可以通过减轻情绪困扰来改善疾病进程。此外,良好的医患关系有利于沟通、信任和共同决策。IBD需要一种多维度的方法,其中心理治疗是疾病有效管理的一部分。

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