University Hospitals, Tübingen, Department of Internal Medicine VI, Psychosomatic Medicine and Psychotherapy, Frondsbergstr. 23, 72076 Tübingen, Germany.
Psychosomatics. 2010 May-Jun;51(3):225-9. doi: 10.1176/appi.psy.51.3.225.
The motivation of patients with functional gastrointestinal disorders to accept psychotherapy (PT) as a treatment option is not known.
The authors investigated motivation for patients' refusal to participate and dropout from PT/medical management programs.
Consecutive patients with symptoms suggestive of functional bowel disorders, seen at the outpatient clinic of a tertiary gastrointestinal (GI) center were evaluated for their motivation to undergo PT. Data from 85 patients were evaluated in two phases: In Phase 1, patients were asked about willingness to participate in PT if it were offered; in Phase 2, patients were offered PT. In both samples, PT motivation was also measured by standardized psychometric scales.
Age, gender, social status, and clinical symptom severity did not predict willingness to participate in or accept PT. Motivation was higher when patients were directly recruited in a GI setting than a psychosomatic outpatient unit. Quantitative assessment of PT motivation also did not correlate with declared PT motivation or participation. Assessment of interpersonal problems were among the few variables that were related to participation in PT.
Motivation for PT in patients with functional gastrointestinal disorders is low and is not determined by clinical, but, rather, by interpersonal problems that may exist beyond and independent of GI symptoms.
功能性胃肠疾病患者接受心理治疗（PT）作为治疗选择的动机尚不清楚。
作者研究了患者拒绝参与和退出 PT/医疗管理计划的动机。
连续就诊于三级胃肠（GI）中心门诊的功能性肠病症状患者接受了 PT 参与意愿评估。对 85 例患者的数据进行了两阶段评估：在第 1 阶段，如果提供 PT，患者被问及是否愿意参加；在第 2 阶段，为患者提供 PT。在这两个样本中，PT 动机也通过标准化心理计量量表进行测量。
年龄、性别、社会地位和临床症状严重程度不能预测是否愿意参加或接受 PT。在 GI 环境中直接招募患者时，PT 的动机更高。PT 动机的定量评估与宣布的 PT 动机或参与也没有相关性。人际问题的评估是与参与 PT 相关的少数变量之一。
功能性胃肠疾病患者对 PT 的动机较低，这不是由临床决定的，而是由可能存在于 GI 症状之外且独立于 GI 症状的人际问题决定的。
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