有或无既往心理治疗的功能性肠病患者的六年随访
Six-year follow-up of patients with functional bowel disorders, with and without previous psychotherapy.
作者信息
Martens Ute, Caspari Gabriele, Rilk Anna, Hefner Jochen, Teufel Martin, Klosterhalfen Sibylle, Zipfel Stephan, Enck Paul
机构信息
University Medical Hospital, Dept. of Psychosomatic Medicine and Psychotherapy, University of Tübingen, Germany.
出版信息
Psychosoc Med. 2010 Sep 22;7:Doc06. doi: 10.3205/psm000068.
INTRODUCTION
Long-term follow-up studies in patients with functional bowel disorders are rare.
METHODS
Of 85 patients with functional bowel disorders diagnosed in 2000, forty-eight patients responded to a postal questionnaire 6 years later (2006).
RESULTS
Gastrointestinal symptom severity was similar to that at the initial diagnosis. Anxiety and depression (HADS) were significantly decreased, however, depending on previous psychotherapy (PT) experience. Men but not women that had participated in PT exhibited reduced symptoms more pronounced than did patients without PT.
DISCUSSION
Anxiety and depression may determine consulting behaviour, but this appears unrelated to intestinal symptoms and their severity. Short-term PT contributes to long-term well-being especially in men.
引言
对功能性肠病患者进行长期随访研究的情况较为罕见。
方法
2000年诊断的85例功能性肠病患者中，48例在6年后（2006年）回复了邮寄问卷调查。
结果
胃肠道症状严重程度与初始诊断时相似。然而，焦虑和抑郁（医院焦虑抑郁量表）显著降低，这取决于先前的心理治疗经历。参加过心理治疗的男性而非女性，其症状减轻程度比未接受心理治疗的患者更为明显。
讨论
焦虑和抑郁可能决定就诊行为，但这似乎与肠道症状及其严重程度无关。短期心理治疗有助于长期的健康，尤其是对男性而言。
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