Weaver Terrí L, Nishith Pallavi, Resick Patricia A
Center for Trauma Recovery, University of Missouri-St. Louis.
Cogn Behav Pract. 1998 Summer;5(1):103-122. doi: 10.1016/S1077-7229(98)80023-0.
Previous research has shown that psychological treatments, particularly those employing cognitive techniques, are particularly effective in the treatment of irritable bowel syndrome (IBS). It is presumed that these psychological interventions are effective at ameliorating the IBS by treating an underlying psychological disorder (often an anxiety disorder), which may be contributing to the autonomic reactivity. This case study examined the change in the physical symptoms of IBS for a patient seeking treatment for rape-related PTSD with comorbid conditions of major depression and panic. At posttreatment, the patient no longer met criteria for PTSD, major depression, or panic. In addition, her primary symptom of IBS, diarrhea frequency, was significantly improved. These findings were maintained at 3 and 9 months posttreatment. Implications for the assessment and treatment of IBS patients with PTSD are discussed.
先前的研究表明，心理治疗，尤其是那些采用认知技术的治疗方法，在治疗肠易激综合征（IBS）方面特别有效。据推测，这些心理干预措施通过治疗潜在的心理障碍（通常是焦虑症）来有效改善IBS，这种心理障碍可能导致自主神经反应性增强。本案例研究考察了一名因与强奸相关的创伤后应激障碍（PTSD）并伴有重度抑郁和惊恐共病而寻求治疗的患者的IBS身体症状变化。治疗后，该患者不再符合PTSD、重度抑郁或惊恐的标准。此外，她IBS的主要症状，即腹泻频率，有了显著改善。这些结果在治疗后3个月和9个月时得以维持。文中还讨论了对伴有PTSD的IBS患者进行评估和治疗的意义。
