Division of Internal Medicine "Villa Sofia-V. Cervello" Hospital, University of Palermo, Via Trabucco 180, 90146 Palermo, Italy.
Gastroenterol Res Pract. 2012;2012:486067. doi: 10.1155/2012/486067. Epub 2012 Aug 22.
Irritable bowel syndrome (IBS) accounts for 25% of gastroenterology output practice, making it one of the most common disorders in this practice. Psychological and social factors may affect the development of this chronic disorder. Furthermore, psychiatric symptoms and psychiatric diseases are highly prevalent in this condition, but the approach to treating these is not always straightforward. As emphasized in the biopsychosocial model of IBS, with regard to the modulatory role of stress-related brain-gut interactions and association of the disease with psychological factors and emotional state, it proves useful to encourage psychopharmacological treatments and psychosocial therapies, both aiming at reducing stress perception. The aim of this paper is to analyze the effectiveness of psychopharmacological treatment and psychological interventions on irritable bowel syndrome.
肠易激综合征(IBS)占胃肠病学实践输出的 25%,是该实践中最常见的疾病之一。心理和社会因素可能会影响这种慢性疾病的发展。此外,这种情况下的精神症状和精神疾病的患病率很高,但治疗方法并不总是那么直接。正如 IBS 的生物心理社会模型所强调的那样,鉴于与压力相关的大脑-肠道相互作用的调节作用以及该疾病与心理因素和情绪状态的关联,鼓励使用精神药理学治疗和心理社会疗法证明是有用的,这两种方法都旨在减少压力感知。本文旨在分析精神药理学治疗和心理干预对肠易激综合征的疗效。