Department of Medicine, University of Otago, Christchurch, New Zealand.
J Crohns Colitis. 2013 Dec;7(12):935-49. doi: 10.1016/j.crohns.2013.02.004. Epub 2013 Mar 5.
Psychotherapy may be a useful intervention for inflammatory bowel disease (IBD) patients. We systematically reviewed all randomized controlled trials that have been performed in psychotherapy for inflammatory bowel disease patients.
Systematic searches were undertaken on 1 and 8 March, 2012 of studies of psychotherapy for IBD.
Eighteen studies (19 papers) were included in this review. Psychotherapy was found to have minimal effect on measures of anxiety, depression, QOL and disease progression although shows promise in reducing pain, fatigue, relapse rate and hospitalisation, and improving medication adherence. It may also be cost effective.
The effects of psychotherapy on IBD is mixed: future studies should determine whether patient screening or measuring different dependent variables improves outcomes and whether particular psychotherapies are superior over others.
心理疗法可能是炎症性肠病(IBD)患者的一种有效干预手段。我们系统地回顾了所有针对 IBD 患者的心理疗法的随机对照试验。
我们于 2012 年 3 月 1 日和 8 日对心理疗法治疗 IBD 的研究进行了系统检索。
本综述纳入了 18 项研究(19 篇论文)。心理疗法对焦虑、抑郁、生活质量和疾病进展的测量指标仅有轻微影响,但在减轻疼痛、疲劳、复发率和住院率,以及提高药物依从性方面显示出一定的效果。它可能具有成本效益。
心理疗法对 IBD 的疗效不一:未来的研究应确定患者筛查或测量不同的因变量是否能改善结局,以及是否某种特定的心理疗法优于其他疗法。