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认知行为疗法治疗肠易激综合征。

Cognitive-behavioral therapy for the management of irritable bowel syndrome.

机构信息

Qing-Lin Tang, Ming-Qing Zhang, Department of Gastroenterology, 175 Hospital of PLA, Affiliated Southeast Hospital of Xiamen University, Zhangzhou 363000, Fujian Province, China.

出版信息

World J Gastroenterol. 2013 Dec 14;19(46):8605-10. doi: 10.3748/wjg.v19.i46.8605.

Abstract

Irritable bowel syndrome (IBS) is a common disorder, reported to be found in 5%-20% of the general population. Its management accounts for up to 25% of a gastroenterologist's workload in the outpatient department, and the main symptoms are abdominal pain, bloating, and altered bowel habits. Despite a great amount of available pharmacological treatments aimed at a wide variety of gastrointestinal and brain targets, many patients have not shown adequate symptom relief. In recent years, there has been increasing evidence to suggest that psychological treatments, in particular cognitive-behavioral therapy (CBT), are effective for the management of IBS. This review discusses CBT for the management of IBS. CBT has proved to be effective in alleviating the physical and psychological symptoms of IBS and has thus been recommended as a treatment option for the syndrome.

摘要

肠易激综合征(IBS)是一种常见疾病,据报道,其在普通人群中的发病率为 5%-20%。它的管理占到了胃肠病学家在门诊工作量的 25%,其主要症状是腹痛、腹胀和排便习惯改变。尽管有大量针对各种胃肠道和大脑靶点的药物治疗方法,但许多患者的症状缓解并不充分。近年来,越来越多的证据表明,心理治疗,特别是认知行为疗法(CBT),对 IBS 的管理是有效的。这篇综述讨论了 CBT 在 IBS 管理中的应用。CBT 已被证明能有效缓解 IBS 的躯体和心理症状,因此被推荐作为该综合征的一种治疗选择。

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