功能性胃肠病的生物心理社会因素

Biopsychosocial Aspects of Functional Gastrointestinal Disorders.

作者信息

Van Oudenhove Lukas, Crowell Michael D, Drossman Douglas A, Halpert Albena D, Keefer Laurie, Lackner Jeffrey M, Murphy Tasha B, Naliboff Bruce D, Levy Rona L

机构信息

Laboratory for Brain-Gut Axis Studies (LABGAS), Translational Research Center for Gastrointestinal Disorders (TARGID), University of Leuven, Belgium.

Department of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, AZ, USA.

出版信息

Gastroenterology. 2016 Feb 18. doi: 10.1053/j.gastro.2016.02.027.

Abstract

In this paper, we provide a general framework for understanding the functional gastrointestinal disorders (FGID) from a biopsychosocial perspective. More specifically, we provide an overview of the recent research on how the complex interactions of environmental, psychological, and biological factors contribute to the development and maintenance of the FGID. We emphasize that considering and addressing all these factors is a conditio sine qua non for appropriate treatment of these conditions. First, we provide an overview of what is currently known about how each of these factors - the environment, including the influence of those in an individual's family, the individual's own psychological states and traits, and the individual's (neuro)physiological make-up - interact to ultimately result in the generation of FGID symptoms. Second, we provide an overview of commonly used assessment tools which can assist clinicians in obtaining a more comprehensive assessment of these factors in their patients. Finally, the broader perspective outlined earlier is applied to provide an overview of centrally acting treatment strategies, both psychological and pharmacological, which have been shown to be efficacious to treat FGID.

摘要

在本文中,我们提供了一个从生物心理社会视角理解功能性胃肠疾病(FGID)的通用框架。更具体地说,我们概述了近期关于环境、心理和生物因素的复杂相互作用如何导致FGID发生和维持的研究。我们强调,考虑并处理所有这些因素是恰当治疗这些病症的必要条件。首先,我们概述目前已知的这些因素——环境,包括个体家庭中他人的影响、个体自身的心理状态和特质以及个体的(神经)生理构成——如何相互作用最终导致FGID症状的产生。其次,我们概述常用的评估工具,这些工具可帮助临床医生对其患者的这些因素进行更全面的评估。最后,应用前文所述的更广泛视角,概述已被证明对治疗FGID有效的中枢作用治疗策略,包括心理和药物治疗策略。

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