Faculty of Nursing and Midwifery, Kings College London, 57 Waterloo Road, London SE1 8WA, United Kingdom.
King's College London Prize Fellowship, NIHR BRC Clinical Lecturer, Health Service & Population Research Department, IoPPN, King's College London, United Kingdom; NIHR Post Doctoral Research Fellow, Population Health Research Institute, St George's, University of London, United Kingdom.
Clin Psychol Rev. 2016 Jul;47:28-40. doi: 10.1016/j.cpr.2016.06.001. Epub 2016 Jun 10.
Inflammatory bowel disease (IBD) is a chronic long term condition which poses significant psychosocial adjustment challenges. The purpose of this review was to systematically identify psychological factors related to adjustment in adults with IBD with the aim of suggesting evidence based targets that may be modifiable though psychological intervention. Twenty five studies met inclusion criteria and were included in the systematic review and a narrative synthesis was conducted. A wide range of psychological variables were addressed covering six broad categories; personality traits, interpersonal traits, stress and coping, emotions and emotional control, IBD related cognitions and non IBD related cognitions. The most consistent relationship was found between certain emotion focused coping strategies and worse adjustment outcomes in IBD. Some evidence also hi-lighted a relationship between personality traits (such as neuroticism,) perceived stress, emotions and emotional control (such as alexithymia) and IBD related cognitions (such as illness perceptions) and negative adjustment outcomes. The results of this review suggest that interventions to improve adjustment in IBD may benefit from a focus on coping strategies, perceived stress and IBD related cognitions.
炎症性肠病（IBD）是一种慢性长期疾病，会带来重大的心理社会适应挑战。本综述的目的是系统地确定与成年人 IBD 适应相关的心理因素，旨在提出可能通过心理干预改变的循证目标。有 25 项研究符合纳入标准，并被纳入系统综述，同时进行了叙述性综合。涵盖了六个广泛类别：人格特质、人际关系特质、压力和应对、情绪和情绪控制、与 IBD 相关的认知和非 IBD 相关的认知，涵盖了广泛的心理变量。在 IBD 中，某些以情绪为中心的应对策略与较差的适应结果之间存在最一致的关系。一些证据还强调了人格特质（如神经质）、感知压力、情绪和情绪控制（如述情障碍）与 IBD 相关认知（如疾病认知）之间的关系，以及与负面适应结果的关系。本综述的结果表明，改善 IBD 适应的干预措施可能受益于应对策略、感知压力和 IBD 相关认知的关注。
