Crouch M A
Department of Family Medicine and Comprehensive Care, Louisiana State University School of Medicine, Shreveport.
Prim Care. 1988 Mar;15(1):99-110.
The symptoms of irritable bowel syndrome (IBS) are usually a subset of a broader problem that meets DSM-III criteria for depression, anxiety disorder, somatization disorder, or adjustment disorder. A biopsychosocial perspective that addresses multigenerational family patterns of anxiety, depression, and somatization of stress suggests guidelines for understanding and treating patients with IBS symptoms. Effective treatment focuses primarily on helping patients cope with emotional disorders and psychosocial stressors, and secondarily on direct symptom relief. Psychotherapy is a valuable adjunct to medical treatment. The medications most likely to yield lasting benefits are the antidepressants.
肠易激综合征（IBS）的症状通常是一个更广泛问题的一部分，该问题符合《精神疾病诊断与统计手册》第三版（DSM-III）中关于抑郁症、焦虑症、躯体化障碍或适应障碍的标准。一种生物心理社会视角，该视角关注焦虑、抑郁和压力躯体化的多代家庭模式，为理解和治疗有肠易激综合征症状的患者提供了指导方针。有效的治疗主要侧重于帮助患者应对情绪障碍和心理社会压力源，其次才是直接缓解症状。心理治疗是药物治疗的重要辅助手段。最有可能产生持久益处的药物是抗抑郁药。
