Digestive and Liver Disorders Division, Department of Medicine and Psychology, Indiana University Health, 10300 N. Illinois Street, Suite 1100, Indianapolis, IN, 46032, USA.
J Clin Psychol Med Settings. 2020 Sep;27(3):454-458. doi: 10.1007/s10880-020-09697-6.
Chronic gastrointestinal disorders are disruptive to patients physically and psychologically, and benefit from multidisciplinary care, including targeted psychological interventions. This case study details a case of a 42-year-old Caucasian female with idiopathic eructation, who was identified as having psychological contributors to her 3-year history of GI symptoms. Following extensive medical testing, she was diagnosed with excessive, likely supragastric belching and referred for psychological care. She noted initial reticence to psychological approaches but was offered psychoeducation and CBT interventions targeting eructation disorder and anxiety. Although the patient paused treatment after only a single session of psychological contact (including assessment and brief intervention), her GI symptoms effectively resolved with application of anxiolytic breathing, psychoeducation, and other cognitive behavioral techniques, suggesting rapid efficacy of CBT interventions, when diligently applied.
慢性胃肠道疾病在身体和心理上都会给患者带来困扰，需要多学科的治疗，包括有针对性的心理干预。本病例研究详细介绍了一名 42 岁的白人女性，她患有特发性呃逆，被认为存在导致胃肠道症状长达 3 年的心理因素。经过广泛的医学检查，她被诊断为过度的、可能是胃上部嗳气，并被转介接受心理治疗。她最初对心理治疗方法表示犹豫，但接受了针对呃逆障碍和焦虑的心理教育和认知行为治疗干预。尽管该患者在仅接受一次心理接触（包括评估和简短干预）后暂停了治疗，但通过应用抗焦虑呼吸、心理教育和其他认知行为技术，她的胃肠道症状得到了有效缓解，这表明 CBT 干预的快速疗效，只要认真应用，就能取得效果。
