在儿科实施胃肠道疾病的心理治疗。
Implementing psychological therapies for gastrointestinal disorders in pediatrics.
机构信息
Department of Pediatrics, Division of Gastroenterology, Hepatology, & Nutrition, Emory+Children's Pediatric Institute , Atlanta, Georgia.
College of Pharmacy & Health Sciences, Campbell University , Buies Creek, NC, USA.
出版信息
Expert Rev Gastroenterol Hepatol. 2020 Nov;14(11):1061-1067. doi: 10.1080/17474124.2020.1806055. Epub 2020 Aug 18.
INTRODUCTION
The brain-gut axis refers to complex and reciprocal interactions that impact symptom presentation and disease course within the GI tract. Psychological therapies included in the treatment of functional gastrointestinal disorders (FGIDs) as well as chronic gut disorders including inflammatory bowel disease (IBD) address environmental and psychological factors impacting patients' symptoms and overall functioning.
AREAS COVERED
Employing a biopsychosocial approach, this review focuses on the evidence for and implementation of psychological therapies across pediatric gastrointestinal disorders.
EXPERT OPINION
By developing a working knowledge of evidence-based psychological therapies applicable to pediatric gastrointestinal disorders, clinicians have the opportunity to comprehensively treat patients' symptoms and distress. Regular communication and coordination between pediatric gastroenterology clinicians and providers of psychological therapies offers the greatest likelihood for successfully implementing psychological therapies into treatment plans.
简介
脑肠轴是指影响胃肠道症状表现和疾病进程的复杂且相互影响的关系。功能性胃肠病（FGIDs）和包括炎症性肠病（IBD）在内的慢性肠道疾病的治疗方法中包含心理治疗，这些治疗方法针对影响患者症状和整体功能的环境和心理因素。
涵盖领域
本综述采用生物心理社会方法，重点介绍了心理治疗在儿科胃肠道疾病中的应用证据和实施情况。
专家意见
通过了解适用于儿科胃肠道疾病的循证心理治疗方法，临床医生有机会全面治疗患者的症状和痛苦。儿科胃肠病学临床医生与心理治疗提供者之间进行定期沟通和协调，为成功将心理治疗纳入治疗计划提供了最大的可能性。
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