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肠易激综合征的认知行为疗法:近期文献综述

Cognitive behavioral treatment for irritable bowel syndrome: a recent literature review.

作者信息

Sugaya Nagisa, Shirotsuki Kentaro, Nakao Mutsuhiro

机构信息

Unit of Public Health and Preventive Medicine, School of Medicine, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama City, 236-0004, Japan.

Graduate School of Human and Social Sciences, Musashino University, Tokyo, Japan.

出版信息

Biopsychosoc Med. 2021 Nov 27;15(1):23. doi: 10.1186/s13030-021-00226-x.

Abstract

Irritable bowel syndrome (IBS) is a gastrointestinal psychosomatic disorder that often develops and worsens with stress. Hence, it is important to treat it from both, its physical and mental aspects. We reviewed recent research on cognitive-behavioral therapy (CBT)-one of the most widely studied psychological treatments for IBS-since it focuses on addressing the cognitions and behaviors associated with IBS symptoms, and combines diverse content, such as cognitive techniques, exposure, stress management, and mindfulness, whose effects have been widely studied. Research on CBT for IBS varies not only in terms of content of the interventions, but also in terms of implementation (individual or group, face-to-face or online). Internet-delivered CBT has recently shown the possibility of providing more accessible and cost-effective psychological intervention to IBS patients in formats, other than face-to-face. In recent years, many standardized scales that allow for IBS-specific psychological assessments have been used in clinical studies of CBT for IBS. Tools that competently deliver effective interventions and properly measure their effectiveness are expected to spread to many people suffering from IBS.

摘要

肠易激综合征(IBS)是一种胃肠身心障碍疾病,常因压力而发病并加重。因此,从身体和心理两方面对其进行治疗很重要。我们回顾了关于认知行为疗法(CBT)的最新研究,CBT是针对IBS研究最为广泛的心理治疗方法之一,因为它专注于处理与IBS症状相关的认知和行为,并结合了多种内容,如认知技巧、暴露疗法、压力管理和正念,这些方法的效果已得到广泛研究。针对IBS的CBT研究不仅在干预内容方面存在差异,在实施方式(个体或团体、面对面或在线)上也有所不同。近年来,互联网提供的CBT已显示出以非面对面形式为IBS患者提供更易获得且具成本效益的心理干预的可能性。近年来,许多用于IBS特定心理评估的标准化量表已被用于IBS的CBT临床研究。有望将能够有效提供干预措施并正确衡量其效果的工具推广给许多IBS患者。

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