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胃肠道疾病对与生物心理社会健康模型相关的心理社会因素的影响:一项范围综述。

The impact of gastrointestinal conditions on psychosocial factors associated with the biopsychosocial model of health: A scoping review.

作者信息

Dent Elizabeth, Davinson Nicola, Wilkie Stephanie

机构信息

School of Psychology, Faculty of Health Sciences and Wellbeing, University of Sunderland, Sunderland, UK.

出版信息

Appl Psychol Health Well Being. 2022 May;14(2):626-644. doi: 10.1111/aphw.12323. Epub 2021 Dec 5.

Abstract

The increase in the prevalence of gastrointestinal (GI) conditions is an emerging global health concern. Studies of the impact on the lives of individuals living with GI conditions such as irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD) typically focus on biological elements, such as symptomology and treatment efficacy. Comparatively fewer studies have explored the psychological and social aspects of GI conditions, which could provide key information needed to better understand the impact of GI conditions on people and their lived experiences. In this review, existing literature concerning the psychosocial factors and well-being outcomes associated with GI conditions was reviewed using a scoping methodology. Sixty-eight studies were selected for inclusion. Of these studies, the well-being outcomes most frequently addressed, for both IBS and IBD, were quality of life and health-related quality of life, and the most frequently addressed psychosocial factors were social support and coping. These outcomes are largely consistent with those identified for other medical conditions explored using the biopsychosocial model of health, with some exploration of the lived experiences of those with a GI condition.

摘要

胃肠道疾病患病率的上升是一个新出现的全球健康问题。对肠易激综合征(IBS)和炎症性肠病(IBD)等胃肠道疾病患者生活影响的研究通常侧重于生物学因素,如症状学和治疗效果。相对较少的研究探讨了胃肠道疾病的心理和社会方面,而这些方面可以提供关键信息,以更好地了解胃肠道疾病对人们及其生活经历的影响。在本综述中,使用范围界定方法对与胃肠道疾病相关的社会心理因素和幸福感结果的现有文献进行了综述。选取了68项研究纳入其中。在这些研究中,IBS和IBD最常涉及的幸福感结果是生活质量和健康相关生活质量,最常涉及的社会心理因素是社会支持和应对。这些结果在很大程度上与使用生物心理社会健康模型探讨的其他医疗状况所确定的结果一致,同时也对一些胃肠道疾病患者的生活经历进行了探索。

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