Division of Gastroenterology and Nutrition, Loyola University Medical Center, 2160 South First Avenue, Building 54, Room 167, Maywood, IL 60153, USA.
Gastroenterol Clin North Am. 2022 Dec;51(4):711-721. doi: 10.1016/j.gtc.2022.07.002.
Integrated models of care for chronic digestive conditions, such as irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD), are becoming the standard of care and require patients to have access to brain-gut behavior therapies. Further progress is needed to implement this approach across GI practice settings and will require gastroenterologists to build collaborative relationships with GI Psychologists. This review provides guidance on practical steps for integrating brain-gut behavior therapy into a GI practice, including guidance on assessing patients for their appropriateness for referral, effective communication strategies to recommend brain-gut behavior therapy, and tips on how to develop a referral pathway and successful collaboration with a GI Psychologist.
慢性消化疾病(如肠易激综合征[IBS]和炎症性肠病[IBD])的综合护理模式正在成为护理标准,需要患者获得脑肠行为治疗。要在整个胃肠道实践环境中实施这种方法,还需要进一步取得进展,这将要求胃肠病学家与胃肠道心理学家建立合作关系。本综述就如何将脑肠行为治疗纳入胃肠道实践提供了实用步骤的指导,包括如何评估患者是否适合转介、推荐脑肠行为治疗的有效沟通策略,以及如何建立转介途径和与胃肠道心理学家成功合作的技巧。