Children's National Hospital 111 Michigan Avenue NW, Center for Translational Research, 6th Flr Main, Washington, DC 20010, USA.
Departments of Psychiatry and Pediatrics, University of Colorado Anschutz Medical Campus, Digestive Health Institute, Children's Hospital Colorado, 13123 E. 16th Ave., B130, Aurora, CO 80045, USA.
Gastroenterol Clin North Am. 2022 Dec;51(4):753-764. doi: 10.1016/j.gtc.2022.07.003. Epub 2022 Oct 22.
Several chronic digestive conditions are physiologically based on food intolerance, including celiac disease, nonceliac gluten sensitivity, and eosinophilic esophagitis. Patients are expected to follow medically prescribed diets to eliminate identified food triggers to control symptoms. However, the psychological impacts of these dietary approaches are largely unaddressed in clinical practice. Hypervigilance and anxiety regarding food and symptoms, and disordered eating, may emerge and negatively affect outcomes. Clinicians working with pediatric and adult populations with food intolerances should be aware of these psychological comorbidities, and equally emphasize effective ways to help patients manage the mental and physical aspects of their condition.
几种慢性消化疾病在生理上是基于食物不耐受的，包括乳糜泻、非乳糜泻麸质敏感性和嗜酸性食管炎。患者需要遵循医学规定的饮食方案，以消除已确定的食物触发因素来控制症状。然而，这些饮食方法的心理影响在临床实践中基本上没有得到解决。对食物和症状的过度警惕和焦虑，以及饮食失调，可能会出现，并对结果产生负面影响。与食物不耐受的儿科和成人患者合作的临床医生应该意识到这些心理合并症，并同样强调帮助患者有效管理其病情的身心方面的方法。
