Lask B
Wien Klin Wochenschr. 1986 Aug 29;98(16):544-7.
Psychological factors play a major part in inflammatory bowel disease (I.B.D.). Stress influences motility, secretion and vascularity of the gastrointestinal tract and may produce functional disorders. Stressful events, which in childhood might be family tensions, separation or major changes such as that of school or house, may aggravate or even cause I.B.D. Physical symptoms of the active disease are distressing and can lead to stress and even behaviour problems. Stress and distress can themselves produce physical symptoms and aggravate pre-existing organic pathology, whilst behaviour problems such as non-compliance with treatment or diet can aggravate the organic pathology and/or the physical symptoms so setting up and maintaining a vicious circle. Not only the child, but also his family are affected. Taking into account the complex interaction between psychosocial and organic aspects of I.B.D. a comprehensive approach is essential for optimal care of the child with I.B.D. and his family.
心理因素在炎症性肠病（I.B.D.）中起主要作用。压力会影响胃肠道的蠕动、分泌和血管状态，并可能导致功能紊乱。童年时期的压力事件，如家庭关系紧张、分离或学校或住所等重大变化，可能会加重甚至引发炎症性肠病。活动性疾病的身体症状令人痛苦，可能导致压力甚至行为问题。压力和痛苦本身会产生身体症状，并加重已有的器质性病变，而诸如不遵守治疗或饮食规定等行为问题会加重器质性病变和/或身体症状，从而形成并维持恶性循环。不仅患病儿童，其家人也会受到影响。鉴于炎症性肠病心理社会和器质性方面的复杂相互作用，采取综合方法对于为患有炎症性肠病的儿童及其家庭提供最佳护理至关重要。
