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炎症性肠病相关的心理健康障碍:我们从这里何去何从?

IBD-related mental health disorders: where do we go from here?

作者信息

Gomez David Augusto, Ahmad-Waqar Muhammad, Brookes Matthew James, Kumar Aditi

机构信息

Department of Medicine, Wye Valley NHS Trust, Hereford, UK.

Department of Gastroenterology, The Royal Wolverhampton NHS Trust, Wolverhampton, UK.

出版信息

Frontline Gastroenterol. 2023 Jun 30;14(6):512-520. doi: 10.1136/flgastro-2023-102403. eCollection 2023.

Abstract

Inflammatory bowel disease is a complex and debilitating disease which is known to cause mental burden for patients. Even though few studies look at mental health disease in this cohort of patients, there is growing evidence of a correlation between disease activity and prevalence of mental health conditions such as anxiety, depression and post-traumatic stress disorder. In this literature review, the relationship between inflammatory bowel disease and mental health disorders is explored, with an emphasis on recognition, screening and therapeutic options and special considerations for these complex comorbidities. The relationship between medical and psychological disease is not often considered and less well understood and there is a need for further research in these fields. Patients would have much to gain both medically and psychologically from a multidisciplinary approach to this chronic disease association.

摘要

炎症性肠病是一种复杂且使人衰弱的疾病,已知会给患者带来精神负担。尽管很少有研究关注这一患者群体中的精神健康疾病,但越来越多的证据表明,疾病活动与焦虑、抑郁和创伤后应激障碍等精神健康状况的患病率之间存在关联。在这篇文献综述中,探讨了炎症性肠病与精神健康障碍之间的关系,重点关注识别、筛查和治疗选择以及这些复杂合并症的特殊注意事项。医学疾病与心理疾病之间的关系常常未被考虑且了解较少,这些领域需要进一步研究。对于这种慢性疾病关联采用多学科方法,患者在医学和心理方面都将受益匪浅。

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