Department of Psychology, University of Turin, 10124 Turin, Italy.
Division of Digestive Endoscopy, Città della Salute e della Scienza University-Hospital, 10126 Turin, Italy.
Int J Environ Res Public Health. 2023 Nov 30;20(23):7125. doi: 10.3390/ijerph20237125.
Mentalization is a psychological process that enables individuals to understand the self and others in terms of intentional mental states. The aim of this scoping review was to provide an overview of the findings on mentalization in patients with inflammatory bowel disease (IBD) and irritable bowel syndrome (IBS). A literature search, in line with the Preferred Reporting Items for Systematic Review and Meta-analysis Protocols extension for Scoping Review guidelines, was conducted in the following bibliographic databases: PubMed, PsycINFO, and Scopus. Databases were queried using the following strings (with Boolean operators): ("mentaliz*" OR "metacogniti*" OR "theory of mind" OR "ToM" OR "reflective function*") AND ("irritable bowel syndrome" OR "IBS" OR "inflammatory bowel disease" OR "IBD"). In line with the eligibility criteria, seven articles were included. Results showed that no significant differences in metacognitive ability were found between patients in the IBD and IBS groups. This review revealed the mentalizing difficulties for patients with IBD and IBS. These results should be interpreted with caution since they are based on a few studies that used different instruments to assess mentalizing processes. Future studies are needed to clarify the role of mentalization in patients with these gastrointestinal conditions.
心理化是一种心理过程，使个体能够根据意向心理状态来理解自我和他人。本综述的目的是概述炎症性肠病（IBD）和肠易激综合征（IBS）患者心理化的研究结果。根据系统评价和荟萃分析协议扩展的首选报告项目，对以下文献数据库进行了文献检索：PubMed、PsycINFO 和 Scopus。使用以下字符串（使用布尔运算符）在数据库中查询：("mentaliz*" OR "metacogniti*" OR "theory of mind" OR "ToM" OR "reflective function*") AND ("irritable bowel syndrome" OR "IBS" OR "inflammatory bowel disease" OR "IBD")。根据纳入标准，有 7 篇文章入选。结果表明，IBD 和 IBS 组患者的元认知能力没有显著差异。本综述揭示了 IBD 和 IBS 患者的心理化困难。由于这些结果基于少数使用不同工具评估心理化过程的研究，因此应谨慎解释。需要进一步的研究来阐明心理化在这些胃肠道疾病患者中的作用。
