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肠易激综合征的心理层面

Psychological aspects of irritable bowel syndrome.

作者信息

Langeluddecke P M

出版信息

Aust N Z J Psychiatry. 1985 Sep;19(3):218-26. doi: 10.3109/00048678509158826.

DOI:10.3109/00048678509158826
PMID:3910018
Abstract

The literature on psychological aspects of Irritable Bowel Syndrome (IBS) is reviewed. Psychiatric and/or psychometric assessment of IBS samples has consistently revealed a high prevalence of psychological symptoms by comparison with non-psychiatric patient and healthy control groups. Various psychological factors have been implicated in the aetiology of IBS and in the decision to seek medical help, including psychoneurotic personality traits, abnormal illness behaviour and life event stress. Controlled studies of psychological intervention for IBS, while scarce, suggest that supportive psychotherapy and hypnotherapy may be helpful. The long-term efficacy of such treatments remains to be demonstrated.

摘要

本文对肠易激综合征(IBS)心理方面的文献进行了综述。与非精神科患者和健康对照组相比,对IBS样本进行的精神病学和/或心理测量评估一直显示出心理症状的高患病率。IBS的病因以及寻求医疗帮助的决定涉及多种心理因素,包括精神神经质性人格特质、异常疾病行为和生活事件压力。对IBS心理干预的对照研究虽然很少,但表明支持性心理治疗和催眠疗法可能会有帮助。此类治疗的长期疗效仍有待证明。

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1
Psychological aspects of irritable bowel syndrome.肠易激综合征的心理层面
Aust N Z J Psychiatry. 1985 Sep;19(3):218-26. doi: 10.3109/00048678509158826.
2
Psychiatric illness and the irritable bowel syndrome. Practical implications for the primary physician.
Gastroenterology. 1976 Feb;70(2):162-6.
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Stressful life-events, anxiety, depression and coping in patients of irritable bowel syndrome.肠易激综合征患者的应激性生活事件、焦虑、抑郁及应对方式
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Psychological factors in the irritable bowel syndrome.肠易激综合征中的心理因素
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Advances in the understanding and management of the irritable bowel syndrome.肠易激综合征在认识和管理方面的进展。
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Hypnotherapy and refractory irritable bowel syndrome: a single case study.催眠疗法与难治性肠易激综合征:一项单病例研究
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Psychoneurotic symptomatology in the irritable bowel syndrome: a study of reporters and non-reporters.肠易激综合征中的精神神经症状学:有报告者与无报告者的研究
Br Med J (Clin Res Ed). 1985 Nov 16;291(6506):1382-4. doi: 10.1136/bmj.291.6506.1382.
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Review article: clinical evidence to support current therapies of irritable bowel syndrome.综述文章:支持当前肠易激综合征治疗方法的临床证据
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The relationship between psychosocial parameters and outcome in irritable bowel syndrome.肠易激综合征中心理社会参数与预后的关系。
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Predictors of health care seeking for irritable bowel syndrome and nonulcer dyspepsia: a critical review of the literature on symptom and psychosocial factors.肠易激综合征和非溃疡性消化不良的就医预测因素:关于症状和心理社会因素的文献综述
Am J Gastroenterol. 2001 May;96(5):1340-9. doi: 10.1111/j.1572-0241.2001.03789.x.

引用本文的文献

1
Abnormal vagal cholinergic function and psychological behaviors in irritable bowel syndrome patients: a hospital-based Oriental study.肠易激综合征患者的迷走神经胆碱能功能异常与心理行为:一项基于医院的东方研究。
Dig Dis Sci. 1998 Aug;43(8):1794-9. doi: 10.1023/a:1018848122993.
2
Is the association between irritable bowel syndrome and abuse explained by neuroticism? A population based study.肠易激综合征与虐待之间的关联可由神经质来解释吗?一项基于人群的研究。
Gut. 1998 Jan;42(1):47-53. doi: 10.1136/gut.42.1.47.
3
Stress management techniques: are they all equivalent, or do they have specific effects?
压力管理技巧:它们都是等效的,还是有特定的效果?
Biofeedback Self Regul. 1994 Dec;19(4):353-401. doi: 10.1007/BF01776735.
4
Current views on the aetiology and management of the irritable bowel syndrome.关于肠易激综合征病因及治疗的当前观点。
Postgrad Med J. 1991 Sep;67(791):785-9. doi: 10.1136/pgmj.67.791.785.