Division of Gastroenterology, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Neurogastroenterology Unit, Manchester University NHS Foundation Trust, Wythenshawe Hospital, Manchester, UK.
Neurogastroenterol Motil. 2024 Dec;36(12):e14894. doi: 10.1111/nmo.14894. Epub 2024 Aug 12.
GI-specific psychological factors are important contributors to patients' symptom experience and quality of life across all disorders of gut-brain interaction (DGBI). Clinicians' ability to recognize the role of these psychological factors is essential for formulating a biopsychosocial case conceptualization and informing treatment decisions.
This article will familiarize gastroenterology providers with conceptualizing the role of GI-specific psychological factors in DGBI and provides stepwise, practical guidance for how to assess these during clinical encounters in a time-efficient manner.
胃肠道特异性心理因素是所有肠-脑相互作用障碍(DGBI)患者症状体验和生活质量的重要影响因素。临床医生识别这些心理因素作用的能力对于形成生物心理社会病例概念化和告知治疗决策至关重要。
本文将使胃肠病学提供者熟悉在 DGBI 中概念化胃肠道特异性心理因素的作用,并提供逐步的、实用的指导,说明如何在高效省时的临床就诊中评估这些因素。