Bekarissova Sholpan, Bekarisov Olzhas, Bekaryssova Dana
Chair of Psychiatry and Narcology, Astana Medical University, Astana, Kazakhstan.
National Scientific Center of Traumatology and Orthopedics named after Academician Batpenov, Astana, Kazakhstan.
Rheumatol Int. 2024 Dec;44(12):2727-2735. doi: 10.1007/s00296-024-05728-9. Epub 2024 Oct 14.
Rheumatic diseases are chronic conditions that often result in significant physical and psychological challenges, reducing patients' quality of life and increasing the economic burden on healthcare systems. This study examines the vital role of psychological interventions in the comprehensive treatment of rheumatic diseases. The findings reveal a high prevalence of psycho-emotional disorders such as depression, anxiety, and stress among these patients, which can worsen disease progression and hinder treatment adherence. The review highlights the bidirectional relationship between the central nervous and immune systems, showing how psychological stress influences the pathophysiology of inflammatory diseases. Various psychological interventions are explored, including mind-body therapies, cognitive behavioral therapy, acceptance and commitment therapy, and mindfulness-based practices such as meditation, yoga, and tai chi. These approaches improve emotional well-being, help reduce pain, and enhance overall quality of life. The article emphasizes a holistic treatment model incorporating pharmacological care, physical rehabilitation, and psychological support. This integrated approach fosters more effective management of rheumatic diseases by addressing their complex nature and promoting better functional outcomes. The study advocates for the seamless incorporation of psychological support into routine clinical practice tailored to the biopsychosocial profile of each patient. Future research should focus on identifying the most effective psychological interventions for different patient groups to enhance the quality of life for individuals with rheumatic diseases.
风湿性疾病是慢性疾病,常常导致重大的身体和心理挑战,降低患者的生活质量,并增加医疗保健系统的经济负担。本研究探讨心理干预在风湿性疾病综合治疗中的重要作用。研究结果显示,这些患者中抑郁、焦虑和压力等心理情绪障碍的患病率很高,这会使疾病进展恶化并阻碍治疗依从性。该综述强调了中枢神经系统和免疫系统之间的双向关系,展示了心理压力如何影响炎症性疾病的病理生理学。探讨了各种心理干预措施,包括身心疗法、认知行为疗法、接纳与承诺疗法以及基于正念的练习,如冥想、瑜伽和太极拳。这些方法可改善情绪健康,有助于减轻疼痛,并提高整体生活质量。文章强调了一种综合治疗模式,包括药物治疗、身体康复和心理支持。这种综合方法通过应对风湿性疾病的复杂性并促进更好的功能结果,实现对其更有效的管理。该研究主张将心理支持无缝纳入针对每个患者的生物心理社会特征量身定制的常规临床实践中。未来的研究应侧重于确定针对不同患者群体最有效的心理干预措施,以提高风湿性疾病患者的生活质量。