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囊性纤维化患者心理症状的治疗

Treatment of Psychological Symptoms in Patients with Cystic Fibrosis.

作者信息

Campagna Giovanna, Tagliati Corrado, Giuseppetti Gian Marco, Ripani Pietro

机构信息

UOSD CRR Fibrosi Cistica Ospedale "San Liberatore", Dipartimento Materno Infantile, ASL Teramo, 64032 Atri, Italy.

AST Ancona, Ospedale di Comunità, Via Marconi 1, 60040 Sassoferrato, Italy.

出版信息

J Clin Med. 2024 Sep 28;13(19):5806. doi: 10.3390/jcm13195806.

Abstract

The aim of this article is to identify and illustrate the most used psychological techniques in the field of cystic fibrosis (CF) and to help clinicians choose the most appropriate strategy among various possibilities. The disease and its medical treatments can be difficult to tolerate and can cause anxiety about health status or feelings of hopelessness and stress. The prevalence of depression and anxiety is 2.3 times higher in adults with CF than in community samples. A strong correlation has been identified between elevated psychological distress and unfavorable health outcomes, including, among others, impaired lung function, reduced BMI, an increased incidence of pulmonary exacerbations, and an elevated risk of transplantation. The use of psychological interventions is useful in addressing these common distresses in CF patients. Aware of the necessity of identifying efficacious interventions for all levels of depression and anxiety in CF patients, this study presents an overview of the research on psychological interventions for patients with CF, in order to complement the treatments suggested by the international guidelines on mental health in CF cases. In fact, the aim of this study is to conduct a review and quantitative synthesis of the psychological intervention techniques that are currently available for individuals with CF.

摘要

本文旨在识别并阐述囊性纤维化(CF)领域最常用的心理技术,并帮助临床医生在各种可能性中选择最合适的策略。该疾病及其医学治疗可能难以耐受,并可能引发对健康状况的焦虑或绝望感及压力。成年CF患者中抑郁和焦虑的患病率比社区样本高2.3倍。已确定心理困扰加剧与不良健康结果之间存在强烈关联,其中包括肺功能受损、体重指数降低、肺部恶化发生率增加以及移植风险升高。心理干预的使用有助于解决CF患者的这些常见困扰。鉴于有必要为CF患者不同程度的抑郁和焦虑确定有效的干预措施,本研究概述了针对CF患者心理干预的研究,以补充CF病例心理健康国际指南所建议的治疗方法。事实上,本研究的目的是对目前可用于CF患者的心理干预技术进行综述和定量综合分析。

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