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肠易激综合征心理治疗的对照研究

Controlled study of psychotherapy in irritable bowel syndrome.

作者信息

Svedlund J, Sjödin I, Ottosson J O, Dotevall G

出版信息

Lancet. 1983 Sep 10;2(8350):589-92. doi: 10.1016/s0140-6736(83)90678-5.

DOI:10.1016/s0140-6736(83)90678-5
PMID:6136745
Abstract

101 outpatients with irritable bowel syndrome were randomly allocated to two treatment groups. Both groups received the same medical treatment, but patients in one group also received dynamically oriented individual psychotherapy in ten hour-long sessions spread over 3 months. After 3 months there was a significantly greater improvement in somatic symptoms in the psychotherapy group. The difference became more pronounced a year later, with the patients given psychotherapy showing further improvement, and the patients who received medical treatment showing some deterioration. The combination of medical treatment with psychotherapy improves outcome, not only in the short term but also in the long run.

摘要

101名肠易激综合征门诊患者被随机分配到两个治疗组。两组都接受相同的药物治疗,但其中一组患者还接受了为期3个月、共10次时长为1小时的动态定向个体心理治疗。3个月后,心理治疗组的躯体症状有显著更大改善。一年后差异变得更加明显,接受心理治疗的患者进一步改善,而接受药物治疗的患者出现了一些恶化。药物治疗与心理治疗相结合不仅在短期内而且从长远来看都能改善治疗效果。

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