...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Revista Espaola de Enfermedades Digestivas >New psychological therapies for irritable bowel syndrome: mindfulness, acceptance and commitment therapy (ACT)
【24h】

New psychological therapies for irritable bowel syndrome: mindfulness, acceptance and commitment therapy (ACT)

机译：肠易激综合症的新心理疗法：正念，接纳和承诺疗法（ACT）

获取原文
   

获取外文期刊封面封底 >>

       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

The current goal of treatment in irritable bowel syndrome (IBS) focuses primarily on symptom management and attempts to improve quality of life. Several treatments are at the disposal of physicians; lifestyle and dietary management, pharmacological treatments and psychological interventions are the most used and recommended. Psychological treatments have been proposed as viable alternatives or compliments to existing care models. Most forms of psychological therapies studied have been shown to be helpful in reducing symptoms and in improving the psychological component of anxiety/depression and health-related quality of life. According to current NICE/NHS guidelines, physicians should consider referral for psychological treatment in patients who do not respond to pharmacotherapy for a period of 12 months and develop a continuing symptom profile (described as refractory irritable bowel syndrome). Cognitive behavioral therapy (CBT) is the best studied treatment and seems to be the most promising therapeutic approach. However, some studies have challenged the effectiveness of this therapy for irritable bowel syndrome. One study concluded that cognitive behavioral therapy is no more effective than attention placebo control condition and another study showed that the beneficial effects wane after six months of follow-up. A review of mind/body approaches to irritable bowel syndrome has therefore suggested that alternate strategies targeting mechanisms other than thought content change might be helpful, specifically mindfulness and acceptance-based approaches. In this article we review these new psychological treatment approaches in an attempt to raise awareness of alternative treatments to gastroenterologists that treat this clinical syndrome.
机译：肠易激综合症（IBS）的当前治疗目标主要集中在症状管理上，并试图改善生活质量。几种治疗方法可供医生使用。生活方式和饮食管理，药物治疗和心理干预是最常用和推荐的。心理治疗已被建议作为对现有护理模式的可行替代或补充。研究表明，大多数形式的心理疗法有助于减轻症状，改善焦虑/抑郁和与健康相关的生活质量的心理成分。根据当前的NICE / NHS指南，对于在12个月内未对药物疗法产生反应且出现持续症状特征（称为难治性肠易激综合症）的患者，医生应考虑转诊接受心理治疗。认知行为疗法（CBT）是研究最好的疗法，似乎是最有前途的治疗方法。但是，一些研究挑战了这种疗法对肠易激综合症的有效性。一项研究得出结论，认知行为疗法并不比注意安慰剂对照条件更有效，另一项研究表明，随访六个月后，其有益作用逐渐减弱。因此，对肠/肠易激综合症的心理/身体方法的回顾表明，针对其他机制（而不是思想内容的改变）的策略可能会有所帮助，特别是正念和基于接受的方法。在本文中，我们回顾了这些新的心理治疗方法，以期提高治疗这种临床综合征的胃肠病医生对替代疗法的认识。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号