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首页> 外文期刊>Scandinavian journal of gastroenterology. >Effect of psychotherapy on the course of Crohn's disease. Results of the German prospective multicenter psychotherapy treatment study on Crohn's disease. German Study Group on Psychosocial Intervention in Crohn's Disease.
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Effect of psychotherapy on the course of Crohn's disease. Results of the German prospective multicenter psychotherapy treatment study on Crohn's disease. German Study Group on Psychosocial Intervention in Crohn's Disease.

机译：心理治疗对克罗恩病病程的影响。德国对克罗恩病的前瞻性多中心心理治疗研究结果。德国克罗恩病社会心理干预研究小组。

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摘要

BACKGROUND: Our aim was to study the influence of psychotherapy in addition to a standardized corticosteroid treatment on the somatic and psychosocial course of Crohn's disease. METHODS: In a prospective, randomized multicenter study 108 of 488 patients received either drug treatment or, in the intervention group, additionally psychotherapy in the first half of the 2-year follow-up period. RESULTS: Eighty-four patients (77.8%) completed the somatic and 81 (75%) the psychosocial follow-up. Twenty-three per cent of the control group and 30% of the psychotherapy group showed episode-free courses; 29% and 17%, respectively, underwent surgery due to failure of drug treatment. The main analysis, which was based on subranking by number, duration, and severity of relapses, failed to show significant differences between the two groups (P = 0.125). The same result was obtained for the psychosocial status after 1 year in the main target criteria depression, anxiety, psychosocio-communicative status, and quality of life. CONCLUSIONS: The confirmatory analysis did not prove significantly better courses after additional psychotherapy. There was a tendency towards fewer operations.
机译：背景：我们的目的是研究除了标准的皮质类固醇激素疗法外，心理治疗对克罗恩病的身体和社会心理病程的影响。方法：在一项前瞻性，随机，多中心研究中，对488名患者中的108名在两年随访期的前半期接受药物治疗或在干预组中另外接受了心理治疗。结果：84例患者（77.8％）完成了体细胞随访，81例（75％）完成了心理社会随访。对照组中有23％的人和心理治疗组中有30％的人没有发作。由于药物治疗失败，分别有29％和17％接受了手术。主要的分析是基于复发的次数，持续时间和严重性进行的，但未显示两组之间的显着差异（P = 0.125）。在主要目标标准抑郁，焦虑，心理社会交往状态和生活质量方面，一年后的心理状态获得了相同的结果。结论：证实性分析并没有证明额外的心理治疗后疗程明显改善。有减少操作的趋势。

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