炎症性肠病的常见心理问题及诊治进展

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Abstract The Patients with inflammatory bowel disease (IBD) have significantly higher rates of psychological issues than the general population. Anxiety, depression and chronic abdominal pain are the most notable. The disorder of brain-gut axis is the important mechanism in bi-directional interactions between IBD disease activity and psychological issues. More and more attention has been paid to the diagnostic approaches of psychological conditions and standardized psychological treatments in IBD. Psychotherapy, an important supplement to the traditional treatment of IBD, can not only reduce the symptoms of psychological issues in IBD patients, but also reduce the activity of IBD disease. Moreover it can prevent unnecessary treatment escalation and improve the quality of life of patients. It can also change the disease course. A new “bio-psycho-social” medical model of IBD is emerging. This article reviews the common psychological issues in IBD patients, the interactions between psychological issues and IBD disease activity, and the progress of diagnosis and treatment.

Key words： Inflammatory bowel disease Psychological issues Brain-gut axis Bi-directional interactions Psychological assessment Psychotherapy

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	XU Lingyun1 CHEN Siwei1 LIU Huanyu2 RAN Yan1 CHEN Ningning1 SUN Lin1 CHEN Yu1 LI Yingchao1

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XU Lingyun1 CHEN Siwei1 LIU Huanyu2 RAN Yan1 CHEN Ningning1 SUN Lin1 CHEN Yu1 LI Yingchao1. Common psychological issues and diagnosis and treatment progress in patients with inflammatory bowel disease[J]. 中国医药导报, 2020, 17(25): 49-52.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I25/49

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