Psychosocial issues in evidence-based guidelines on inflammatory bowel diseases: a review
炎症性肠病循证指南中的社会心理问题：综述
- PMID: 24707152
- PMCID: PMC3974536
- DOI: 10.3748/wjg.v20.i13.3663
Psychosocial issues in evidence-based guidelines on inflammatory bowel diseases: a review
Abstract 抽象
Aim:
To study statements and recommendations on psychosocial issues as presented in international evidence-based guidelines on the management of inflammatory bowel diseases (IBD).
目的： 研究关于炎症性肠病 （IBD） 管理的国际循证指南中提出的关于社会心理问题的声明和建议。
Methods:
MEDLINE, guidelines International Network, National Guideline Clearing House and National Institute for Health and Care Excellence were searched from January 2006 to June 30, 2013 for evidence-based guidelines on the management of IBD.
方法：检索 2006年1月至 2013年6月30日的MEDLINE、指南国际网络、国家指南信息交换所和国家卫生与临床优化研究所，以查找 IBD 管理的循证指南。
Results:
The search yielded 364 hits. Thirteen guidelines were included in the review, of which three were prepared in Asia, eight in Europe and two in the United States. Eleven guidelines made statements and recommendations on psychosocial issues. The guidelines were concordant in that mental health disorders and stress do not contribute to the aetiology of IBD, but that they can influence its course. It was recommended that IBD-patients should be screened for psychological distress. If indicated, psychotherapy and/or psychopharmacological therapy should be recommended. IBD-centres should collaborate with mental health care specialists. Tobacco smoking patients with Crohn's disease should be advised to quit.
结果：搜索产生了 364 个结果。该评价纳入了 13 项指南，其中 3 项在亚洲编写，8 项在欧洲编写，2 项在美国编写。11 份指南就社会心理问题进行了陈述和建议。这些指南是一致的，因为心理健康障碍和压力与 IBD 的病因无关，但它们会影响其病程。建议对 IBD 患者进行心理困扰筛查。如有指征，应推荐心理治疗和/或精神药物治疗。IBD 中心应与心理健康保健专家合作。应建议吸烟的克罗恩病患者戒烟。
Conclusion:
Patients and mental health specialists should be able to participate in future guideline groups to contribute to establishing recommendations on psychosocial issues in IBD. Future guidelines should acknowledge the presence of psychosocial problems in IBD-patients and encourage screening for psychological distress.
结论：患者和心理健康专家应该能够参与未来的指南小组，为建立关于 IBD 社会心理问题的建议做出贡献。未来的指南应承认 IBD 患者存在社会心理问题，并鼓励筛查心理困扰。
Keywords:
Anxiety; Depression; Guidelines; Inflammatory bowel diseases; Psychological; Psychotherapy; Smoking; Stress.
关键词：焦虑;抑郁症;指引;炎症性肠病;心理;心理治疗;吸烟;强调。
Figures 数字
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