对生活质量差、焦虑和抑郁的炎症性肠病患者实施 "IBD 专属认知行为疗法"。

IF 1.6 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Journal of Clinical Psychology in Medical Settings Pub Date : 2024-06-01 Epub Date: 2024-01-28 DOI:10.1007/s10880-023-09996-8
Floor Bennebroek Evertsz', Claudi L Bockting, Annemarie Braamse, Mafalda N M van Dissel, Marjolijn Duijvestein, Liesbeth M Kager, Marianne Kool, Mark Löwenberg, Wout Mares, Pythia Nieuwkerk, Houkje A Sipkema, Zwanet Young, Hans Knoop
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引用次数: 0

摘要

本文介绍了荷兰四家医院针对生活质量(QoL)低下、焦虑和抑郁的 IBD 患者实施炎症性肠病(IBD)特异性认知行为疗法(CBT)的情况。按照基准策略,将治疗结果与之前发表的 "IBD 专项 CBT "随机对照试验(RCT)的结果进行了比较。主要结果是在 CBT 前后完成的 IBD 专项 QoL(IBDQ),次要结果是焦虑和抑郁症状(HADS、CES-D)。为评估 "IBD 专项 CBT",对胃肠病专家、专科护士和心理学家进行了半结构化访谈。94 名患者开始接受治疗(筛选出 280 人)。在随访中,63 名参与者(67%,而 RCT 基准为 81%)完成了 IBDQ。实施研究的治疗效果大小与 RCT 基准相当,并略高于 RCT 基准。胃肠病学家、IBD 护士和心理学家认为,CBT 对 QoL 较差、抑郁和/或焦虑症的 IBD 患者很有必要。针对 IBD 的 CBT "可以成功实施。需要定期监督心理学家开展 "IBD 专项 CBT "治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Implementation of 'IBD-Specific Cognitive Behavioural Therapy' for Patients with Inflammatory Bowel Diseases with Poor Mental Quality of Life, Anxiety and Depression.

This paper describes the implementation of inflammatory bowel disease (IBD)-specific cognitive behavioural therapy (CBT) for IBD patients with poor quality of life (QoL), anxiety and depression, in four hospitals in the Netherlands. Treatment outcomes were compared with those of a previously published randomized control trial (RCT) of 'IBD-specific CBT', following a benchmark strategy. Primary outcome was IBD-specific QoL (IBDQ) completed before and after CBT, secondary outcomes were anxiety and depressive symptoms (HADS, CES-D). Semi-structured interviews were conducted among a pilot of gastroenterologists, nurse specialists and psychologists to evaluate 'IBD-specific CBT'. 94 patients started treatment (280 screened). At follow-up, 63 participants (67% compared to 81% in the RCT benchmark) completed the IBDQ. Treatment effect sizes of the implementation study were comparable and slightly larger than those of RCT benchmark. Gastroenterologists, IBD nurses and psychologists found CBT necessary for IBD patients with poor QoL, depression and/or anxiety disorders. 'IBD-specific CBT' can be successfully implemented. Regular supervision of psychologists performing 'IBD-specific CBT' treatment is needed.

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来源期刊
CiteScore
4.00
自引率
4.50%
发文量
93
期刊介绍: Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.
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