在贲门失弛缓症治疗中整合心理评估:解决心理健康问题,提高患者疗效。

IF 1.8 Q3 MEDICINE, RESEARCH & EXPERIMENTAL European Journal of Translational Myology Pub Date : 2024-07-22 DOI:10.4081/ejtm.2024.12727
Mohsen Khosravi, Ahoora Kavoosi, Rafat Rezapour-Nasrabad, Melody Omraninava, Alireza Nazari Anamagh, Seyed Teymur Seyedi Asl
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引用次数: 0

摘要

Achalasia 是一种慢性食道疾病,预后一般较好;然而,约有 20% 的患者在接受治疗干预后仍会出现持续或反复发作的症状。这些持续的症状会大大降低患者的生活质量和整体生活质量。尽管贲门失弛缓症的生理表现(如反胃、吞咽困难、胸痛和体重减轻)已被详细记录并使用 Eckardt 评分进行评估,但该疾病的心理负担仍未得到充分探讨。贲门失弛缓症患者出现心理健康问题(包括抑郁、焦虑和躯体化)的风险增加,而疾病带来的情感压力和社交限制又加剧了这种风险。尽管如此,在临床环境中心理影响往往被忽视,导致对这些患者的心理健康支持不足。本文强调了在诊断贲门失弛缓症时及时进行心理评估的必要性,以更好地应对这些心理健康挑战,改善对患者的整体护理。
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Integrating psychological assessment in achalasia management: addressing mental health to enhance patient outcomes.

Achalasia is a chronic esophageal disorder with a generally favorable prognosis; however, approximately 20% of patients experience persistent or recurrent symptoms despite therapeutic interventions. These ongoing symptoms can significantly diminish both disease-specific and overall quality of life. Although the physical manifestations of achalasia, such as regurgitation, dysphagia, chest pain, and weight loss, are well-documented and assessed using the Eckardt score, the psychological burden of the disease remains underexplored. Individuals with achalasia are at an increased risk of mental health issues, including depression, anxiety, and somatization, exacerbated by the emotional strain and social limitations imposed by the disease. Despite this, psychological impacts are often overlooked in clinical settings, leading to inadequate mental health support for these patients. This article underscores the necessity for prompt psychological assessments during the diagnosis of achalasia to better address these mental health challenges and improve overall patient care.

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来源期刊
European Journal of Translational Myology
European Journal of Translational Myology MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
3.30
自引率
27.30%
发文量
74
审稿时长
10 weeks
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