治疗风湿病的综合方法:心理干预的作用。

IF 3.2 3区 医学 Q2 RHEUMATOLOGY Rheumatology International Pub Date : 2024-10-14 DOI:10.1007/s00296-024-05728-9
Sholpan Bekarissova, Olzhas Bekarisov, Dana Bekaryssova
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引用次数: 0

摘要

风湿病是一种慢性疾病,通常会对患者的身体和心理造成巨大挑战,降低患者的生活质量,增加医疗系统的经济负担。本研究探讨了心理干预在风湿病综合治疗中的重要作用。研究结果显示,在这些患者中,抑郁、焦虑和压力等心理情感障碍的发病率很高,这可能会恶化疾病的进展并妨碍坚持治疗。综述强调了中枢神经系统和免疫系统之间的双向关系,展示了心理压力如何影响炎症性疾病的病理生理学。书中探讨了各种心理干预措施,包括身心疗法、认知行为疗法、接受和承诺疗法,以及冥想、瑜伽和太极拳等正念练习。这些方法可以改善情绪,帮助减轻疼痛,提高整体生活质量。文章强调了一种综合治疗模式,其中包含药物治疗、身体康复和心理支持。这种综合方法能更有效地治疗风湿性疾病,解决其复杂性,并促进更好的功能性结果。该研究提倡根据每位患者的生物心理社会特征,将心理支持无缝融入常规临床实践中。未来的研究应侧重于确定针对不同患者群体的最有效心理干预措施,以提高风湿病患者的生活质量。
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An integrated approach to the treatment of Rheumatic diseases: the role of psychological interventions.

Rheumatic diseases are chronic conditions that often result in significant physical and psychological challenges, reducing patients' quality of life and increasing the economic burden on healthcare systems. This study examines the vital role of psychological interventions in the comprehensive treatment of rheumatic diseases. The findings reveal a high prevalence of psycho-emotional disorders such as depression, anxiety, and stress among these patients, which can worsen disease progression and hinder treatment adherence. The review highlights the bidirectional relationship between the central nervous and immune systems, showing how psychological stress influences the pathophysiology of inflammatory diseases. Various psychological interventions are explored, including mind-body therapies, cognitive behavioral therapy, acceptance and commitment therapy, and mindfulness-based practices such as meditation, yoga, and tai chi. These approaches improve emotional well-being, help reduce pain, and enhance overall quality of life. The article emphasizes a holistic treatment model incorporating pharmacological care, physical rehabilitation, and psychological support. This integrated approach fosters more effective management of rheumatic diseases by addressing their complex nature and promoting better functional outcomes. The study advocates for the seamless incorporation of psychological support into routine clinical practice tailored to the biopsychosocial profile of each patient. Future research should focus on identifying the most effective psychological interventions for different patient groups to enhance the quality of life for individuals with rheumatic diseases.

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来源期刊
Rheumatology International
Rheumatology International 医学-风湿病学
CiteScore
7.30
自引率
5.00%
发文量
191
审稿时长
16. months
期刊介绍: RHEUMATOLOGY INTERNATIONAL is an independent journal reflecting world-wide progress in the research, diagnosis and treatment of the various rheumatic diseases. It is designed to serve researchers and clinicians in the field of rheumatology. RHEUMATOLOGY INTERNATIONAL will cover all modern trends in clinical research as well as in the management of rheumatic diseases. Special emphasis will be given to public health issues related to rheumatic diseases, applying rheumatology research to clinical practice, epidemiology of rheumatic diseases, diagnostic tests for rheumatic diseases, patient reported outcomes (PROs) in rheumatology and evidence on education of rheumatology. Contributions to these topics will appear in the form of original publications, short communications, editorials, and reviews. "Letters to the editor" will be welcome as an enhancement to discussion. Basic science research, including in vitro or animal studies, is discouraged to submit, as we will only review studies on humans with an epidemological or clinical perspective. Case reports without a proper review of the literatura (Case-based Reviews) will not be published. Every effort will be made to ensure speed of publication while maintaining a high standard of contents and production. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been reviewed by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in an appropriate version of the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted.
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