认知行为疗法治疗合并症儿童功能性胃肠疾病和焦虑:系统回顾和临床应用

Ciera Korte, R. Friedberg
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引用次数: 1

摘要

儿童功能性胃肠疾病(p-FGID)是影响全球健康的最常见慢性病之一。p-FGID被定义为肠-脑沟通障碍,常因显著的焦虑和功能障碍而加剧并导致其恶化。认知行为疗法是焦虑谱系障碍的黄金标准心理社会治疗方法。先前的研究表明,p-FGID和焦虑症状之间存在双向联系,建议将CBT作为治疗这两种症状的一线方法。虽然暴露是治疗焦虑的有效因素,但暴露在治疗p-FGID方面的研究尚不充分。本文对现有文献进行系统综述,描述CBT对青少年p-FGID和焦虑症状的影响。研究人员系统地筛选了通过Embase、Medline和PsychINFO搜索找到的文章(n=23)。8项符合纳入标准的研究被纳入最终审查。入选文章有三个主题:(1)CBT对p-FGID症状的影响,(2)CBT对p-FGID青少年健康相关残疾的影响,以及(3)CBT对p-FGID青少年并发焦虑症状的影响。总结了主要发现并确定了对治疗的影响。
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Cognitive behavioral therapy for comorbid pediatric functional gastrointestinal disorders and anxiety: Systematic review and clinical applications
Pediatric Functional Gastrointestinal Disorders (p-FGID) comprise one of the most common chronic conditions impacting global health. Conceptualized as gut-brain communication disorders, p-FGID are often exacerbated by and contribute to significant anxiety as well as functional impairment. Cognitive behavioral therapy is the gold standard psychosocial treatment for anxiety spectrum disorders. Prior research demonstrates a bidirectional link between p-FGID and anxiety symptoms, recommending CBT as the first line of treatment for both. While exposure is the potent ingredient for anxiety treatment, exposure is under-investigated in the treatment of p-FGID. The present brief systematic review synthesizes existent literature to describe the impact of CBT on p-FGID and anxiety symptoms in youth. The researchers systematically screened articles (n=23) located via Embase, Medline, and PsychINFO search. Eight studies meeting inclusion criteria were included for the final review. Three themes characterized the selected articles: (1) the impact of CBT on p-FGID symptoms, (2) the impact of CBT on health-related disability in youth with p-FGID, and (3) the impact of CBT on concurrent anxiety symptoms in youth with p-FGID. Key findings are summarized and implications for treatment are identified.
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