The role of psychotherapeutic approaches in treatment of functional dyspepsia, systematic review, and meta-analysis.

IF 1.3 4区医学 Q4 GASTROENTEROLOGY & HEPATOLOGY

Acta gastro-enterologica Belgica Pub Date : 2024-04-01 DOI:10.51821/87.2.13044

W Zhang, Y Shen, J Hao, Y Zhao

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引用次数: 0

Abstract

Background: Functional dyspepsia is a common functional gastrointestinal disorder that is often challenging to treat. Psychotherapeutic interventions have been proposed as an alternative or adjunctive approach to conventional treatments, but their efficacy remains unclear.

Objective: This systematic review and meta-analysis aimed to evaluate the efficacy of psychotherapeutic interventions in the treatment of functional dyspepsia.

Methods: A comprehensive search of electronic databases was conducted, from inception to March 2023, for randomized controlled trials (RCTs) that evaluated the effects of psychotherapeutic interventions on patients with functional dyspepsia. The primary outcome measures were gastrointestinal symptoms, quality of life, depression, and anxiety. Data were extracted and analyzed using Review Manager 5.3 software. The risk of bias of the included studies was assessed using the Cochrane Risk of Bias tool.

Results: Sixteen RCTs comprising 1550 patients with functional dyspepsia were included in the meta-analysis. The types of psychotherapeutic interventions used in the included studies were cognitive-behavioral therapy (CBT), hypnotherapy, and mindfulness-based stress reduction (MBSR). The control groups were usual care, placebo, supportive therapy, or no treatment. The meta-analysis showed that psychotherapeutic interventions had a significant effect on reducing gastrointestinal symptoms,depression and anxiety in patients with functional dyspepsia. However, no significant improvement was observed in the quality-of-life scores of patients who received psychotherapeutic interventions compared to those in the control group.

Conclusion: Psychotherapeutic interventions, such as CBT, hypnotherapy, and MBSR, could be a useful adjunct to conventional treatments for functional dyspepsia, as they were found to significantly reduce gastrointestinal symptoms and anxiety in patients. However, further studies are needed to assess the long-term effects and generalizability of these interventions.

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心理治疗方法在功能性消化不良治疗中的作用、系统回顾和荟萃分析。

背景：功能性消化不良是一种常见的功能性胃肠道疾病，治疗起来往往具有挑战性。心理治疗干预已被提出作为常规治疗的替代或辅助方法，但其疗效仍不明确：本系统综述和荟萃分析旨在评估心理治疗干预在治疗功能性消化不良方面的疗效：方法：我们对电子数据库进行了全面检索，检索时间从开始到 2023 年 3 月，检索对象为评估心理治疗干预对功能性消化不良患者影响的随机对照试验 (RCT)。主要结果指标为胃肠道症状、生活质量、抑郁和焦虑。数据采用 Review Manager 5.3 软件进行提取和分析。使用 Cochrane 偏倚风险工具评估了纳入研究的偏倚风险：荟萃分析共纳入了16项研究，包括1550名功能性消化不良患者。纳入研究的心理治疗干预类型包括认知行为疗法（CBT）、催眠疗法和正念减压疗法（MBSR）。对照组为常规护理、安慰剂、支持疗法或无治疗。荟萃分析表明，心理治疗干预对减轻功能性消化不良患者的胃肠道症状、抑郁和焦虑有显著效果。然而，与对照组相比，接受心理治疗干预的患者的生活质量评分没有明显改善：心理治疗干预（如 CBT、催眠疗法和 MBSR）可作为功能性消化不良常规治疗的有效辅助手段，因为研究发现它们能显著减轻患者的胃肠道症状和焦虑。然而，还需要进一步的研究来评估这些干预措施的长期效果和可推广性。

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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来源期刊

Acta gastro-enterologica Belgica Medicine-Gastroenterology

CiteScore

2.30

自引率

20.00%

发文量

期刊介绍： The Journal Acta Gastro-Enterologica Belgica principally publishes peer-reviewed original manuscripts, reviews, letters to editors, book reviews and guidelines in the field of clinical Gastroenterology and Hepatology, including digestive oncology, digestive pathology, as well as nutrition. Pure animal or in vitro work will not be considered for publication in the Journal. Translational research papers (including sections of animal or in vitro work) are considered by the Journal if they have a clear relationship to or relevance for clinical hepato-gastroenterology (screening, disease mechanisms and/or new therapies). Case reports and clinical images will be accepted if they represent an important contribution to the description, the pathogenesis or the treatment of a specific gastroenterology or liver problem. The language of the Journal is English. Papers from any country will be considered for publication. Manuscripts submitted to the Journal should not have been published previously (in English or any other language), nor should they be under consideration for publication elsewhere. Unsolicited papers are peer-reviewed before it is decided whether they should be accepted, rejected, or returned for revision. Manuscripts that do not meet the presentation criteria (as indicated below) will be returned to the authors. Papers that go too far beyond the scope of the journal will be also returned to the authors by the editorial board generally within 2 weeks. The Journal reserves the right to edit the language of papers accepted for publication for clarity and correctness, and to make formal changes to ensure compliance with AGEB’s style. Authors have the opportunity to review such changes in the proofs.