Six-year follow-up of patients with functional bowel disorders, with and without previous psychotherapy.

Ute Martens, Gabriele Caspari, Anna Rilk, Jochen Hefner, Martin Teufel, Sibylle Klosterhalfen, Stephan Zipfel, Paul Enck
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引用次数: 7

Abstract

Introduction: Long-term follow-up studies in patients with functional bowel disorders are rare.

Methods: Of 85 patients with functional bowel disorders diagnosed in 2000, forty-eight patients responded to a postal questionnaire 6 years later (2006).

Results: Gastrointestinal symptom severity was similar to that at the initial diagnosis. Anxiety and depression (HADS) were significantly decreased, however, depending on previous psychotherapy (PT) experience. Men but not women that had participated in PT exhibited reduced symptoms more pronounced than did patients without PT.

Discussion: Anxiety and depression may determine consulting behaviour, but this appears unrelated to intestinal symptoms and their severity. Short-term PT contributes to long-term well-being especially in men.

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对功能性肠病患者进行为期六年的随访,不论是否有过心理治疗。
对功能性肠病患者的长期随访研究是罕见的。方法:在2000年诊断为功能性肠病的85例患者中,48例患者在6年后(2006年)回复了一份邮寄问卷。结果:胃肠道症状严重程度与初诊时相似。然而,焦虑和抑郁(HADS)明显减少,这取决于先前的心理治疗(PT)经验。参加过PT治疗的男性比未参加PT治疗的女性表现出更明显的症状减轻。讨论:焦虑和抑郁可能决定咨询行为,但这似乎与肠道症状及其严重程度无关。短期的体育锻炼有助于长期的健康,尤其是对男性。
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