饮食心理疗法对慢性溃疡性结肠炎患者心理障碍和躯体症状的影响

Effects of dietary and psychological therapy on psychological disorders and somatic symptoms in patients with chronic ulcerative colitis

目的:探讨饮食心理疗法对慢性溃疡性结肠炎(UC)患者心理障碍和躯体症状的影响。方法:将2016年8月-2017年8月医院就诊的120例慢性UC患者采用随机数字表法分为观察组和对照组各60例。对照组给予针对治疗及常规干预,观察组在对照组基础上给予饮食心理疗法,比较两组干预后临床症状发生率;采用汉密尔顿抑郁量表(HAMD-17项)、汉密尔顿焦虑量表(HAMA)、症状自评量表(SCL-90)对患者进行评估,了解其抑郁、焦虑及躯体症状。结果:观察组干预后腹泻、腹痛、粘液脓血便发生率分别低于对照组,差异有统计学意义(χ~2=4.849,4.174,4.035;P<0.05);观察组干预后HAMD评分(t=-5.250,P<0.01)、HAMA评分(t=-6.827,P<0.01)低于对照组,差异有统计学意义;观察组干预后SCL-90中的躯体化、抑郁、强迫、敌对、焦虑、恐怖、偏执、精神病性及其他(t=-3.342,-2.898,-3.074,-3.300,-4.951,-3.299,-4.544,-5.313,2.526;P<0.01)因子评分均低于对照组,差异有统计学意义。结论:饮食心理疗法有利于改善慢性UC患者抑郁、焦虑情绪,减轻躯体症状。

Objective:To investigate the effects of dietary and psychological therapy on psychological disorders and somatic symptoms in patients with chronic ulcerative colitis(UC).Methods:A total of 120 patients with chronic UC treated in the hospital from August 2016 to August 2017 were divided into the observation group and the control group by the random number table method,with 60 cases in each group.The control group were given targeted treatment and routine intervention,and on the basis,the observation group were additionally given dietary and psychological therapy.The incidence of clinical symptoms was compared between the two groups after intervention.The Hamilton Depression Scale(HAMD-17),Hamilton Anxiety Scale(HAMA)and symptom checklist 90(SCL-90)were used to assess the depression,anxiety and somatic symptoms of patients.Results:The incidence rates of diarrhea,abdominal pain and mucopurulent bloody stool in the observation group after the intervention were lower than those in the control group(χ~2=4.849,4.174,4.035;P<0.05).After the intervention,the HAMD score(t=-5.250,P<0.01)and HAMA score(t=-6.827,P<0.01)in observation group were lower than those in the control group.After the intervention,scores of somatization,depression,compulsion,anxiety,hostility,terror,photic anxiety,psychoticism and other factors(t=-3.342,-2.898,-3.074,-3.300,-4.951,-3.299,-4.544,-5.313,2.526;P<0.01)in SCL-90 of the observation group were lower than those in the control group.Conclusion:The dietary and psychological therapy can relieve the depression,anxiety and somatic symptoms in patients with chronic UC.