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Social learning contributions to the etiology and treatment of functional abdominal pain and inflammatory bowel disease in children and adults

Social learning contributions to the etiology and treatment of functional abdominal pain and inflammatory bowel disease in children and adults

作     者:Rona L Levy Shelby L Langer William E Whitehead 

作者机构:School of Social WorkUniversity of WashingtonUnited States Center for Functional GI and Motility Disorders University-of-North-Carolina-at-Chapel-Hill-United-State 

出 版 物:《World Journal of Gastroenterology》 (世界胃肠病学杂志(英文版))

年 卷 期:2007年第13卷第17期

页      面:2397-2403页

核心收录:

学科分类:1002[医学-临床医学] 100201[医学-内科学(含:心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基  金:NIH grants R01 HD36069-06 awarded to Dr.Levy and R24 067674 awarded to Dr.Whitehead 

主  题:儿童 成年人 机能性腹痛 炎症性肠病 病因 治疗 

摘      要:This paper reviews empirical work on cognitive and social learning contributions to the etiology and treatment of illness behavior associated with functional abdominal pain and inflammatory bowel disease. A particular emphasis is placed on randomized controlled trials, the majority of which are multi-modal in orientation, incorporating elements of cognitive behavioral therapy, social learning, and relaxation. Based on this review, we offer methodological and clinical suggestions: (1) Research investigations should include adequate sample sizes, long-term follow-up assessments, and a credible, active control group. (2) Standard gastrointestinal practice should include, when appropriate, learning opportunities for patients and family members, for example, instruction regarding the encouragement of wellness behavior.

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