Background and Aims

This Rome Foundation Working Team Report reflects the consensus of an international interdisciplinary team of experts regarding the use of behavioral interventions, specifically brain-gut behavior therapies (BGBTs), in patients with disorders of gut-brain interaction (DGBIs).

Methods

The committee members reviewed the extant scientific literature and, when possible, addressed gaps in this literature through the lens of their clinical and scientific expertise. The Delphi method was used to create consensus on the goals, structure, and framework before writing the report. The report is broken into 5 parts: 1) definition and evidence for BGBT, 2) the gut-brain axis as the mechanistic basis for BGBT, 3) targets of BGBTs, 4) common and unique therapeutic techniques seen in BGBT, and 5) who and how to refer for BGBT.

Results

We chose to not only review for the reader the 5 existing classes of BGBT and their evidence, but to connect DGBI-specific behavioral targets and techniques as they relate directly, or in some cases indirectly, to the gut-brain axis. In doing so, we expect to increase gastrointestinal providers’ confidence in identifying and referring appropriate candidates for BGBT and to support clinical decision making for mental health professionals providing BGBT.

Conclusions

Both gastrointestinal medical providers and behavioral health providers have an opportunity to optimize care for DGBIs through a collaborative integrated approach that begins with an effective patient-provider relationship, thoughtful communication about the brain-gut axis and, when appropriate, a well communicated referral to BGBT.

中文翻译：

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罗马工作组关于肠-脑相互作用障碍的脑-肠行为疗法的报告

背景和目标

这份罗马基金会工作小组报告反映了一个国际跨学科专家小组关于在肠-脑相互作用障碍 (DGBIs) 患者中使用行为干预，特别是脑-肠行为疗法 (BGBT) 的共识。

方法

委员会成员审查了现有的科学文献，并在可能的情况下通过他们的临床和科学专业知识解决了这些文献中的空白。Delphi 方法用于在编写报告之前就目标、结构和框架达成共识。该报告分为 5 个部分：1）BGBT 的定义和证据，2）作为 BGBT 机制基础的肠脑轴，3）BGBT 的靶点，4）BGBT 中常见和独特的治疗技术，5）谁以及如何参考 BGBT。

结果

我们选择不仅为读者回顾 5 种现有的 BGBT 类别及其证据，而且将 DGBI 特定的行为目标和技术联系起来，因为它们直接或在某些情况下间接地与肠脑轴相关。通过这样做，我们希望增加胃肠道提供者在识别和推荐 BGBT 合适候选人方面的信心，并支持提供 BGBT 的心理健康专业人员的临床决策。

结论

胃肠道医疗服务提供者和行为健康服务提供者都有机会通过协作的综合方法优化 DGBI 的护理，该方法从有效的患者与提供者关系开始，对脑-肠轴进行深思熟虑的沟通，并在适当时向 BGBT 进行良好沟通的转诊.