青年克罗恩病肛周病变患者社交功能与心理健康：基于三维负性循环模型的干预策略

Social Functioning and Mental Health in Young Patients with Perianal Crohn’s Disease: Intervention Strategies Based on the Three-Dimensional Negative Cycle Model

摘要: 克罗恩病(CD)合并肛周病变在青年人群中高发，常导致躯体功能障碍与深远的心理社会冲击。现有研究表明，该群体普遍面临身体意象受损、病耻感加重及情绪障碍等困境，社交回避与心理困扰互为因果，形成恶性循环。本文综述了青年CD肛周病变的临床特征及其多维心理社会影响，并基于“症状–心理–社会功能”三维负性循环模型，系统梳理了该群体的受损机制。结合最新循证证据，本文提出了涵盖多学科协作、心理干预及医疗决策的综合管理策略，旨在为优化临床护理及打破负性循环提供理论依据。

Abstract: Perianal Crohn’s disease (CD) is highly prevalent among young populations and often leads to physical dysfunction and profound psychosocial impacts. Existing research indicates that this group commonly faces dilemmas such as impaired body image, exacerbated stigma, and emotional disorders. Social avoidance and psychological distress are mutually reinforcing, forming a vicious cycle. This article reviews the clinical characteristics and multidimensional psychosocial impacts of perianal CD in young patients. Based on the “Symptom-Psychology-Social Functioning” three-dimensional negative cycle model, it systematically outlines the impairment mechanisms in this population. Combining the latest evidence-based data, this paper proposes comprehensive management strategies encompassing multidisciplinary collaboration, psychological intervention, and medical decision-making, aiming to provide a theoretical basis for optimizing clinical care and breaking the negative cycle.