Abstract
Disorders of the gastrointestinal (GI) tract constitute a major health problem in the United States. A report from the National Foundation for Ileitis and Colitis (1986) suggested that more than 34 million Americans have diseases of the GI tract. GI diseases account for approximately 15% of all admissions to general hospitals and 200 thousand absences from work per day. As many as 60% of all consultations to physicians result from GI complaints. Moreover, GI disorders are a major cause of death in the United States, resulting in approximately 200 thousand deaths yearly. Estimated economic costs (both medical costs and losses from reduced work productivity) are greater than $50 billion annually.
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References
Aleo, S., & Nicassio, P. (1978). Auto-regulation of duodenal ulcer: A preliminary report of four cases. Proceedings of the 9th Annual Meeting of the Biofeedback Society of America (pp. 278–281). Denver, CO: Biofeedback Society of America.
Alexander, F., French, T. M., & Pollack, G. (1968). Psychosomatic specificity: Experimental study and results. Chicago: University of Chicago Press.
Anderson, K. O., Dalton, C. B., Bradley, L. A., & Richter, J. E. (1989). Stress induces alteration of esophageal pressures in healthy volunteers and non-cardiac chest pain patients. Digestive Diseases and Sciences, 34, 83–91.
Ayres, R. C., Robertson, D. A., Naylor, K., & Smith, C. L. (1989). Stress and oesophageal motility in normal subjects and patients with irritable bowel syndrome. Gut, 30, 1540–1543.
Beaty, E. T. (1976). Feedback-assisted relaxation training as a treatment for peptic ulcers. Biofeedback and Self-Regulation, 1, 323–324 (Abstract).
Bennett, P., & Wilkinson, S. (1985). A comparison of psychological and medical treatment of the irritable bowel syndrome. British Journal of Clinical Psychology, 24, 215–216.
Berbalk, H., Kollenbaum, V.E., & Volkel, H. (1984). Biochemical effects of “stress-innoculation”: An important and neglected method of therapeutic control demonstrated on a group of ulcer patients. Zeitschrift für Klinische Psychologic Forschung und Praxis, 13, 276–7287 (From Psychological Abstracts, 1985, 72, Abstract No. 18035).
Binder, S. C., & Katz, B. (1977). Regional enteritis: A review of the literature. The Ohio State Medical Journal, 73, 661–666.
Blanchard, E. B., & Schwarz, S. P. (1987). Adaptation of a multicomponent treatment for irritable bowel syndrome to a small-group format. Biofeedback and Self-Regulation, 12, 65–73.
Blanchard, E. B., Schwarz, S. P., & Neff, D. F. (1988). Two-year follow-up of behavioral treatment of irritable bowel syndrome. Behavior Therapy, 19, 67–73.
Blanchard, E. B., Schwarz, S. P., & Radnitz, C. R. (1987). Psychological assessment and treatment of irritable bowel syndrome. Behavior Modification, 11, 348–372.
Blanchard, E. B., Schwarz, S. P., Suls, J. M., Gerardi, M. A., Scharff, L., Greene, B., Taylor, A. E., Berreman, C., & Malamood, H. S. (1992). Two controlled evaluations of multicomponent psychological treatment of irritable bowel syndrome. Behavior Research and Therapy, 30, 175–189.
Brooks, G. R., & Richardson, F. C. (1980). Emotional skills training: A treatment program for duodenal ulcer. Behavior Therapy, 11, 198–207.
Calloway, S. P., Fonagy, P., Pounder, R. E., & Morgan, M. J. (1983). Behavioural techniques in the management of aerophagia in patients with hiatus hernia. Journal of Psychosomatic Research, 27, 499–502.
Chappell, M. N., Stefano, J. J., Rogerson, J. S., & Pike, F. H. (1936). The value of group psychological procedures in the treatment of peptic ulcer. American Journal of Digestive Diseases and Nutrition, 3, 813–817.
Chaudhary, N. A., & Truelove, S. C. (1962). The irritable colon syndrome: A study of the clinical features, predisposing causes, and prognosis in 130 cases. Quarterly Journal of Medicine, 31, 307–323.
Clouse, R. E. (1989). Motor disorders. In M. H. Sleisenger, & J. S. Fordtran (Eds.), Gastrointestinal disease: Pathophysiology, diagnosis, management (pp. 559–593). Philadelphia: Saunders.
Clouse, R.E. (1991). Psychiatric disorders in patients with esophageal disease. Medical Clinics of North America, 75, 1081–1096.
Clouse, R. E., & Lustman, P. J. (1983). Psychiatric illness and contraction abnormalities of the esophagus. New England Journal of Medicine, 309, 1337–1342.
Cobb, S., & Rose, R. M. (1973). Hypertension, peptic ulcer, and diabetes in air traffic controllers. Journal of the American Medical Association, 224, 489–492.
Cohn, E. M., Lederman, I.I., & Shore, E. (1970). Regional enteritis and its relation to emotional disorders. American Journal of Gastroenterology, 54, 378–387.
Colgan, S. M., Schofield, P. M., Whorwell, P. J., Bennett, D. H., Brooks, N. H., & Jones, P. E. (1988). Angina-like chest pain: A joint medical and psychiatric investigation. Postgraduate Medicine, 64, 734–746.
Crocket, R. W. (1952). Psychiatric findings in Crohn’s disease. Lancet, 1, 946–949.
Crohn, B. B., Ginzburg, L., & Oppenheimer, G. D. (1932). Regional ileitis. Journal of the American Medical Association, 99, 1323.
Dajani, E. Z. (1986). Is peptic ulcer a prostaglandin deficiency disease? Human Pathology, 17, 106–107.
DeLongis, A., Coyne, J. C., Dakof, G., Folkman, S., & Lazarus, R. S. (1982). Relationship of daily hassles, uplifts, and major life events to health status. Health Psychology, 1, 119–136.
Drossman, D. A., McKee, D. C., Sandier, R. S., Mitchell, M., Cramer, E. M., Lowman, B. C., & Burger, A. L. (1988). Psychosocial factors in the irritable bowel syndrome. Gastroenterology, 95, 701–708.
Drossman, D. A., Sandler, R., McKee, D. G., & Lovitz, A. J. (1982). Bowel patterns among subjects not seeking health care. Gastroenterology, 83, 529–534.
Duffy, L. C., Zielezny, M. A., Marshall, J. R., Byers, T. E., Weiser, M. M., Phillips, J. F., Calkins, B. M., Ogra, P. L., & Graham, S. (1991). Relevance of major stress events as an indicator of disease activity prevalence in inflammatory bowel disease. Behavioral Medicine, 17, 101–110.
Eysenck, H. J., & Eysenck, S.B.G. (1968). Eysenck Personality Inventory. San Diego: Educational and Industrial Testing Service.
Fava, G. A., & Pavan, L. (1976/1977). Large bowel disorders: Illness configuration and life events. Psychotherapy and Psychosomatics, 27, 93–99.
Feldman, M., Walker, P., Green, J. L., & Weingarden, K. (1986). Life events stress and psychosocial factors in men with peptic ulcer disease: A multidimensional case-controlled study. Gastroenterology, 91, 1370–1379.
Fielding, J. F. (1977). The irritable bowel syndrome. Clinical Gastroenterology, 6, 607–622.
Ford, C. V., Glober, G. A., & Castelnuovo-Tedesco, P. (1969). A psychiatric study of patients with regional enteritis. Journal of the American Medical Association, 208, 311–315.
Freyberger, H., Kunsebeck, H.-W., Lempa, W., Wellman, W., & Avenarais, H.-J. (1985). Psychotherapeutic interventions in alexithymic patients with special regard to ulcerative colitis and Crohn patients. Psychotherapy and Psychosomatics, 44, 72–81.
Furman, S. (1973). Intestinal biofeedback in functional diarrhea: A preliminary report. Journal of Behavior Therapy and Experimental Psychiatry, 4, 317–321.
Garrett, V. D., Brantley, P. J., Jones, G. N., & McKnight, G. T. (1991). The relation between daily stress and Crohn’s disease. Journal of Behavioral Medicine, 14, 87–96.
Gerbert, B. G. (1980). Psychological aspects of Crohn’s disease. Journal of Behavioral Medicine, 3, 41–58.
Giles, S. L. (1978). Separate and combined effects of biofeedback training and brief individual psychotherapy in the treatment of gastrointestinal disorders. Dissertations Abstracts International, Part B, 2495.
Goldberg, D. (1970). A psychiatric study of patients with diseases of the small intestine. Gut, 11, 459–465.
Greene, B., Blanchard, E. B., & Suls, J. (1989). Long-term monitoring of psychosocial stress and inflammatory bowel disease symptoms in patients with inflammatory bowel disease. Poster presented at the 23rd Annual Meeting of the Association for Advancement of Behavior Therapy, Washington, DC.
Haggerty, J. J., & Drossman, D. A. (1985). Use of psychotropic drugs in patients with peptic ulcer. Psychosomatics, 26, 277–284.
Heizer, J. E., Chammas, S., Norland, C. C., Stillings, W A., & Alpers, D. H. (1984). A study of the association between Crohn’s disease and psychiatric illness. Gastroenterology, 86, 324–330.
Hill, O. W., & Blendis, L (1967). Physical and psychological evaluation of “non-organic” abdominal pain. Gut, 12, 221–229.
Hislop, I. G. (1971). Psychological significance of the irritable colon syndrome. Gut, 12, 452–457.
Jacobson, E. (1927). Spastic esophagus and mucous colitis: Etiology and treatment by progressive relaxation. Archives of Internal Medicine, 39, 433–445.
Katon, W., Hall, M. L., Russo, J., Cormier, L., Hollifield, M., Vitaliano, P. P., & Beitman, B. D. (1988). Relationship of psychiatric illness to coronary arterioigraphic results. American Journal of Medicine, 84, 1–9.
Korelitz, B. I. (1982). Epidemiological and psychosocial aspects of inflammatory bowel disease with observations on children, families, and pregnancy. American Journal of Gastroenterology, 77, 929–933.
Kurata, J. H., & Haile, B. M. (1984). Epidemiology of peptic ulcer disease. Clinical Gastroenterology, 13, 289.
Langeluddecke, P., Goulston, K., & Tennant, C. (1987). Type A behavior and other psychological factors in peptic ulcer disease. Journal of Psychosomatic Research, 31, 335–340.
Latimer, P. R. (1983). Functional gastrointestinal disorders: A behavioral medicine approach. New York: Springer.
Latimer, P. R. (1978). Crohn’s disease: A review of the psychological and social outcome. Psychological Medicine, 8, 649–656.
Latimer, P. R. (1981). Biofeedback and self-regulation in the treatment of diffuse esophageal spasm: A single-case study. Biofeedback and Self-Regulation, 6, 181–189.
Latimer, P. R., Sarna, D., Campbell, D., Latimer, M., Waterfall, W., & Daniel, E. E. (1981). Colonic motor and myoelectrical activity: A comparative study of normal subjects, psychoneurotic patients, and patients with irritable bowel syndrome. Gastroenterology, 80, 893–901.
Liss, J. L., Alpers, D., & Woodruff, R. A., Jr. (1973). The irritable colon syndrome and psychiatric illness. Diseases of the Nervous System, 34, 151–157.
Magni, G., DiMario, F., Rizzardo, R., Pulin, S., & Naccarato, R. (1986). Personality profiles of patients with duodenal ulcer. American Journal of Psychiatry, 143, 1297–1300.
McKegney, F. P., Gordon, R. O., & Levine, S. M. (1970). A psychosomatic comparison of patients with ulcerative colitis and Crohn’s disease. Psychosomatic Medicine, 32, 153–165.
Mekhjian, H. S., Switz, D. M., Melnyk, C. S., Rankin, G. B., & Brooks, R. K. (1979). Clinical features and natural history of Crohn’s disease. Gastroenterology, 77, 898–906.
Mendeloff, A. I., Monk, M., Siegel, C. I., & Lilienfeld, A. (1970). Illness experience and life stresses in patients with irritable colon and with ulcerative colitis: An epidemiologic study of ulcerative colitis and regional enteritis in Baltimore, 1960-1964. New England Journal of Medicine, 282, 14–17.
Milne, B., Joachim, G., & Niedhardt, J. (1986). A stress management programme for inflammatory bowel disease patients. Journal of Advanced Nursing, 11, 561–567.
Mitchell, C. M., & Drossman, D. A. (1987). The irritable bowel syndrome: Understanding and treating a biopsychosocial illness disorder. Annals of Behavioral Medicine, 9, 13–18.
National Foundation for Ileitis and Colitis. (June/July 1986). News from National New York: Author.
Neff, B. F., & Blanchard, E. B. (1987). A multi-component treatment for irritable bowel syndrome. Behavior Therapy, 18, 70–83.
Nelson, J. B., & Castell, D. O. (1988). Esophageal motility disorders. Disease A-Month, 34, 301–389.
North, C. S., Alpers, D. H., Heizer, J. E., Spitznagel, E. L., & Clouse, R. E. (1991). Do life events or depression exacerbate inflammatory bowel disease? Annals of Internal Medicine, 114, 381–386.
Parfitt, H. L. (1967). Psychiatric aspects of regional enteritis. Canadian Medical Association Journal, 97, 807.
Pflanz, M. (1971). Epidemiological and sociocultural factors in the etiology of duodenal ulcer. Advances in Psychosomatic Medicine, 6, 121–151.
Richard, W. C., & Fell, R. D. (1975). Health factors in police job stress. In W. H. Kroes & J. J. Hurrell (Eds.), Job stress and the police officer Identifying stress reduction techniques (pp. 76–187, HEW Publication No. NIOSH). Washington, DC: U.S. Government Printing Office.
Richter, J. E., & Castell, D. O. (1988). Esophageal disease as a cause of noncardiac chest pain. In G. H. Stollerman, W. J. Harrington, J. T. LaMont, J. J. Leonard, & M. D. Siperstein (Eds.), Advances in internal medicine (pp. 311–335). Chicago: Year Book Medical Publishers.
Richter, J. E., Obrecht, W. F., Bradley, L. A., Young, & Anderson. (1986). Psychological comparison of patients with nutcracker esophagus and irritable bowel syndrome. Digestive Diseases and Sciences, 31, 131–138.
Sandier, R. S., Drossman, D. A., Nathan, H. P., & McKee, D. C. (1984). Symptoms complaints and health care seeking behavior in subjects with bowel dysfunction. Gastroenterology, 87, 314–318.
Sapira, J. D., & Cross, M. R. (1982). Pre-hospitalization life change in gastric ulcer (GU) versus duodenal ulcer (DU). Psychosomatic Medicine, 44, 121 (Abstract).
Scharschmidt, B. F. (1987). Peptic ulcer disease: Pathophysiology and current medical management. Western Journal of Medicine, 146, 724–733.
Scheurer, U., Witzel, L., Halter, F., Keller, H.M., Huber, R., & Galeazzi, R. (1977). Gastric and duodenal ulcer healing under placebo treatment. Gastroenterology, 72, 838–841.
Schindler, B. A., & Ramchandani, D. (1991). Psychologic factors associated with peptic ulcer disease. Medical Clinics of North America, 75, 865–876.
Schuster, M. M. (1983). Esophageal spasm and psychiatric disorder. New England Journal of Medicine, 309, 1382–1383.
Schuster, M. M. (1989). Irritable bowel syndrome. In M. H. Sleisenger & J. S. Fordtran (Eds.), Gastrointestinal disease: Pathophysiology, diagnosis, management (pp. 1402–1418). Philadelphia: Saunders.
Schwartz, R. A., & Schwartz, I. K. (1982). Psychiatric disorders associated with Crohn’s disease. International Journal of Psychiatry in Medicine, 12, 67–73.
Schwarz, S. P., & Blanchard, E. B. (1990). Inflammatory bowel disease: A review of the psychological assessment and treatment literature. Annals of Behavioral Medicine, 12, 95–105.
Schwarz, S. P., & Blanchard, E. B. (1991). Evaluation of a psychological treatment for inflammatory bowel disease. Behavior Research and Therapy, 29, 167–177.
Schwarz, S. P., Blanchard, E. B., & Neff, D. F. (1986). Behavioral treatment of irritable bowel syndrome: A 1-year follow-up study. Biofeedback and Self-Regulation, 11, 189–198.
Schwarz, S. P., Taylor, A. E., Scharff, L., & Blanchard, E. B. (1990). Behaviorally treated irritable bowel syndrome patients: A four-year follow-up. Behavior Research and Therapy, 28, 331–335.
Shabsin, H. S., Katz, P. O., & Schuster, M. M. (1988). Behavioral treatment of intractable chest pain in a patient with vigorous achalasia. American Journal of Gastroenterology, 83, 970–973.
Sheffield, B. F., & Carney, M.W.P. (1976). Crohn’s disease: A psychosomatic illness? British Journal of Psychiatry, 128, 446–450.
Soll, A. H. (1989). Duodenal ulcer and drug therapy. In M. H. Sleisenger, & J. S. Fortran (Eds.), Gastrointestinal disease: Pathophysiology, diagnosis, management (pp. 814–879). Philadelphia: Saunders.
Sperling, M. (1960). The psycho-analytic treatment of a case of chronic regional ileitis. International Journal of Psychoanalysis, 41, 612.
Talley, N. J., Phillips, S. F., Bruce, B., Twomey, C. K., Zinsmeister, A. R., & Melton, L J., III. (1990). Relation among personality and symptoms in nonulcer dyspepsia and the irritable bowel syndrome. Gastroenterology, 99, 327–333.
Thompson, W. G. (1984). The irritable bowel. Gut, 25, 305–320.
Tollison, C. D., & Tollison, J. W. (1984). Psychological aspects of selected medical disorders. In H. E. Adams & P. B. Sutker (Eds.), Comprehensive handbook of psychopathology (pp. 917–938). New York: Plenum Press.
Walker, E. A., Roy-Byrne, P. P., & Katon, W. J. (1990). Irritable bowel syndrome and psychiatric illness. American Journal of Psychiatry, 147, 565–570.
Walker, P., Luther, J., Samloff, I. M., & Feldman, M. (1988). Life events stress and psychosocial factors in men with peptic ulcer disease: II. Relationships with serum pepsinogen concentration and behavioral risk factors. Gastroenterology, 94, 323–340.
Weinstock, S. A. (1976). The re-establishment of intestinal control in functional colitis. Biofeedback and Self-Regulation, 1, 324.
Welgan, P. R. (1974). Learned control of gastric acid secretions in ulcer patients. Psychosomatic Medicine, 36, 411–419.
West, K. L (1970). MMPI correlates of ulcerative colitis. Journal of Clinical Psychology, 26, 214–229.
Whitehead, W. E., Bosmajian, L., Zonderman, A. B., Costa, P. T., Jr., & Schuster, M. M. (1988). Symptoms of psychologic distress associated with irritable bowel syndrome: Comparison of community and medical clinic samples. Gastroenterology, 95, 709–714.
Whitehead, W. E., & Crowell, M. D. (1991). Psychologic considerations in the irritable bowel syndrome. Gastroenterology Clinics of North America, 20, 249–267.
Whitehead, W. E., Fedoravicius, A. S., Blackwell, B., & Wooley, S. (1979). A behavioral conceptualization of psychosomatic illness: Psychosomatic symptoms as learned responses. In J. R. McNamara (Ed.), Behavioral approaches to medicine: Application and analysis (pp. 65–99). New York: Plenum Press.
Whitehead, W. E., & Schuster, W. (1985). Gastrointestinal disorders: Behavioral and physiological basis for treatment Orlando, FL: Academic Press.
Whitehead, W E., Winget, C., Fedoravicius, A. S., Wooley, S., & Blackwell, B. (1982). Learned illness behavior in patients with irritable bowel syndrome and peptic ulcer. Digestive Diseases and Sciences, 27, 202–208.
Whybrow, P. C., Kane, F. J., Jr., & Lipton, M. A. (1968). Regional ileitis and psychiatric disorder. Psychosomatic Medicine, 30, 209–221.
Winship, D. H. (1978). Cimetidine in the treatment of duodenal ulcer: Review and commentary. Gastroenterology, 74, 402–406.
Winship, D. H., Summers, R. W., Singleton, J. W., Best, W. R., Becktel, J. M., Lenk, L. F., & Kern, F., Jr. (1979). National Cooperative Crohn’s Disease Study: Study design and conduct of the study. Gastroenterology, 77, 829–834.
Wise, T. M., Cooper, J. N., & Ahmed, S. (1982). The efficacy of group therapy for patients with irritable bowel syndrome. Psychosomatics, 23, 465–469.
Wolf, S., & Welsh, J. D. (1972). The gastrointestinal tract as a response system. In N. S. Greenfield & R.A. Sternbach (Eds.), Handbook of Psychophysiology (pp. 419–456). New York: Holt, Rinehart & Winston.
Young, L D., Richter, J. E., Bradley, L. A., & Anderson, K. O. (1987). Disorders of the upper gastrointestinal system: An overview. Annals of Behavioral Medicine, 9, 7–12.
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Garrett, V.D. (1995). Gastrointestinal Disorders. In: Goreczny, A.J. (eds) Handbook of Health and Rehabilitation Psychology. Springer Series in Rehabilitation and Health. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-1028-8_4
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