Gastrointestinal Disorders

  • V. Diane Garrett
Part of the Springer Series in Rehabilitation and Health book series (SSRH)

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.

Keywords

Irritable Bowel Syndrome Duodenal Ulcer Peptic Ulcer Disease Behavioral Medicine Irritable Bowel Syndrome Symptom 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 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.Google Scholar
  2. Alexander, F., French, T. M., & Pollack, G. (1968). Psychosomatic specificity: Experimental study and results. Chicago: University of Chicago Press.Google Scholar
  3. 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.PubMedCrossRefGoogle Scholar
  4. 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.PubMedCrossRefGoogle Scholar
  5. Beaty, E. T. (1976). Feedback-assisted relaxation training as a treatment for peptic ulcers. Biofeedback and Self-Regulation, 1, 323–324 (Abstract).Google Scholar
  6. 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.PubMedCrossRefGoogle Scholar
  7. 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).Google Scholar
  8. Binder, S. C., & Katz, B. (1977). Regional enteritis: A review of the literature. The Ohio State Medical Journal, 73, 661–666.PubMedGoogle Scholar
  9. 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.Google Scholar
  10. 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.CrossRefGoogle Scholar
  11. Blanchard, E. B., Schwarz, S. P., & Radnitz, C. R. (1987). Psychological assessment and treatment of irritable bowel syndrome. Behavior Modification, 11, 348–372.PubMedCrossRefGoogle Scholar
  12. 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.CrossRefGoogle Scholar
  13. Brooks, G. R., & Richardson, F. C. (1980). Emotional skills training: A treatment program for duodenal ulcer. Behavior Therapy, 11, 198–207.CrossRefGoogle Scholar
  14. 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.PubMedCrossRefGoogle Scholar
  15. 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.CrossRefGoogle Scholar
  16. 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.PubMedGoogle Scholar
  17. Clouse, R. E. (1989). Motor disorders. In M. H. Sleisenger, & J. S. Fordtran (Eds.), Gastrointestinal disease: Pathophysiology, diagnosis, management (pp. 559–593). Philadelphia: Saunders.Google Scholar
  18. Clouse, R.E. (1991). Psychiatric disorders in patients with esophageal disease. Medical Clinics of North America, 75, 1081–1096.PubMedGoogle Scholar
  19. Clouse, R. E., & Lustman, P. J. (1983). Psychiatric illness and contraction abnormalities of the esophagus. New England Journal of Medicine, 309, 1337–1342.PubMedCrossRefGoogle Scholar
  20. Cobb, S., & Rose, R. M. (1973). Hypertension, peptic ulcer, and diabetes in air traffic controllers. Journal of the American Medical Association, 224, 489–492.PubMedCrossRefGoogle Scholar
  21. Cohn, E. M., Lederman, I.I., & Shore, E. (1970). Regional enteritis and its relation to emotional disorders. American Journal of Gastroenterology, 54, 378–387.PubMedGoogle Scholar
  22. 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.Google Scholar
  23. Crocket, R. W. (1952). Psychiatric findings in Crohn’s disease. Lancet, 1, 946–949.PubMedCrossRefGoogle Scholar
  24. Crohn, B. B., Ginzburg, L., & Oppenheimer, G. D. (1932). Regional ileitis. Journal of the American Medical Association, 99, 1323.CrossRefGoogle Scholar
  25. Dajani, E. Z. (1986). Is peptic ulcer a prostaglandin deficiency disease? Human Pathology, 17, 106–107.PubMedCrossRefGoogle Scholar
  26. 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.CrossRefGoogle Scholar
  27. 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.PubMedGoogle Scholar
  28. Drossman, D. A., Sandler, R., McKee, D. G., & Lovitz, A. J. (1982). Bowel patterns among subjects not seeking health care. Gastroenterology, 83, 529–534.PubMedGoogle Scholar
  29. 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.PubMedCrossRefGoogle Scholar
  30. Eysenck, H. J., & Eysenck, S.B.G. (1968). Eysenck Personality Inventory. San Diego: Educational and Industrial Testing Service.Google Scholar
  31. Fava, G. A., & Pavan, L. (1976/1977). Large bowel disorders: Illness configuration and life events. Psychotherapy and Psychosomatics, 27, 93–99.CrossRefGoogle Scholar
  32. 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.PubMedGoogle Scholar
  33. Fielding, J. F. (1977). The irritable bowel syndrome. Clinical Gastroenterology, 6, 607–622.Google Scholar
  34. 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.PubMedCrossRefGoogle Scholar
  35. 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.PubMedCrossRefGoogle Scholar
  36. Furman, S. (1973). Intestinal biofeedback in functional diarrhea: A preliminary report. Journal of Behavior Therapy and Experimental Psychiatry, 4, 317–321.CrossRefGoogle Scholar
  37. 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.PubMedCrossRefGoogle Scholar
  38. Gerbert, B. G. (1980). Psychological aspects of Crohn’s disease. Journal of Behavioral Medicine, 3, 41–58.PubMedCrossRefGoogle Scholar
  39. 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.Google Scholar
  40. Goldberg, D. (1970). A psychiatric study of patients with diseases of the small intestine. Gut, 11, 459–465.PubMedCrossRefGoogle Scholar
  41. 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.Google Scholar
  42. Haggerty, J. J., & Drossman, D. A. (1985). Use of psychotropic drugs in patients with peptic ulcer. Psychosomatics, 26, 277–284.PubMedCrossRefGoogle Scholar
  43. 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.Google Scholar
  44. Hill, O. W., & Blendis, L (1967). Physical and psychological evaluation of “non-organic” abdominal pain. Gut, 12, 221–229.CrossRefGoogle Scholar
  45. Hislop, I. G. (1971). Psychological significance of the irritable colon syndrome. Gut, 12, 452–457.PubMedCrossRefGoogle Scholar
  46. Jacobson, E. (1927). Spastic esophagus and mucous colitis: Etiology and treatment by progressive relaxation. Archives of Internal Medicine, 39, 433–445.CrossRefGoogle Scholar
  47. 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.PubMedCrossRefGoogle Scholar
  48. 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.PubMedGoogle Scholar
  49. Kurata, J. H., & Haile, B. M. (1984). Epidemiology of peptic ulcer disease. Clinical Gastroenterology, 13, 289.Google Scholar
  50. 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.PubMedCrossRefGoogle Scholar
  51. Latimer, P. R. (1983). Functional gastrointestinal disorders: A behavioral medicine approach. New York: Springer.Google Scholar
  52. Latimer, P. R. (1978). Crohn’s disease: A review of the psychological and social outcome. Psychological Medicine, 8, 649–656.PubMedCrossRefGoogle Scholar
  53. 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.PubMedCrossRefGoogle Scholar
  54. 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.PubMedGoogle Scholar
  55. 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.PubMedGoogle Scholar
  56. 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.PubMedGoogle Scholar
  57. 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.PubMedGoogle Scholar
  58. 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.PubMedGoogle Scholar
  59. 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.PubMedCrossRefGoogle Scholar
  60. Milne, B., Joachim, G., & Niedhardt, J. (1986). A stress management programme for inflammatory bowel disease patients. Journal of Advanced Nursing, 11, 561–567.PubMedCrossRefGoogle Scholar
  61. 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.CrossRefGoogle Scholar
  62. National Foundation for Ileitis and Colitis. (June/July 1986). News from National New York: Author.Google Scholar
  63. Neff, B. F., & Blanchard, E. B. (1987). A multi-component treatment for irritable bowel syndrome. Behavior Therapy, 18, 70–83.CrossRefGoogle Scholar
  64. Nelson, J. B., & Castell, D. O. (1988). Esophageal motility disorders. Disease A-Month, 34, 301–389.CrossRefGoogle Scholar
  65. 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.PubMedCrossRefGoogle Scholar
  66. Parfitt, H. L. (1967). Psychiatric aspects of regional enteritis. Canadian Medical Association Journal, 97, 807.PubMedGoogle Scholar
  67. Pflanz, M. (1971). Epidemiological and sociocultural factors in the etiology of duodenal ulcer. Advances in Psychosomatic Medicine, 6, 121–151.PubMedGoogle Scholar
  68. 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.Google Scholar
  69. 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.Google Scholar
  70. 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.PubMedCrossRefGoogle Scholar
  71. 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.Google Scholar
  72. Sapira, J. D., & Cross, M. R. (1982). Pre-hospitalization life change in gastric ulcer (GU) versus duodenal ulcer (DU). Psychosomatic Medicine, 44, 121 (Abstract).Google Scholar
  73. Scharschmidt, B. F. (1987). Peptic ulcer disease: Pathophysiology and current medical management. Western Journal of Medicine, 146, 724–733.PubMedGoogle Scholar
  74. 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.PubMedGoogle Scholar
  75. Schindler, B. A., & Ramchandani, D. (1991). Psychologic factors associated with peptic ulcer disease. Medical Clinics of North America, 75, 865–876.PubMedGoogle Scholar
  76. Schuster, M. M. (1983). Esophageal spasm and psychiatric disorder. New England Journal of Medicine, 309, 1382–1383.PubMedCrossRefGoogle Scholar
  77. 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.Google Scholar
  78. Schwartz, R. A., & Schwartz, I. K. (1982). Psychiatric disorders associated with Crohn’s disease. International Journal of Psychiatry in Medicine, 12, 67–73.PubMedCrossRefGoogle Scholar
  79. 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.CrossRefGoogle Scholar
  80. Schwarz, S. P., & Blanchard, E. B. (1991). Evaluation of a psychological treatment for inflammatory bowel disease. Behavior Research and Therapy, 29, 167–177.CrossRefGoogle Scholar
  81. 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.PubMedCrossRefGoogle Scholar
  82. 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.CrossRefGoogle Scholar
  83. 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.PubMedGoogle Scholar
  84. Sheffield, B. F., & Carney, M.W.P. (1976). Crohn’s disease: A psychosomatic illness? British Journal of Psychiatry, 128, 446–450.PubMedCrossRefGoogle Scholar
  85. 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.Google Scholar
  86. Sperling, M. (1960). The psycho-analytic treatment of a case of chronic regional ileitis. International Journal of Psychoanalysis, 41, 612.Google Scholar
  87. 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.PubMedGoogle Scholar
  88. Thompson, W. G. (1984). The irritable bowel. Gut, 25, 305–320.PubMedCrossRefGoogle Scholar
  89. 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.Google Scholar
  90. Walker, E. A., Roy-Byrne, P. P., & Katon, W. J. (1990). Irritable bowel syndrome and psychiatric illness. American Journal of Psychiatry, 147, 565–570.PubMedGoogle Scholar
  91. 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.PubMedGoogle Scholar
  92. Weinstock, S. A. (1976). The re-establishment of intestinal control in functional colitis. Biofeedback and Self-Regulation, 1, 324.CrossRefGoogle Scholar
  93. Welgan, P. R. (1974). Learned control of gastric acid secretions in ulcer patients. Psychosomatic Medicine, 36, 411–419.PubMedGoogle Scholar
  94. West, K. L (1970). MMPI correlates of ulcerative colitis. Journal of Clinical Psychology, 26, 214–229.PubMedCrossRefGoogle Scholar
  95. 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.PubMedGoogle Scholar
  96. Whitehead, W. E., & Crowell, M. D. (1991). Psychologic considerations in the irritable bowel syndrome. Gastroenterology Clinics of North America, 20, 249–267.PubMedGoogle Scholar
  97. 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.Google Scholar
  98. Whitehead, W. E., & Schuster, W. (1985). Gastrointestinal disorders: Behavioral and physiological basis for treatment Orlando, FL: Academic Press.Google Scholar
  99. 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.PubMedCrossRefGoogle Scholar
  100. Whybrow, P. C., Kane, F. J., Jr., & Lipton, M. A. (1968). Regional ileitis and psychiatric disorder. Psychosomatic Medicine, 30, 209–221.PubMedGoogle Scholar
  101. Winship, D. H. (1978). Cimetidine in the treatment of duodenal ulcer: Review and commentary. Gastroenterology, 74, 402–406.PubMedGoogle Scholar
  102. 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.PubMedGoogle Scholar
  103. Wise, T. M., Cooper, J. N., & Ahmed, S. (1982). The efficacy of group therapy for patients with irritable bowel syndrome. Psychosomatics, 23, 465–469.PubMedGoogle Scholar
  104. 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.Google Scholar
  105. 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.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1995

Authors and Affiliations

  • V. Diane Garrett
    • 1
  1. 1.Behavioral Science ConsultantsBaton RougeUSA

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