Abstract
This chapter begins with a brief description of the processes of digestion and absorption in the gastrointestinal tract and then follows with a discussion of the effects of psychological and behavioral factors on gastrointestinal function. Medical, psychotherapeutic, and psychophysiological interventions applicable to functional gastrointestinal disorders are described. The case study presents the Pathways Model in a young adult male with irritable bowel syndrome (IBS).
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References
Blanchard, E. B., Lackner, J. M., Sanders, K., Krasner, S., Keefer, L., Payne, A., et al. (2007). A controlled evaluation of group cognitive therapy in the treatment of irritable bowel syndrome. Behaviour Research and Therapy, 45, 633–648.
Crane, C., & Martin, M. (2004). Social learning, affective state and passive coping in irritable bowel syndrome and inflammatory bowel disease. General Hospital Psychiatry, 26, 50–58.
Creed, F., Guthrie, E., Ratcliffe, J., Fernandes, L., Rigby, C., Tomenson, B., et al. (2005). Reported sexual abuse predicts impaired functioning but a good response to psychological treatments in patients with severe irritable bowel syndrome. Psychosomatic Medicine, 67(3), 490–499.
Fink, P., Rosendal, M., & Toft, T. (2002). Assessment and treatment of functional disorders in general practice: The extended reattribution and management model and advanced educational program for non-psychiatric doctors. Psychosomatics, 43(2), 93–131.
Gholamrezaei, A., Ardestani, S. K., & Emami, M. H. (2006). Where does hypnotherapy stand in the management of irritable bowel syndrome? A systematic review. Journal of Alternative and Complementary Medicine, 12(6), 517–527.
Gick, M. L., & Sirois, F. M. (2010). Insecure attachment moderates women’s adjustment to inflammatory bowel disease severity. Rehabilitation Psychology, 55(2), 170–179.
Guyton, A. C., & Hall, J. E. (2000). Textbook of medical physiology. Philadelphia: W.B. Saunders Company.
Herschbach, P., Henrich, G., & von Rad, M. (1999). Psychological factors in functional gastrointestinal disorders: Characteristics of the disorder or of the illness behavior? Psychosomatic Medicine, 61, 148–153.
Humphreys, P. A., & Gevirtz, R. N. (2000). Treatment of recurrent abdominal pain: Components analysis of four treatment protocols. Journal of Pediatric Gastroenterology and Nutrition, 31(1), 47–51.
Keefer, L., & Blanchard, E. B. (2001). The effects of relaxation response meditation on the symptoms of irritable bowel syndrome: Results of a controlled treatment study. Behaviour Research and Therapy, 39, 801–811.
Keefer, L., & Blanchard, E. B. (2002). A one year follow-up of relaxation response meditation as a treatment for irritable bowel syndrome. Behaviour Research and Therapy, 40(5), 541–546.
Kovacs, Z., & Kovacs, F. (2007). Depressive and anxiety symptoms, dysfunctional attitudes and social aspects in irritable bowel syndrome and inflammatory bowel disease. International Journal of Psychiatry in Medicine, 37(3), 245–255.
Lackner, J. M., Jaccard, J., Krasner, S. S., Katz, L. A., Gudleski, G. D., & Holroyd, K. (2008). Self-administered cognitive behavior therapy for moderate to severe irritable bowel syndrome: Clinical efficacy, tolerability, feasibility. Clinical Gastroenterology and Hepatology, 6(8), 899–906.
Lackner, J. M., Quigley, B. M., & Blanchard, E. B. (2004). Depression and abdominal pain in IBS patients: The mediating role of catastrophizing. Psychosomatic Medicine, 66, 435–441.
Lacy, B. E. (2006). Making sense of IBS. Baltimore, MD: The Johns Hopkins University Press.
Mayer, E., & Wong, H. (2010). Abdominal, peritoneal, and retroperitoneal pain. In S. M. Fishman, J. C. Ballantyne, & J. P. Rathmell (Eds.), Bonica’s management of pain (pp. 899–925). Philadelphia: Lippincott Williams & Wilkins.
Moss-Morris, R., McAlpine, L., Didsbury, L. P., & Spence, M. J. (2010). A randomized controlled trial of a cognitive behavioural therapy-based self-management intervention for irritable bowel syndrome in primary care. Psychological Medicine, 40, 85–94.
Mussell, M., Kroenke, K., Spitzer, R. L., Williams, J. B., Herzog, W., & Lowe, B. (2008). Gastrointestinal symptoms in primary care: Prevalence and association with depression and anxiety. Journal of Psychosomatic Research, 64(6), 605–612.
Palsson, O. S., & Collins, R. W. (2003). Functional bowel and anorectal disorders. In D. Moss, A. McGrady, T. Davies, & I. Wickramasera (Eds.), Handbook of mind-body medicine in primary care (pp. 299–311). Thousand Oaks, CA: Sage.
Palsson, O. S., Turner, M. J., Johnson, D. A., Burnett, C. B., & Whitehead, W. E. (2002). Hypnosis treatment for severe irritable bowel syndrome: Investigation of mechanism and effects on symptoms. Digestive Diseases and Sciences, 47(11), 2605–2614.
Palsson, O. S., Turner, M. J., & Whitehead, W. E. (2006). Hypnosis home treatment for irritable bowel syndrome: A pilot study. International Journal of Clinical and Experimental Hypnosis, 54(1), 85–99.
Roy-Byrne, P. P., Davidson, K. W., Kessler, R. C., Asmundson, G. J. G., & Goodwin, R. D. (2008). Anxiety disorders and comorbid medical illness. Focus, 6, 467–485.
Shinozaki, M., Kanazawa, M., Kano, M., Endo, Y., Nakaya, N., Hongo, M., et al. (2010). Effect of autogenic training on general improvement in patients with irritable bowel syndrome: A randomized controlled trial. Applied Psychophysiology and Biofeedback, 35(3), 189–198.
Sowder, E., Gevirtz, R., Shapiro, W., & Ebert, C. (2010). Restoration of vagal tone: A possible mechanism for functional abdominal pain. Applied Psychophysiology and Biofeedback, 35(3), 199–206.
Suarez, K., Mayer, C., Ehlert, U., & Nater, U. M. (2010). Psychological stress and self-reported functional gastrointestinal disorders. The Journal of Nervous and Mental Disease, 198(3), 226–229.
Talley, N. J. (2006). Conquering irritable bowel syndrome: A guide to liberating those suffering with chronic stomach or bowel problems. Philadelphia, PA: B.C. Decker.
Talley, N. J., Fett, S. L., & Zinsmeister, A. R. (1994). Gastrointestinal tract symptoms and self-reported abuse: A population based study. Gastroenterology, 107(4), 1040–1049.
Thompson, W. G., Longstreth, G. F., Drossman, D. A., Heaton, K. W., Irvine, E. J., & Muller-Lissner, S. A. (1999). Functional bowel disorders and functional abdominal pain. Gut, 45, 43–47.
Watson, B., & Smith, L. (2003). Gut solutions. Clearwater, FL: Renew Life Press and Information Services.
Widmaier, E. P., Raff, H., & Strang, K. T. (2001). Vander, Sherman, & Luciano human physiology: The mechanisms of body function. Boston: McGraw Hill.
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McGrady, A., Moss, D. (2013). Gastrointestinal Disorders. In: Pathways to Illness, Pathways to Health. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1379-1_14
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DOI: https://doi.org/10.1007/978-1-4419-1379-1_14
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