The crossroads of gastroenterology and psychiatry – what benefits can psychiatry provide for the treatment of patients suffering from gastrointestinal symptoms

@article{Sobaski2015TheCO,
  title={The crossroads of gastroenterology and psychiatry – what benefits can psychiatry provide for the treatment of patients suffering from gastrointestinal symptoms},
  author={Jerzy Sobański and Katarzyna Klasa and Michał Mielimąka and Krzysztof Rutkowski and Edyta Dembińska and Łukasz M{\"u}ldner-Nieckowski and Katarzyna Cyranka and Bogna Smiatek-Mazgaj and Lech Popiołek},
  journal={Przegla̜d Gastroenterologiczny},
  year={2015},
  volume={10},
  pages={222 - 228}
}
Introduction Gastrointestinal symptoms are very common in the general population. Many of them coincide with mental disorders (especially with neuroses, stress-related disorders, somatisation disorders, autonomic dysfunction, and anxiety) that are associated with psychological trauma, conflicts, and difficulties with interpersonal relationships. Aim Assessment of the association between gastrointestinal complaints and stressful situations in relationships, among patients admitted to day… 

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References

SHOWING 1-10 OF 44 REFERENCES
Relationship of functional gastrointestinal disorders and psychiatric disorders: implications for treatment.
TLDR
The links between psychopathology and functional gastrointestinal disorders such as irritable bowel syndrome (IBS) are revisited, the rational use of antidepressants as well as non-pharmacological approaches to the management of IBS are discussed, and guidelines for the treatment of the syndrome are suggested.
Functional gastrointestinal disorders: an update for the psychiatrist.
TLDR
There is a need for greater involvement of psychiatrists in both the evaluation and treatment of patients with FGID as well as the education and training of practitioners caring for these patients.
The presentation of irritable bowel syndrome in the context of somatization disorder.
  • C. North, Dana L. Downs, D. Alpers
  • Medicine, Psychology
    Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association
  • 2004
Assesment of psychiatric symptoms and co-morbidities in patients with irritable bowel syndrome.
TLDR
It is suggested that except for mood and personality disorders, almost all psychiatric symptoms and disease co-morbities with IBS are higher than in the sample without IBS.
Psychopharmacological Treatment and Psychological Interventions in Irritable Bowel Syndrome
TLDR
The aim of this paper is to analyze the effectiveness of psychopharmacological treatment and psychological interventions on irritable bowel syndrome.
Psychosocial determinants of irritable bowel syndrome.
TLDR
In order to explain clustering of IBS in families, genetic factors and social learning mechanisms have been proposed and psychological features, such as anxiety, depression as well as the comorbid psychiatric disorders, health beliefs and coping of patients with IBS are discussed in relation to the symptoms and outcome.
Stress, coping, and depression in non-ulcer dyspepsia patients.
Comorbidity and use of health-care services among irritable bowel syndrome sufferers
TLDR
Comparing the frequency of somatic and psychiatric symptoms between IBS sufferers and controls in the general population and to study how comorbidity rates are distributed among consulters and non-consulters shows how they predict the use of health care-services.
Psychosocial Factors are Linked to Functional Gastrointestinal Disorders: A Population Based Nested Case-Control Study
TLDR
Contrary to current dogma, psychosocial factors were significantly associated with functional GI disorders in this community sample, suggesting that these factors may be involved in the etiopathogenesis rather than just driving health-care utilization.
...
...