TY - JOUR
T1 - Best Practice Update
T2 - Incorporating Psychogastroenterology Into Management of Digestive Disorders
AU - Keefer, Laurie
AU - Palsson, Olafur S.
AU - Pandolfino, John E.
N1 - Publisher Copyright:
© 2018 AGA Institute
PY - 2018/4
Y1 - 2018/4
N2 - Chronic digestive diseases, including irritable bowel syndrome, gastroesophageal reflux disease, and inflammatory bowel diseases, cannot be disentangled from their psychological context—the substantial burden of these diseases is co-determined by symptom and disease severity and the ability of patients to cope with their symptoms without significant interruption to daily life. The growing field of psychogastroenterology focuses on the application of scientifically based psychological principles and techniques to the alleviation of digestive symptoms. In this Clinical Practice Update, we describe the structure and efficacy of 2 major classes of psychotherapy—cognitive behavior therapy and gut-directed hypnotherapy. We focus on the impact of these brain–gut psychotherapies on gastrointestinal symptoms, as well as their ability to facilitate improved coping, resilience, and self-regulation. The importance of the gastroenterologist in the promotion of integrated psychological care cannot be overstated, and recommendations are provided on how to address psychological issues and make an effective referral for brain–gut psychotherapy in routine practice.
AB - Chronic digestive diseases, including irritable bowel syndrome, gastroesophageal reflux disease, and inflammatory bowel diseases, cannot be disentangled from their psychological context—the substantial burden of these diseases is co-determined by symptom and disease severity and the ability of patients to cope with their symptoms without significant interruption to daily life. The growing field of psychogastroenterology focuses on the application of scientifically based psychological principles and techniques to the alleviation of digestive symptoms. In this Clinical Practice Update, we describe the structure and efficacy of 2 major classes of psychotherapy—cognitive behavior therapy and gut-directed hypnotherapy. We focus on the impact of these brain–gut psychotherapies on gastrointestinal symptoms, as well as their ability to facilitate improved coping, resilience, and self-regulation. The importance of the gastroenterologist in the promotion of integrated psychological care cannot be overstated, and recommendations are provided on how to address psychological issues and make an effective referral for brain–gut psychotherapy in routine practice.
KW - Brain-gut Psychotherapy
KW - Cognitive Behavior Therapy
KW - GI Psychologist
KW - Gut-directed hypnotherapy
UR - http://www.scopus.com/inward/record.url?scp=85044614058&partnerID=8YFLogxK
U2 - 10.1053/j.gastro.2018.01.045
DO - 10.1053/j.gastro.2018.01.045
M3 - Review article
C2 - 29410117
AN - SCOPUS:85044614058
SN - 0016-5085
VL - 154
SP - 1249
EP - 1257
JO - Gastroenterology
JF - Gastroenterology
IS - 5
ER -