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[Functional gastrointestinal disorders].

Gabriele Moser1

  • 1Klinische Abteilung für Gastroenterologie und Hepatologie, Universitätsklinik für Innere Medizin IV, Medizinische Universität Wien, Wien, Austria. gabriele.moser@meduniwien.ac.at

Wiener Medizinische Wochenschrift (1946)
|October 17, 2006
PubMed
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Psychotherapy, particularly hypnotherapy, is effective for functional gastrointestinal disorders (FGID), offering long-term benefits that outweigh initial costs. Understanding psychosocial factors is key to successful FGID treatment.

Area of Science:

  • Gastroenterology
  • Psychosomatic Medicine
  • Clinical Psychology

Background:

  • Functional gastrointestinal disorders (FGID) are prevalent, causing significant absenteeism, reduced quality of life, and increased healthcare costs.
  • FGID often involve psychosocial factors, necessitating a biopsychosocial approach to patient care.
  • Research highlights the need for physicians to integrate psychological perspectives in FGID management and referrals.

Purpose of the Study:

  • To review the efficacy of psychotherapy for FGID, with a focus on irritable bowel syndrome (IBS).
  • To identify predictors of positive response to psychological interventions in FGID patients.
  • To evaluate the long-term cost-effectiveness of psychotherapy for FGID.

Main Methods:

  • Systematic review of randomized controlled trials (RCTs) on psychotherapy for FGID, primarily IBS.

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  • Analysis of studies comparing psychotherapy (e.g., CBT, dynamic psychotherapy, hypnotherapy, relaxation) with conventional medical therapy.
  • Identification and synthesis of factors predicting treatment response.

    • Main Results:

    • Psychotherapy demonstrates superior outcomes compared to conventional medical therapy for FGID.
    • Hypnotherapy shows particularly promising results in FGID treatment.
    • Positive response predictors include stress-symptom awareness, mild anxiety/depression, pain/diarrhea predominance, fluctuating pain, and shorter symptom duration.

    Conclusions:

    • Psychotherapy is an effective treatment for FGID, offering sustained benefits and potential long-term cost reductions.
    • Integrating psychosocial assessment and treatment is crucial for comprehensive FGID management.
    • Hypnotherapy emerges as a highly successful therapeutic option for FGID.