Organic gastrointestinal disorder
chron-disease
peptic ulcer and clots were features in the psychosomatic literature
Functional gastrointestinal disorders
Psychological factors have a strong influence on these disorders
IBS
Peptic ulcer
When the stomach wall is damaged due to the acid it contains.
most ulcers relapse without specific therapy.
Etiology + peptic ulcer
Multifactorial (genetic + environment)
- genetic: runs in family, particularly among type 0 blood.
- environment: bacterial agent, cigarette smoking, skipping breakfast, disturbance of circadian rhythms, high alcohol consumption
Stress!
Ulcer and psychiatric disorders (Goodwin)
Goodwin et al
Anxiety disorders are associated with significantly increased prevalence of physician-diagnosed ulcer among adults
Confounding variables between ulcer and stress
SES: poverty is an obvious source of stress
Medical illness: painful medical conditions such as headache common source of distress that could indirectly cause ulcer
Inflammatory Bowel Diseases (IBD)
Refers to Ulcerative colitis and chron´s disease
Chrons disease
Can involve the whole digestive system (from gum to gut)
Symptom: pain, obstruction, malnutrition
Ulcerative colitis
Involves only the large intestine
Symptom: bloody diarrhea
Primary and secondary control enhancement therapy-physical illnesses (PASCET-PI)
focuses on teaching skills to improve cognitions and behaviors related to IBD.
Study: showed significantly greater improvement in children post treatment than the comparison group. so, it may be an efficient intervention.
