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Gut Reactions

The Mind-Gut Axis
  • W. Grant Thompson

Abstract

The gut often provides an outlet for the emotions. The relationship of soma to psyche is perhaps greater than many will admit, even though it is apparent that our guts react to events in our environment. Who has escaped the queasy stomach or the loose bowels that often accompany stressful ventures? Such “gut feelings” may occur in a variety of situations: at a board meeting, during an examination, or at a hockey game. The effect of emotion on gut function, however profound, is unpredictable. When soldiers are ordered into battle, for example, some are nauseated, some vomit, some are incontinent, and some experience a curious sense of well-being—a release at the prospect of action. It is a common experience that contemplation of a difficult situation may elicit more gut reaction than the situation itself.

Keywords

Duodenal Ulcer Personality Disorder Enteric Nervous System Illness Behavior Functional Abdominal Pain 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Bibliography

  1. Almy TP, Abbott FK, Hinkle LE: Alteration in colonic function under stress. Gastroen terology 1950;15:95–103.Google Scholar
  2. Creed F, Guthrie E: Psychological factors in the irritable bowel syndrome. Gut 1987;28:1307–1318.PubMedCrossRefGoogle Scholar
  3. Drossman DA: The physician and the patient, in Sleisinger M, Fortran J: Diseases of the Gastrointestinal Tract. Philadelphia, Saunders, 1983, pp 1–19.Google Scholar
  4. Drossman DA, McKee DL, Sandler RS, et al: Psychosocial factors in the irritable bowel syndrome: A multivariate study of patients and non-patients with irritable bowel syndrome. Gastroenterology 1988;95:701–708.PubMedGoogle Scholar
  5. Engel GL: Psychogenic pain and the pain-prone patient. Am J Med 1959;26:899–918.PubMedCrossRefGoogle Scholar
  6. Latimer PR: Functional Gastrointestinal Disorders: A Behavioural Medicine Approach. New York, Springer, 1983.Google Scholar
  7. Mansour RA, Smith GR: Somatization disorders in primary care. New Engl J Med 1983;308:1464–1465.CrossRefGoogle Scholar
  8. McRae S, Younger K, Thompson DG, Wingate DL: Sustained mental stress alters human jejunal motor activity. Gut 1982;23:404–409.PubMedCrossRefGoogle Scholar
  9. Thompson WG: Gut reaction, in Thompson WG: The Irritable Gut. Baltimore, University Park Press, 1979, pp 41–48.Google Scholar
  10. Whitehead WE, Bosmajian L, Zonderman AB, et al: Symptoms of psychologic distress associated with irritable bowel syndrome. Comparison of community and medical clinic samples. Gastroenterology 1988;95:709–720.PubMedGoogle Scholar

Copyright information

© W. Grant Thompson 1989

Authors and Affiliations

  • W. Grant Thompson
    • 1
  1. 1.Division of Gastroenterology and Digestive Diseases Research UnitOttawa Civic Hospital and University of OttawaOttawaCanada

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