Abstract
Over the past decades it has increasingly become evident that functional gastrointestinal disorders (FGIDs) are explained by dysregulation of the brain–gut axis. GFID symptoms are not only caused and maintained by gut processes but may also be modified by extraintestinal components such as those related to cognition, emotions, and behavior. Currently, therapies for FGIDs can be divided into two main categories: those directed to treat the predominant symptom (or-end organ therapy) and treatment aimed at psychosocial aspects of the disorder with a focus on providing patients with adequate tools for modifying disease perception and responses to pain. It appears that the most successful approach will utilize both strategies to reach a successful outcome in FGID.
Of the various psychosocial treatments available, cognitive behavioral therapy (CBT) has recently gained more popularity as a modality in the treatment for FGIDs. This is not surprising, as CBT has a large evidence base in many conditions that have a psychosomatic component. These include traditional behaviorally based conditions disorders, and also established organic disorders, such as inflammatory bowel disease, diabetes, and cardiovascular disease which conversely have been found to have a significant psychosocial component. When considering evidence-based treatment, where specific treatments for symptom-based diagnoses are utilized, CBT has been recommended over other psychosocial approaches.
Keywords
- Irritable Bowel Syndrome
- Cognitive Behavioral Therapy
- School Nurse
- Progressive Muscle Relaxation
- 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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Youssef, N.N., van Tilburg, M.A.L. (2013). Cognitive Behavioral Therapy for Children with Functional Abdominal Pain. In: Faure, C., Di Lorenzo, C., Thapar, N. (eds) Pediatric Neurogastroenterology. Clinical Gastroenterology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60761-709-9_43
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