Abstract
Functional gastrointestinal disorders (FGID) are common conditions, with well-established diagnostic criteria. They are associated with impaired health-related quality of life and increased societal and healthcare costs. Their symptoms are probably related to altered 5-HT transmission and central processing of noxious visceral stimuli. Evaluation and treatment are best formulated using a biopsychosocial model that integrates gut function with psychosocial assessment. Psychological therapies may improve overall well-being and appear to help patients without significant psychiatric comorbidity. Antidepressants help comorbid anxiety and depressive disorders and have primary efficacy in improving the symptoms of FGID. Finally, there is a need for greater involvement of psychiatrists in both the evaluation and treatment of patients with FGID as well as the education and training of practitioners caring for these patients. Copyright © 2007 The Academy of Psychosomatic Medicine.
Original language | English |
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Pages (from-to) | 93-102 |
Number of pages | 9 |
Journal | Psychosomatics |
Volume | 48 |
Issue number | 2 |
DOIs | |
Publication status | Published - Mar 2007 |
Keywords
- therapeutic use: Antidepressive Agents
- drug therapy: Anxiety
- Comorbidity
- drug therapy: Depressive Disorder
- epidemiology: Gastrointestinal Diseases
- Health Care Costs
- Health Surveys
- Humans
- Psychiatry
- Psychotherapy
- Quality of Life
- drug therapy: Somatoform Disorders