A review of functional gastrointestinal disorders: A primer for mental health professionals

Chandran, Suhas; Prakrithi, SN; Mathur, Supriya; Kishor, M; Rao, TS Sathyanarayana

doi:10.4103/amh.amh_25_18

Cited by 10 publications

(14 citation statements)

References 6 publications

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“…Such disorders (e.g., IBS) are referred to as disorders of gut‐brain interaction within the ROME IV Criteria (Drossman, 2016). Alternatively, GI symptoms may be present but have an underlying abnormal physiological cause, such as impaired gastric motility (Chandran, Prakrithi, Mathur, Kishor, & Rao, 2018; Drossman, 2016). Patients with AN may experience both functional and organic GI symptoms (Riedlinger et al, 2020); however, these are not necessarily related to one another (Gronlund et al, 2018), and can exist in isolation, or combination.…”

Section: Introductionmentioning

confidence: 99%

Gastrointestinal symptoms following treatment for anorexia nervosa: A systematic literature review

West

McMaster

Staudacher

et al. 2021

Intl J Eating Disorders

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Objective Gastrointestinal (GI) disturbances are a frequent and burdensome experience for patients with anorexia nervosa (AN). How GI symptoms respond to current interventions is not well characterized, yet is critical to facilitate treatment success, and to inform the development of new treatments for AN. Therefore, the aim of this systematic review was to identify which treatments are effective in improving GI symptoms in patients with AN. Method A systematic search for studies of AN treatments measuring GI symptoms pre‐ and post‐treatment was conducted in May 2020 (PROSPERO ID: CRD42020181328). After removal of duplicates, title and abstracts of 3,370 studies were screened. Methodological quality was assessed using National Institute of Health Quality Assessment Tool. Results Following full‐text screening, 13 studies (12 observational studies and 1 randomized double‐blind placebo‐controlled trial) with 401 participants met eligibility criteria and were included. All observational studies included a component of nutritional rehabilitation, with half (n = 6) involving concurrent psychological treatment. The randomized controlled trial reported a drug therapy. Eleven studies reported an improvement in all (n = 6) or at least one (n = 5) patient‐reported GI symptom following treatment. Two studies reported no change. Methodological quality was fair or poor across all studies. Discussion This is the first systematic review to synthesize available evidence on the trajectory of patient‐reported GI symptoms from commencement to end of treatment for AN. The results suggest that most studies showed improvement in one or more GI symptom in response to current treatments. Future therapeutic approaches should consider GI symptoms within their design for optimal treatment adherence and outcomes.

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Section: Introductionmentioning

confidence: 99%

Gastrointestinal symptoms following treatment for anorexia nervosa: A systematic literature review

West

McMaster

Staudacher

et al. 2021

Intl J Eating Disorders

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“…3 Gender difference (female > male) has been reported in the general population for FGIDs although some studies have not confirmed this. [4][5][6] FGIDs are common disorders and are reported in almost one-third of the general population. 7,8 Irritable bowel syndrome (IBS) has been reported in approximately 12% of the general population.…”

Section: Functional Gastrointestinal Disorders (Fgids)mentioning

confidence: 99%

“…9 35-60% of patients who were visited in the GI clinic had FGIDs. 5,6 Psychosocial factors may affect the susceptibility to FGIDs and the ability to cope with symptoms. 3 These unexplained disorders are commonly associated with anxiety, depression, and stressful life events.…”

Section: Functional Gastrointestinal Disorders (Fgids)mentioning

confidence: 99%

“…12 Psychiatric disorders are common in medical practice since almost one third of patients may suffer from at least one psychiatric disorder, particularly depressive and anxiety disorders. 5,13 Among patients with FGIDs, the rate of associated psychiatric disorders is more than the normal population. Psychiatric disorders especially depressive and anxiety disorders are reported in 50-90% of patients with IBS who sought treatment.…”

Section: Functional Gastrointestinal Disorders (Fgids)mentioning

confidence: 99%

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COVID-19 Outbreak and its Burden on a New Wave of Functional Gastrointestinal Disorders

Nozari

2021

Middle East J Dig Dis

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The current outbreak of COVID-19 infection among humans is strongly impacting global physical and mental health. This outbreak can induce or exacerbate some chronic disorders such as functional gastrointestinal disorders (FGIDs) due to stress, anxiety, depression, insomnia, denial, anger, and fear. The current focus on the physical aspects of COVID-19 infection may distract public attention from the psychosocial consequences of this outbreak. The mental disorders related to this outbreak may develop and extend FGIDs in the long term. FGIDs have a significant impact on daily activities and quality of life and also cause high economic burdens through direct medical costs and loss of productivity. The purpose of this mini-review was to emphasize the critical state of old and new cases of FGIDs during the COVID-19 outbreak. Published English papers about mental health disorders related to the COVID19 outbreak or before the infectious outbreak, stress, and FGIDs were considered and reviewed. We selected articles which were current and had the most relevance to FGIDs, psycho-somatization, and infectious outbreak.

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“…According to the definition provided in the text of "Diagnostic and Statistical Manual of Mental Disorder", physical signs and symptoms are also the components main components (2), and the higher the severity of physical symptoms, the higher the prevalence of psychological problems (3). As a result, disorders in psychological factors can lead to certain diseases and intensify certain medical conditions (4). Psychosomatic disorder, which represents meaningful psychological events, is closely related to its physical symptoms.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of integrative therapy on distress and psychosomatic symptoms in female patients with gastrointestinal dysfunction with type D personality

Bajestani

Shahabizadeh

Vaziri

et al. 2022

J Shahrekord Univ Med Sci

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Background and aims: Anxiety disorders and psychological manifestations play significant roles in the incidence of psychosomatic disorders. Moreover, personality traits are one of the psychological constructs associated with psychosomatic symptoms. The purpose of this study was to determine the effectiveness of integrative therapy on distress and psychosomatic symptoms in female patients with gastrointestinal dysfunction with type D personality. Methods: The present study was semi-experimental with a pre-test, post-test, and follow-up design with a control group. The statistical population in this study included all the patients with functional gastrointestinal disorders who referred to the Institute of Psychology Hamdam Hamrah in 2020, 24 patients were selected by targeted sampling method (patients with gastrointestinal dysfunction, apart from the gastrointestinal cancer patients, who had a high de-personality score) and were randomly divided into two groups of experimental and control with 12 patients in each group. Data were obtained using the type D personality scale (DS-14), ROME III questionnaire, psychological distress scale, and depression anxiety stress scale-21 (DASS-21). Data analysis was performed using repeated measure analysis of variance by SPSS version 22. Results: Descriptive findings of psychological distress variables were obtained in the experimental group in the pre-test (40.08±7.75), post-test (.25±7.59), and follow-up (28.33±6.45). Furthermore, descriptive findings psychosomatic symptoms were obtained in the pre-test (49.17±15.65), post-test (42.25±10.36), and follow-up sessions (40.33±9.28), showing a decrease in the values of these variables in post-test and follow-up sessions. The results indicated that integrative therapy was effective in decreasing distress (P<0.001) and psychosomatic symptoms (P<0.001) in female patients with gastrointestinal dysfunction with type D personality. Conclusion: It can be concluded that integrative therapy effectively reduces distress and psychosomatic symptoms of female patients with gastrointestinal dysfunction with type D personality and improves psychological problems in female patients with gastrointestinal dysfunction.

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A review of functional gastrointestinal disorders: A primer for mental health professionals

Cited by 10 publications

References 6 publications

Gastrointestinal symptoms following treatment for anorexia nervosa: A systematic literature review

Gastrointestinal symptoms following treatment for anorexia nervosa: A systematic literature review

COVID-19 Outbreak and its Burden on a New Wave of Functional Gastrointestinal Disorders

Effectiveness of integrative therapy on distress and psychosomatic symptoms in female patients with gastrointestinal dysfunction with type D personality

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