ABSTRACT
Irritable bowel syndrome is a functional disease with highly variable symptoms and difficult to diagnose. The clinical picture is fundamental to reach a correct diagnosis and discard other gastrointestinal diseases. Its etiology is not well known; psychological problems and stress probably play an important role in the development of the disease. Irritable bowel syndrome impairs the quality of life of patients and is a frequent cause of consultation in primary care. Its therapy is basically symptomatic and requires psychological support. The physician must warn his/her patients that immediate results are rarely obtained and that a prolonged clinical follow up may be necessary
Subject(s)
Humans , Colonic Diseases, Functional/diagnosis , Psychophysiologic Disorders/diagnosis , Psychotherapy , Colonic Diseases, Functional/physiopathology , Colonic Diseases, Functional/psychology , Colonic Diseases, Functional/therapy , Clinical Diagnosis , Signs and SymptomsABSTRACT
Exercícios clínico-patológicos do Centro Médico e Cirúrgico - CMC - do Instituto de Gastroenterologia de Säo Paulo - IGESP e do Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia - IBEPEGE, discutidos segundo a Psicologia médica, visäo sócio-psicossomática. Organizaçäo de José Fernandes Pontes
Subject(s)
Humans , Middle Aged , Female , Colonic Diseases, Functional/psychology , Psychophysiologic Disorders/therapy , Psychotherapy , Physician-Patient RelationsABSTRACT
O tratamento para a sindrome de colon irritavel atraves da terapia cognitivo-comportamental tem sido considerado eficaz por estudos metodologicos controlados , implicando a reducao dos sintomas intestinais e pscologicos, promovendo a aquisicao de...
Subject(s)
Humans , Behavior Therapy , Cognitive Behavioral Therapy , Colonic Diseases, Functional/psychology , Psychophysiologic Disorders/psychologyABSTRACT
El análisis del contenido de la expresión verbal de un grupo de pacientes ulcerosos (n=9) y de un grupo de pacientes diagnosticados como colon irritable (n=11) de edad, sexo y estrato social comparable, no revela diferencias significativas en la comunicación afectiva durante una entrevista semiestandarizada. El análisis factorial de distintas variables psicométricas no identifica factores idénticos en lambas muestras, si bien los pacientes ulcerosos exhiben mayor intensidad en la variable alexitimia. Estos datos se interpretan en el contexto de diferencias esperables entre pacientes "funcionales" y "psicosomáticos". Se discute la ventaja de un análisis multivariado en la delimitación nosológica de entidades clínicas