Gastrointestinal disorders

Question 1

Organic gastrointestinal disorder

Answer 1

chron-disease

peptic ulcer and clots were features in the psychosomatic literature

Question 2

Functional gastrointestinal disorders

Answer 2

Psychological factors have a strong influence on these disorders

IBS

Question 3

Peptic ulcer

Answer 3

When the stomach wall is damaged due to the acid it contains.

most ulcers relapse without specific therapy.

Question 4

Etiology + peptic ulcer

Answer 4

Multifactorial (genetic + environment)
- genetic: runs in family, particularly among type 0 blood.

• environment: bacterial agent, cigarette smoking, skipping breakfast, disturbance of circadian rhythms, high alcohol consumption

Stress!

Question 5

Ulcer and psychiatric disorders (Goodwin)

Answer 5

Goodwin et al

Anxiety disorders are associated with significantly increased prevalence of physician-diagnosed ulcer among adults

Question 6

Confounding variables between ulcer and stress

Answer 6

SES: poverty is an obvious source of stress

Medical illness: painful medical conditions such as headache common source of distress that could indirectly cause ulcer

Question 7

Inflammatory Bowel Diseases (IBD)

Answer 7

Refers to Ulcerative colitis and chron´s disease

Question 8

Chrons disease

Answer 8

Can involve the whole digestive system (from gum to gut)

Symptom: pain, obstruction, malnutrition

Question 9

Ulcerative colitis

Answer 9

Involves only the large intestine

Symptom: bloody diarrhea

Question 10

Primary and secondary control enhancement therapy-physical illnesses (PASCET-PI)

Answer 10

focuses on teaching skills to improve cognitions and behaviors related to IBD.

Study: showed significantly greater improvement in children post treatment than the comparison group. so, it may be an efficient intervention.