A case of irritable bowel syndrome that illustrates the biopsychosocial model of illness

Author(s):  
Doug Drossman

This chapter illustrates how the biopsychosocial model might work within the context of medical practice. It discusses its relevance to research using a case study as an example of the role of clinical care in developing research strategies for applying psychosocial principles. It argues that individual illnesses are a legitimate area of research into the biopsychosocial model.

CNS Spectrums ◽  
1999 ◽  
Vol 4 (4) ◽  
pp. 19-30
Author(s):  
Bradley N. Gaynes ◽  
Douglas A. Drossman

AbstractIrritable bowel syndrome (IBS), a condition common in the health-care setting, can be especially challenging to manage for both the referring physician and the psychiatrist. Much of this difficulty arises from the understanding and treatment of the disorder from a disease-based biomedical approach rather than a biopsychosocial model. The latter model offers a more effective method to understand the development and clinical expression of IBS, and as a result, directly informs subsequent management. This article defines and describes the epidemiology of IBS, reviews its pathophysiology, identifies the role of psychosocial factors using a biopsychosocial model of IBS, and clarifies the role of the mental health professional in its management. IBS management involves identifying psychiatric comorbidities, assessing the patient's perspective of the role of psychosocial factors, offering psychotherapy directed toward adaptive coping mechanisms, providing psychotropic medication consultation, and engaging in ongoing collaboration with the referring physician.


2012 ◽  
Vol 2012 ◽  
pp. 1-11 ◽  
Author(s):  
Emanuele Sinagra ◽  
Claudia Romano ◽  
Mario Cottone

Irritable bowel syndrome (IBS) accounts for 25% of gastroenterology output practice, making it one of the most common disorders in this practice. Psychological and social factors may affect the development of this chronic disorder. Furthermore, psychiatric symptoms and psychiatric diseases are highly prevalent in this condition, but the approach to treating these is not always straightforward. As emphasized in the biopsychosocial model of IBS, with regard to the modulatory role of stress-related brain-gut interactions and association of the disease with psychological factors and emotional state, it proves useful to encourage psychopharmacological treatments and psychosocial therapies, both aiming at reducing stress perception. The aim of this paper is to analyze the effectiveness of psychopharmacological treatment and psychological interventions on irritable bowel syndrome.


2020 ◽  
Vol 0 (3) ◽  
pp. 29-36
Author(s):  
I. A. Derkach ◽  
A. E. Dorofeyev ◽  
M. M. Rudenko ◽  
G. A. Dorofeyeva ◽  
Yu. Z. Dynia

2016 ◽  
Vol 16 (18) ◽  
pp. 1462-1469 ◽  
Author(s):  
Agata Jarmu| ◽  
Marta Zieli|ska ◽  
Karolina Le| ◽  
Martyna Banaszek ◽  
Martin Storr ◽  
...  

2018 ◽  
Vol 76 (2) ◽  
pp. 111-120 ◽  
Author(s):  
Nicola Principi ◽  
Rita Cozzali ◽  
Edoardo Farinelli ◽  
Andrea Brusaferro ◽  
Susanna Esposito

RSC Advances ◽  
2016 ◽  
Vol 6 (69) ◽  
pp. 64208-64214 ◽  
Author(s):  
Shenglan Yang ◽  
Danfang Deng ◽  
Yingying Luo ◽  
Yanran Wu ◽  
Rui Zhu ◽  
...  

In this study, the alleviating role of hydrogen sulfide (H2S) was investigated in a Post-Infectious Irritable Bowel Syndrome (PI-IBS) murine model and Caco-2 cells.


2011 ◽  
Vol 12 (4) ◽  
pp. 194-200 ◽  
Author(s):  
Shawky A. Fouad ◽  
Maha M.A. Basyoni ◽  
Reham A. Fahmy ◽  
Mohamed H. Kobaisi

2007 ◽  
Vol 69 (1) ◽  
pp. 89-98 ◽  
Author(s):  
Jennifer S. Labus ◽  
Emeran A. Mayer ◽  
Lin Chang ◽  
Roger Bolus ◽  
Bruce D. Naliboff

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