ABSTRACT
Gastroesophageal reflux disease [GERD] is one of the most common gastrointestinal diseases related to the psychological status of the patient. The aim of this study is to assess the relation of GERD with general psychological wellbeing [GPWB]. This population study was performed among adult residents of Tehran, Iran in 2013. We invited high school and university educated healthy appearing subjects who were members of a health surveillance study in district number 11 of Tehran to reply to the GPWB query. Participants were divided into two groups, GERD patients and controls. We compared the dimensions of GPWB among these two groups. A total of 135 persons with a mean age of 35.5 +/- 13 years were recruited for study participation. Approximately 30% of men and 23% of women had at least weekly GERD symptoms. Anxiety was significantly more common among GERD patients than controls. General health and positive well-being were significantly impaired among GERD patients. Assessment of self-representation of wellbeing and distress in GERD patients and consideration of new, relevant therapeutic avenues are important for the control of GERD
ABSTRACT
Irritable bowel syndrome [IBS] is one of the most common causes of abdominal pain, diarrhea, and constipation. This disorder results in numerous clinic visits. IBS is a health problem with a high social and economic burden due to the lack of an effective treatment. Its etiology consists of biological, psychological and social factors. There is increasing evidence that psychotherapy, in particular cognitive behavioral therapy [CBT] which is a type of self-management intervention, can significantly improve IBS symptoms and disability compared to common medical treatment. Changes to cognition rather than mood and changing the negative perception of IBS patients appears to be a particularly important treatment mechanism. In this study we review current and emerging CBT and its efficacy in IBS patients