Gut feelings 1. Mind, mood and gut in irritable bowel syndrome: approaches to psychiatric care

Australas Psychiatry. 2015 Aug;23(4):403-6. doi: 10.1177/1039856215590033. Epub 2015 Jul 6.

Abstract

Objective: Psychiatrists are likely to encounter patients with irritable bowel syndrome (IBS). We aim to provide a clinically-focused summary of psychiatric comorbidities and management.

Conclusions: IBS affects up to 15% of the population. Antidepressants and brief psychotherapy can reduce symptom severity and improve coping. These treatments are effective for patients without comorbid mental illness, as well as those with increased somatisation, health-care seeking and sexual abuse histories.

Keywords: depression; irritable bowel syndrome; mental health; psychiatry; psychotherapy.

Publication types

  • Review

MeSH terms

  • Antidepressive Agents / therapeutic use*
  • Comorbidity*
  • Humans
  • Irritable Bowel Syndrome / epidemiology
  • Irritable Bowel Syndrome / therapy*
  • Mental Disorders / epidemiology
  • Mental Disorders / therapy*
  • Psychotherapy, Brief / methods*

Substances

  • Antidepressive Agents