Stress, Resilience, and the Brain-Gut Axis: Why is Psychogastroenterology Important for all Digestive Disorders?

Sarah Ballou; Jordyn H Feingold

doi:10.1016/j.gtc.2022.07.001

Stress, Resilience, and the Brain-Gut Axis: Why is Psychogastroenterology Important for all Digestive Disorders?

Gastroenterol Clin North Am. 2022 Dec;51(4):697-709. doi: 10.1016/j.gtc.2022.07.001. Epub 2022 Oct 20.

Authors

Sarah Ballou¹, Jordyn H Feingold²

Affiliations

¹ Division of Gastroenterology, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Dana 501, Boston, MA 02215, USA. Electronic address: sballou@bidmc.harvard.edu.
² Department of Psychiatry, Icahn School of Medicine at Mount Sinai, 1468 Madison Avenue, 4th floor, New York, NY 10128, USA. Electronic address: https://twitter.com/@Jordynfeingold.

PMID: 36375990
DOI: 10.1016/j.gtc.2022.07.001

Abstract

In this review article, we show that stress and resilience play an integral role in the brain-gut axis and are critical to symptom expression across all digestive disorders. The relationship between stress, coping, and resilience provides a mechanistic basis for brain-gut behavior therapies. Psychogastroenterology is the field best equipped to translate and mitigate these constructs as part of patient care across all digestive disorders.

Keywords: Disorders of gut–brain interaction (DGBI); Gastroenterology; Organic disorders; Psychogastroenterology; Psychology.

Publication types

Review

MeSH terms

Behavior Therapy
Brain
Brain-Gut Axis*
Digestive System Diseases*
Humans