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Mind–Body Interventions in the Care of Functional Gastrointestinal Disorders 

Mind–Body Interventions in the Care of Functional Gastrointestinal Disorders
Chapter:
Mind–Body Interventions in the Care of Functional Gastrointestinal Disorders
Author(s):

Adam Snider

, and Omid Naim

DOI:
10.1093/med/9780190933043.003.0016
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date: 27 July 2021

This chapter reviews the clinical utility of various mind–body interventions (MBIs) in the treatment of functional gastrointestinal disorders (FGID), including cognitive behavioral therapy, mindfulness, yoga, hypnosis, and biofeedback. Chronic or traumatic stress may dysregulate functions of the autonomic nervous system and lead to maladaptive changes in the brain–gut axis. Optimized regulation of the autonomic nervous system improves gastrointestinal function and may be a common factor in various MBIs used to treat stress-related FGID. In recent years, an expansion of randomized controlled trials and meta-analyses has provided additional evidence supporting the use of MBIs in treatment of FGID symptoms and related quality of life. This chapter includes a theoretical discussion of the stress response, the relaxation response, and the role of the mind as a regulatory process. The chapter also addresses practical issues relevant to incorporating MBIs into the treatment of FGID, including the doctor–patient relationship and successful referral to an MBI practice or provider.

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