Psychophysiologische Aspekte der gastroösophagealen Refluxkrankheit

Zusammenfassung

Bekannt ist, dass physiologische und psychologische Aspekte bei unterschiedlichen gastrointestinalen Erkrankungen, auch bei ösophagealen Symptomen, relevant miteinander interagieren können. Aufgrund dieser Interaktion liegen interdisziplinäre Therapiekonzepte vor, um verschiedene gastrointestinale Krankheitsbilder ganzheitlich behandeln zu können. Die Wirkungsweise psychologischer Faktoren bei der gastroösophagealen Refluxkrankheit ist hingegen großteils unklar und nicht eindeutig. Der vorliegende Artikel bietet einen Überblick bezüglich der pathophysiologischen Ursachen, möglicher psychophysiologischer Zusammenhänge und medizinischer sowie etwaiger psychologischer Behandlungskonzepte der gastroösophagealen Refluxkrankheit.

Abstract

It is well known that there is an interaction between physiological and psychological aspects of gastrointestinal diseases, also in esophageal symptoms. Based on this bio-psycho-social interaction, several multidisciplinary concepts of interventions in gastrointestinal disorders have been evaluated. The role of psychological factors in gastroesophageal reflux disease (GERD) is really unknown. The present article reviews the basic pathophysiological factors of GERD including psycho-physiological aspects and presents potential concepts of multidisciplinary GERD treatment.

Key words

Gastroesophageal reflux disease - Psychology - Psychophysiology - Review

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