2021 Volume 61 Issue 4 Pages 321-329
The dynamic psychotherapy for irritable bowel syndrome (IBS) assumes that interpersonal conflict is the cause of the symptoms and aims to gain insight from its relationship with affect and abdominal symptoms. Various effect measurements and practical studies have been conducted to date, and while these indicate that if the treatment is successful, not only will the symptoms improve, but it could also have a positive impact on overall daily living and the person's life, there are such issues as this is highly individualistic, the treatment takes a long time, and the reproducibility is poor. In addition, a certain amount of evidence has already been generated by a variety of techniques for stress management and this is being utilized in daily clinical practice. Assessments are being conducted based on psychological stress models with the aim of modifying the factors that can buffer stress. Specifically, correction of cognitive distortion specific to IBS, expanding the coping repertory, and relaxation techniques are applied matching the characteristics of the patients. In addition, when necessary, these should be combined with lifestyle habit improvement, social support activities, dietary guidance, etc.
