OBJECTIVES: To review and examine the clinical and research literature on @entity1744 ( @entity1744 ) with a view to establishing the role that psychiatric factors play in the pathogenesis and treatment of this syndrome. RESULTS: Comorbid @entity146 is common with @entity1744 , yet only a small proportion of these @entity1 seek medical attention. Many @entity1 are either satisfied by reassurance or experience symptom relief from medical treatment directed at target symptoms. A small group of @entity1 do not experience much relief, and it is largely this group who come to the psychiatrist's attention. Psychotropic medication is helpful when clinically indicated, and tricyclic antidepressants in small doses (for example, 50 mg) may be helpful for those @entity1 with a @entity1744 . Psychotherapy (including cognitive, behavioural, relaxation, thermal-biofeedback, insight-oriented therapy, and hypnosis) has been shown to provide relief, although it has often been difficult to differentiate this improvement from a placebo response. CONCLUSIONS: The group of @entity1 with "refractory @entity1744 " used a large amount of health care resources in an attempt to find relief to their distress. Further study is needed to gain a better understanding of which component of psychotherapy is most cost-effective and which @entity1 are most likely to benefit. The large group of those who admit to symptoms compatible with @entity1744 but who do not seek medical attention has to a large extent been excluded from most studies. Exploring this group may provide further insight into this perplexing syndrome.

A biopsychosocial understanding of the XXXX : a review.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1744 :: ('MESH:D043183', 'Disease') :: ['pain-predominant pattern of IBS', 'irritable bowel syndrome', 'IBS'] @entity146 :: ('MESH:D001523', 'Disease') :: ['psychiatric illness']
@entity1744 :: (MESH:D043183,Disease) :: ['irritable bowel syndrome']
