Olden K W
Department of Medicine and Psychiatry, Mayo Clinic Scottsdale, AZ 85259, USA.
Semin Gastrointest Dis. 1999 Jan;10(1):37-45.
Gastroenterology has always been a collaborative specialty. Through the years, gastroenterologists have created important partnerships with pathologists, radiologists, surgeons, gynecologists, and pediatricians. These collaborative relationships have greatly enhanced patient care and research. This article reviews the literature on psychiatric comorbidity in the medical setting and gastroenterology practice in particular. The ability to recognize psychiatric comorbidity and relate it to the patient's presenting gastrointestinal (GI) complaint can pay great dividends for patients. The ability to apply these observations to help facilitate psychiatric collaboration and specifically, to initiate behavioral treatment, represents a new dimension in the care of chronic GI disorders. Finally, the relationship between physical and sexual abuse and GI illness and the usefulness of psychiatric interventions in the treatment of chronic GI disorders is reviewed in detail.
胃肠病学一直是一个需要协作的专业领域。多年来，胃肠病学家与病理学家、放射科医生、外科医生、妇科医生和儿科医生建立了重要的合作关系。这些合作关系极大地改善了患者护理和研究。本文回顾了关于医疗环境中精神疾病共病的文献，特别是胃肠病学实践方面的文献。识别精神疾病共病并将其与患者提出的胃肠道（GI）主诉相关联的能力可为患者带来巨大益处。应用这些观察结果以促进精神科协作，特别是启动行为治疗的能力，代表了慢性胃肠疾病护理的一个新维度。最后，详细回顾了身体和性虐待与胃肠疾病之间的关系以及精神科干预在慢性胃肠疾病治疗中的作用。
