title: [Irritable bowel syndrome: the challenge to psychosomatic and internal medical specialists to collaborate closely].
abstract: The irritable bowel syndrome is a ubiquitous disease that usually exhibits a close affinity to the group of somatoform disorders. Chronic cases in particular often suffer from psychological disturbances, and consult numerous different medical, mainly internistic-gastroenterological, treatment centers, not infrequently with no lasting success. Although the importance of gastroenterological pathophysiological aspects is beyond doubt, an early interdisciplinary diagnostic work-up--with explicit involvement of the psychosomatic-psychotherapeutic specialty--is urgently recommended. Against the background of moderate concomitant medication, a psychosomatic-psychotherapeutic treatment regimen has proven successful.
authors.affiliation: Institut und Poliklinik für Psychosomatische Medizin, Psychotherapie und Medizinische Psychologie, TU München. h.guendel@lrz.tu-muenchen.de
authors.forename: H
authors.initials: H
authors.lastname: Gündel
authors.forename: M
authors.initials: M
authors.lastname: Storr
mesh_terms: D000928:Antidepressive Agents / Q000627:therapeutic use; D018680:Cholinergic Antagonists / Q000627:therapeutic use; D006801:Humans; D043183:Irritable Bowel Syndrome / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology / Q000523:psychology / Q000628:therapy; D010276:Parasympatholytics / Q000627:therapeutic use; D011446:Prospective Studies; D011613:Psychotherapy; D012307:Risk Factors
chemical_list: D000928:Antidepressive Agents; D018680:Cholinergic Antagonists; D010276:Parasympatholytics