• Title/Summary/Keyword: 과민성 대장증후군

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The Review for the Etiology of Irritable Bowel Syndrome : A Comprehension and Limitation of the Biopsychosocial Model (과민성 대장증후군의 병인론에 대한 고찰: 생물정신사회 모델의 이해와 한계)

  • Choi, Young-Rak;Lee, Sang-Ick;Kim, Sie-Kyeong
    • Korean Journal of Psychosomatic Medicine
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    • v.13 no.1
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    • pp.3-15
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    • 2005
  • Objectives The author aimed to investigate and understand the limitations of the biopsychosocial model for irritable bowel syndrome by reviewing the priorly reported etiologies in patients with irritable bowel syndrome(IBS). Methods The author reviewed all possible previous studies related to the investigation regarding IBS in the Pub-med & Kisep database from 1977 to 2003. Results : It was impossible that patients with IBS were diagnosed and traced to a single etiology. So, the biopsychosocial model was suggested to be a new paradigm for IBS. Biological, psychological and social factors are interplaying and contributing to the biopsychosocial model affecting each other, thus affecting the biopsychosocial model. Three factors were necessary for understanding the etiology, process of symptoms and clinical outcome of IBS by virtue of their key roles in the developing, precipitating and perpetuating of the illness. However, any treatment application for those three factors faces many obstacles to be overcome. Conclusion : The biopsychosocial model contributed relatively much to the explanation but little to the treatment application of patients with IBS. Therefore, because there seems to be little practical use at present, the author believes biopsychosocial aspects should be researched further.

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Effects of Acceptance and Commitment Therapy(ACT) on IBS-Symptoms, Stress, Quality of Life, and Acceptance-Action of People with Irritable Bowel Syndrome (수용전념치료가 과민성대장증후군(IBS)이 있는 사람들의 IBS 증상, 스트레스, 삶의 질 및 수용 행동에 미치는 효과)

  • Jo, MinKyeong;Son, ChongNak
    • Journal of Digital Convergence
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    • v.16 no.11
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    • pp.501-509
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    • 2018
  • The purpose of this study is to explore the effects of acceptance and commitment Therapy(ACT) on IBS-symptoms, stress, quality of life, and acceptance-action of people with irritable bowel syndrome(IBS). After 156 adults completed Rome III Adult Questionnaire, Fourteen participants selected to 7 in ACT group and 7 in the control group. All participants completed IBS Severity Scale, K-IBS-QOL, Acceptance & Action Questionnaire-16 at the pre-test, post-test, and the 4 weeks follow-up. The ACT programme was administered for 10 sessions. Dedicated people who participated in the study were 6 in ACT group, and 6 in the control group. As a result, ACT has positive effects on the change of perceived stress, quality of life, and acceptance-action, while has not on IBS-symptoms. This study suggest empirical evidence to prove that the ACT is effective in reducing stress and improving quality of life, and acceptance-action of IBS peoples. However, The study has only few participants and thus has limitations.

프로바이오틱 Lactobacillus rhamnosus GG가 포함된 발효유 '퓨어$^{(R)}$'의 섭취가 과민성 대장 증후군에 미치는 효과

  • Kim, Se-Heon
    • Food Science and Industry
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    • v.44 no.1
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    • pp.69-71
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    • 2011
  • 프로바이오틱스(Probiotics)는 적정량 섭취 시 장내 균총의 유지 및 균형을 맞추어 장의 항상성 유지에 도움을 주는 등 인체의 유용한 작용을 하는 균이다. 주로 유제품에 많이 포함 되어있으며 다양한 국가에서 오래 전부터 섭취되어 왔다. 특히, Lactobacillus는 가장 많이 연구된 probiotic 중 하나로 100개 이상의 종으로 구성되어 있으며, 다양한 연구를 통해 Lactobacillus는 단지 식품으로의 역할 뿐만이 아닌 장 질환에 관련한 그 작용이 밝혀져 왔다. 본 총설에서는 프로바이오틱 Lactobacillus rhamnosus GG가 여러 장질환에 미치는 영향과 Lactobacillus rhamnosus GG 포함된 발효유 '퓨어'의 섭취가 과민성 대장증후군에 미치는 효과에 대해 논의하였다.

최신 의학정보 - 배가 아픈 건 '장'의 문제? 복통 위치에 따라 처방법도 다르다

  • Min, Yeong-Il
    • 건강소식
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    • v.36 no.12
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    • pp.44-45
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    • 2012
  • 복통은 말 그대로 '배가 아픈 것'을 말하며, 한 번쯤 겪어보지 않은 사람이 없을 만큼 흔한 증상이다. 복통은 흔한 만큼 그 원인도 다양하다. 소화불량, 역류성 식도염, 과민성 대장증후군, 간염, 위궤양 등 비교적 널리 알려진 질병도 있지만 크론병, 게실염 등 일반에게는 생소한 질병도 있다.

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MMPI of Out-Patients with Irritable Bowel Syndrome (과민성 대장증후군 내원환자의 MMPI 군집분석)

  • Park, Keon-Young;Cho, Sun-Mi;Chung, Young-Ki
    • Korean Journal of Psychosomatic Medicine
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    • v.4 no.1
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    • pp.54-63
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    • 1996
  • In this cluster analysis of out-patients with irritable bowel syndrome (IBS) we described the psychological features and personality patterns of these patients. The Minnesota Multiphasic Personality Inventory (MMPI) was administered to 29 IBS patients who received treatment in the gastroenterology department of Ajou University Hospital to produce individual profiles for each patient. The 29 profiles with 13 standard scales, 15 content scales and 11 personality scales were subjected to cluster analysis resulting in three clusters of the original sample. Titles used to describe the psychological features and personality patterns seen in the three clusters included : (1) depression and anxiety : (2) somatization and denial of affect ; (3) anger overcontrol. Future studies on the treatment of IBS patients may well consider these features, as IBS patients have different psychological patterns.

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A clinical case study of Irritable bowel syndrome patient with chronic diarrhea (만성설사를 주소로 한 과민성 대장증후군 환자의 치험례)

  • Kim, Kyung-sok;Lee, Sang-yong;Kim, Jae-hoon;Kwon, Do-ick
    • Journal of Sasang Constitutional Medicine
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    • v.13 no.3
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    • pp.134-139
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    • 2001
  • The irritable bowel syndrome(IBS) is the most common gastrointestinal disorder in clinical practice and is characterized by abdominal pain associated with a chronic disturbance of defecation. It is important to discriminate IBS from organic bowel disease. Based on clinical and epidemiologic studies, specific symptom criteria for IBS have been developed. The subject is a 29 year old man who has abdominal pain, chronic diarrhea, general weakness, dizziness, insomnia and has been diagnosed as irritable bowel syndrome. We classified this as Shaoyangin Mangyin(少陽人 亡陰證) and prescribed Hyeongbangjiwhangtang(荊防地黃湯) in accordance with the principle of pyoeumganggi(表陰降氣). In the result, we had the improvement of his symptoms.

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The Relationship of Eating Habits and Trigger Foods to Symptom Severity of Irritable Bowel Syndrome (과민대장증후군 환자의 증상의 중증도와 식습관 및 증상유발식품과의 관련성)

  • Back, Juyeon;Jun, Sang-Eun
    • Journal of Korean Biological Nursing Science
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    • v.17 no.4
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    • pp.297-305
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    • 2015
  • Purpose: The purpose of this study was to investigate eating habits and the frequency of trigger-food consumption in patients with irritable bowel syndrome (IBS) and to examine the associations of these variables with IBS symptom severity. Methods: We included 145 ROME III-positive IBS patients (mean age 31.2 years, 73.8% of female). Subjects completed an eating-habits and food-consumption questionnaire, IBS-Symptom Severity Scale (IBS-SSS) and Brief Symptom Inventory-18 (BSI-18) for psychological distress. Results: Subjects with unhealthy eating-habits such as irregular meal times, frequently eating out and overeating tended to show higher IBS symptom severity. The severity of IBS symptoms related to the frequency of the consumption of trigger foods. Subjects who ate trigger-foods (i.e., tofu, beans, almonds, and peanuts) less frequently showed higher IBS symptom severity (p=.045, .042, .016, and .019, respectively). However, subjects who ate spicy foods, instant foods, and noodles more frequently experienced more severe IBS symptoms (p=.018, .011, and .023 respectively). Conclusion: This study showed that IBS symptom severity was related to meal intake patterns and frequency of trigger food consumption. These findings could provide a basis for developing an intervention program for IBS patients.