1st Edition

Psychogastroenterology for Adults A Handbook for Mental Health Professionals

    372 Pages
    by Routledge

    372 Pages
    by Routledge

    The brain-gut connection has been increasingly implicated in biopsychosocial well-being. While there are numerous factors that directly and indirectly impact on how the gut and the brain interact, there is a growing awareness that gastrointestinal conditions need to be viewed and treated as part of a multidisciplinary approach. Psychogastroenterology for Adults: A Handbook for Mental Health Professionals is the first book to provide mental health professionals with an evidence-based, practical guide for working with patients living with gastrointestinal conditions.

    Timely and accessibly written, this book provides a unique, comprehensive introduction to psychogastroenterology, offering a step-by-step guide to evidence-based psychological treatment protocols. Broad in scope and expertise, the book is divided into four parts. It opens with an overview of the field, moving on to outline psychological concerns and conditions in gastroenterological (GI) cohorts. Further, it covers various approaches to psychogastroenterology, including psychopharmacological and eHealth practices. In closing, the book looks to the future, providing guidance on supervision in psychogastroenterology, and exploring challenges in the field.

    Written by experts in the field, this book will be an indispensable resource for those who wish to enhance their knowledge and practice of psychogastroenterology in the mental health profession, including psychologists, psychiatrists, psychosomatic medicine specialists, nurses and social workers.

    Foreword by William E. Whitehead; Part 1: Introduction to gastrointestinal physiology and conditions, the brain-gut axis, and working within health care teams;  Chapter 1: The gastrointestinal tract: A brief introduction to healthy digestion by Dr Christopher F.D Li Wan Suen and Dr Peter De Cruz;  Chapter 2: The upper gastrointestinal tract, common conditions and recommended treatments by Professor Geoff Hebbard;  Chapter 3: The lower gastrointestinal tract, common conditions and recommended treatments by Dr Rebecca Burgell and Dr Bei Ye;  Chapter 4: Gastroenterological cancers and stomas by Professor Timothy Pearman and Dr Elizabeth L. Addington; Chapter 5: Stress and the brain-gut axis across the spectrum of digestive disorders by Dr Gregory Sayuk;  Chapter 6: Working with gastroenterologists, health administrators, and other members of the gastrointestinal and allied health care team by Dr Sarah W. Kinsinger; Part Two: Psychological concerns and conditions in gastroenterological cohorts; Chapter 7: Common gastrointestinal investigations and psychological concerns by Dr Tuan Duong and Professor Jane M. Andrews;  Chapter 8: Common psychological issues in gastrointestinal conditions by Associate Professor Antonina Mikocka-Walus, Ms Catherine Emerson, Dr Lisa Olive and Dr Simon R. Knowles;  Chapter 9: Working with complex patients with gastrointestinal and psychological concerns Dr Emily Edlynn and Dr Tiffany Taft; Part Three: Psychological, psychopharmacological, and eHealth approaches in psychogastroenterology; Chapter 10: Psychological assessment, formulation, and intervention planning in gastrointestinal cohorts with psychological issues by Dr Philip Keightley and Dr Simon R. Knowles;  Chapter 11: Promoting change in psychological and gastrointestinal conditions - motivational interviewing (MI) by Dr Daron A. Watts, Dr Hans R Watson and Professor Terry L. Correll;  Chapter 12: Promoting change in gastrointestinal conditions - Solution-Focused Brief Therapy (SFBT) by Assistant Professor Anne Lutz and Dr Christiaan van Woerden;  Chapter 13: Stress management and mindfulness-based stress reduction (MBSR) approaches to gastrointestinal conditions by Anjali U Pandit and Dr Sarah Ballou;  Chapter 14: Cognitive behavioural therapy (CBT) approaches to gastrointestinal conditions by Ms Karen J. Conlon and Associate Professor Laurie Keefer;  Chapter 15: Hypnosis approaches to gastrointestinal conditions by Dr Megan E. Riehl;  Chapter 16: Psychodynamic-interpersonal therapy (PIT) approaches to gastrointestinal conditions by Professor Elspeth Guthrie;  Chapter 17: Emerging approaches - acceptance and commitment therapy (ACT) approaches to gastrointestinal conditions by Associate Professor Nuno Ferreira;  Chapter 18: Behavioural approaches to managing substance-related problems in gastrointestinal conditions by Professor Eva Szigethy and Dr Trent Emerick;  Chapter 19: Psychopharmacology in gastrointestinal cohorts by Ms Elspeth Carruthers and Dr Juilan Stern;  Chapter 20: The role of eHealth in psychogastroenterology by Dr Andrew McCombie and Dr Simon R. Knowles; Part 4: Supervision and future challenges in psychogastroenterology; Chapter 21: Supervision and future challenges in psychogastroenterology by Dr Simon R Knowles, Associate Professor Laurie Keefer and Associate Professor Antonina Mikocka-Walus;  References; Index


    Dr Simon R. Knowles is a Senior Lecturer and Clinical Psychologist based at Swinburne University of Technology, Melbourne. His clinical and research interests relate to the biological and psychological interactions of GI conditions and the brain-gut axis. Dr Knowles has published over 90 articles/book chapters and developed several free online psychological resilience programs for GI conditions.

    Dr Laurie Keefer is a GI Psychologist and Associate Professor of Medicine at the Icahn School of Medicine in NYC. She studies resilience, self-efficacy and optimism in the management of complex GI conditions. She has published over 100 papers and serves on the Board of Directors for the Rome Foundation.

    Dr Antonina A. Mikocka-Walus is a GI Psychologist and Associate Professor in Health Psychology at Deakin University, Melbourne. She has published over 100 research papers/book chapters. Her interdisciplinary research has contributed to the recent guidelines on the management of inflammatory bowel disease in Australia, North America and Europe.

    "The brain-gut axis is one of the most important clinical advances within the field of gastroenterology. This understanding involves more than just knowledge of the GI tract. Drs. Knowles, Keefer and Mikocka-Walus are the thought leaders who have developed the burgeoning field of Psychogastroenterology and their qualifications to communicate this growing body of knowledge is well demonstrated in this highly informative and innovative book. I highly recommend Psychogastroenterology as a resource to behavioural scientists, clinicians and physicians working in the field of GI disorders."- Professor Emeritus Douglas A. Drossman, MD, AGAF; President of the Rome Foundation; Professor Emeritus of Medicine and Psychiatry; Center for Functional GI Disorders, University of North Carolina at Chapel Hill, United States of America

    "Brain-gut (or gut-brain) disorders are extremely common affecting up to one in three people globally. Frequently these chronic gut disorders are accompanied by anxiety or depression, and they are often highly morbid impacting quality of life, relationships, work and sleep. Mental health professionals play a very important role in management but in my experience many clinicians struggle to identify a local mental health professional to refer to, because relatively few have specifically trained in or have a special interest in the field despite the high disease burden. This outstanding handbook, edited by three leading experts in the field, is therefore very timely, and provides an excellent and practical users guide for not only mental health professionals but also others who deliver health care to patients with gut disorders including specialists and general practitioners." - Laureate Professor Nicholas J. Talley, AC, MBBS (Hons.) (NSW), MD (NSW), PhD (Syd), MMedSci (Clin Epi)(Newc.), FRACP, FAFPHM, FAHMS, FRCP (Lond. & Edin.), FACP, FACG, AGAF, FAMS, FRCPI (Hon), GAICD; Pro Vice-Chancellor, Global Research, University of Newcastle, Australia; Editor-in-Chief, Medical Journal of Australia; Senior Staff Specialist, John Hunter Hospital, Newcastle, Australia; Director, Priority Research Centre for Digestive Health and Neurogastroenterology, University of Newcastle, Australia; Professor of Medicine and Professor of Epidemiology, Mayo Clinic, Rochester, MN, USA; Adjunct Professor, University of North Carolina, NC, USA; Foreign Guest Professor, Karolinska Institutet, Stockholm, Sweden

    "Every human being, healthy or otherwise, knows from personal experience that there is a link between what is going in their head and the state of their gastrointestinal system. Consequently, it is extraordinary that the potential for this link to be a therapeutic target has been largely ignored until relatively recently. Furthermore, when a modality such as hypnotherapy is deployed against this link, it is often dismissed as quackery or some form of placebo effect. The care of patients with gastrointestinal disorders requires a team effort from clinicians, dieticians, physiologists and preferably psychologists. However, psychologists with a training in gastroenterology are in short supply but hopefully this should change with the advent of a speciality called psychogastroenterology. This book will provide those individuals wanting to go into this exciting area with a first-class grounding on the subject with the bonus of also giving them an insight into the structure of the gastrointestinal system as well as how it works. Consequently, this book is essential reading for anybody interested in the subject of psychogastroenterology." - Professor Peter J. Whorwell, BSc, MD, PhD, FRCP; Professor of Medicine and Gastroenterology, University of Manchester; Director of the Neurogastroenterology Unit, Wythenshawe Hospital, Manchester, United Kingdom

    "Dr’s Knowles, Keefer, and Mikocka-Walus have brought together a group of world experts in Psychogastroenterology who share their tricks of the trade. A necessary read for all interested in utlilising the brain-gut strategies to treat gastrointestinal conditions and associated psychological distress." - Professor Silvio Danese, MD, PhD; Head, IBD Center, Department of Gastroenterology Istituto Clinico Humanitas​, and President of the European Crohn's and Colitis Organisation, Vienna, Austria

    "Many physicians find patients with gastrointestinal disorders to be challenging and yes, at times exasperating. However, some derive great satisfaction from working together with these patients to improve their lives. These physicians are also aware of the critical importance of psychogastroenterology, which is why this excellent compendium edited by Drs. Knowles, Keefer, and Mikocka-Walus is essential reading for mental health professionals, but also to all physicians who treat these patients, regardless of their specialization." - Professor Ami D. Sperber, MD, MSPH, AGAF; Professor Emeritus of Medicine; Member, Rome Foundation Board of Directors; Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel

    "There is increasing evidence of the importance of the brain-gut axis in gastrointestinal disease and gastrointestinal symptoms. Clinicians caring for persons with gastrointestinal disorders have increasingly recognized the responsibility they have to inquire as to patients’ mental health status and the need to incorporate mental health disease management in their overall treatment plans. Knowles, Keefer and Mikocka-Walus have recognized the need for greater discussion and management advice for mental health professionals in the field of gastrointestinal diseases as they are increasingly called upon to participate in the care of these patients. Knowles, Keefer and Mikocka-Walus have assembled a superb handbook with an acclaimed international roster of authors that meticulously reviews the management of mental health disorders in gastrointestinal diseases." - Professor Charles N Bernstein, MD, FRCPC; Distinguished Professor of Medicine; Director, University of Manitoba IBD Clinical and Research Centre; Bingham Chair in Gastroenterology, Winnipeg, Canada

    "I highly recommend this ground-breaking and comprehensive practical guide to psychogastroenterology to any mental health professional treating adults with gastrointestinal health problems. It is an essential resource in this clinical domain, and one that is highly readable, amazingly broad in scope, and admirably grounded in current empirical knowledge. Filled with innumerable pearls of wisdom, illustrations, pragmatic tips, forms, reference tables, and handouts, this is not a book you will read once and then put aside, but rather one that you will want to keep within reach for guidance in your everyday clinical practice."- Professor Olafur S. Palsson, Psy.D.; Professor of Medicine, University of North Carolina at Chapel Hill, United States of America

    "This is a must-have go-to resource for health professionals providing psychological care for those with gastrointestinal illnesses. The medical background on GI conditions ranging from dyspepsia to IBD and colon cancer sets the stage for the evidence-based guidance on relevant psychological treatments.  Practical and informative, the book is a superb entrance into the world of psychogastroenterology." - Professor Lesley Graff, PhD, CPsych; Professor & Head, Clinical Health Psychology Department, Max Rady College of Medicine University of Manitoba & Medical Director, Clinical Health Psychology Program Winnipeg Regional Health Authority Canada, Winnipeg, Canada