Cognitive therapy in functional dyspepsia

摘要

There is a strong relationship between functional dyspepsia (FD) and psychiatric symptoms like anxiety and depression, and this indicates that psychological therapy could be beneficial for these patients, In cognitive therapy, the goal is to help the patients develop better coping strategies Cognitive therapy attempts to change dysfunctional thoughts and behavior by cognitive restructuring, behavioral monitoring and role-playing, Method: In this study, patients with FD were randomized to cognitive therapy (10 sessions of 45-50 min) or to a control group. Results: The therapy group had a greater reduction than the controls in dyspeptic symptoms at the end of therapy and at 1 year follow-up. The therapy focused on "target complaints" defined by the patients themselves before the start of therapy, and there was a greater reduction in scores on "target complaints" in the therapy group than in the control group at the end of treatment and at follow-up. Conclusion: Cognitive therapy seems to be effective inreducing symptoms in patients with FD.