Number №1, 2022 - page 58-68

Remote psychological assistance for chronic visceral pain associated with irritable bowel syndrome DOI: 10.29188/2712-9217-2022-8-1-58-68

For citation: Melehin A.I. Remote psychological assistance for chronic visceral pain associated with irritable bowel syndrome. Russian Journal of Telemedicine and E-Health 2022;8(1)58-68;
  • Melehin A.I. – psychologist, psychotherapist, PhD in Psychology, candidate of psychological Sciences, associate Professor, clinical psychologist of the highest qualification category, somnologist, cognitive behavioral psychotherapist. Humanitarian Institute named after P.A. Stolypin; Moscow, Russia;

Chronic visceral pain, which increases with stress, is a hallmark of functional gastrointestinal disorders, such as irritable bowel syndrome (IBS). Modern pharmacological interventions, diets for patients with chronic visceral pain are usually insufficient, and many of them are fraught with undesirable side effects and short remission. Modern protocols of cognitive behavioral therapy of the third wave, which are available in a remote format, show efficiency, cost-effectiveness in relieving chronic visceral pain caused by stress. The article describes the specifics of the third wave of CBT in relation to the treatment of IBS. A cognitive-behavioral approach to the treatment of irritable bowel syndrome is detailed, which reverses increased stress reactivity and afferent sensitization in the central and peripheral nervous systems, respectively, which leads to a more complete and prolonged relief of IBS symptoms in the patient. The specificity and effectiveness of the protocol of remote cognitive behavioral therapy to enhance awareness in IBS J. is shown. Henrich and integration of cognitive behavioral therapy of the second and third waves to improve the lifestyle of patients with IBS.

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irritable bowel syndrome; chronic visceral pain; pain; cognitive behavioral therapy; cognitive behavioral psychotherapy

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