Neurogastroenterol Motil. 2024 Aug 12:e14894. doi: 10.1111/nmo.14894.Online ahead of print.

Sarah Ballou ¹, Dipesh H Vasant ², Livia Guadagnoli ³, Bonney Reed ⁴, Giuseppe Chiarioni ^5 6, Liesbeth Ten Cate ⁷, Laurie Keefer ⁸, Sarah W Kinsinger ⁹

Author information

¹Division of Gastroenterology, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.

²Neurogastroenterology Unit, Manchester University NHS Foundation Trust, Wythenshawe Hospital, Manchester, UK.

³Laboratory for Brain-Gut Axis Studies (LaBGAS), Translational Research Center for Gastrointestinal Disorders (TARGID), KU Leuven, Leuven, Belgium.

⁴Department of Pediatrics, Emory University School of Medicine and Children's Healthcare of Atlanta, Atlanta, Georgia, USA.

⁵Il Cerchio Med Global Healthcare, Verona, Italy.

⁶UNC Center for Functional GI and Motility Disorders, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

⁷Stem en Spraak (Voice and Speech), Logopedie aan de Amstel, Private Practice, Amsterdam, The Netherlands.

⁸The Henry D. Janowitz Division of Gastroenterology, The Icahn School of Medicine at Mount Sinai, New York, New York, USA.

⁹Division of Gastroenterology, Department of Medicine, Loyola University Medical Center, Maywood, Illinois, USA.

Abstract

Background: GI-specific psychological factors are important contributors to patients' symptom experience and quality of life across all disorders of gut-brain interaction (DGBI). Clinicians' ability to recognize the role of these psychological factors is essential for formulating a biopsychosocial case conceptualization and informing treatment decisions.

Purpose: This article will familiarize gastroenterology providers with conceptualizing the role of GI-specific psychological factors in DGBI and provides stepwise, practical guidance for how to assess these during clinical encounters in a time-efficient manner.