BIOFEEOBACK ANO GALVANIC RESISTANCE OF THE SKIN: MEASURES IN PATIENTS WITH IRRITABLE BOWEL SYNOROME ANO IN HEALTHY INOIVIOUALS
Keywords:
stress, galvanic skin response, lrritable Bowel SyndromeAbstract
Objective
This study evaluates and compares the intensity of the galvanic resistance of the skin (autonomic reply) of patients with lrritable Bowel Syndrome and healthy individuais.
Methods
The participants of this study were divided into two distinct groups, one experimental and another contrai, with 16 peop!e in each. Data collection occurred individually in 1O distinct measures, performed week!y with the use of the ga!vanic measurer of resistance of the skin (Device of Biofeedback). Measurements took 3 minutes and were recorded in the form of graphs.
Results
The resu!ts were ana!yzed by comparing ai! the intra and intergroup measurements in the different moments. Data of this study show that one of the components regu!ated by the autonomous nervous system - galvanic resistance of the skin - is not compromised in patients with irritab!e bowel syndrome when compared with healthy individuais.
Conclusion
We suggest that more research is done with a higher number of patients and a broader eva!uation of the somatoform autonomic responses, in arder to improve the understanding of the etio!ogy of this disease.
Downloads
References
Friedman G. Clínicas de gastroenterologia da América do Norte: síndrome do intestino irritável: realidades e tendências. Rio de Janeiro: lnterlivros; 1991.
Magalhães KC. Estudo de aspectos psicossociais em pacientes com retocolite ulcerativa inespecífica e síndrome do intestino irritável [dissertação]. Cam pinas: Pontifícia Universidade Católica de Campinas; 1995.
Heaton KW, Thompson WG. Síndrome do cólon irritável. J&C Ed Ediciones Médicas; 2000.
Francisconi C. Síndrome do Intestino Irritável. ln: Anais do 28a. Panamerican Congress of Digestive diSease. 2003; Punta Dei Este.
Valenzuela G. Síndrome do Intestino Irritável. ln: Anais do 28a. Panamerican Congress of Digestive Disease. 2003; Punta Dei Este.
Robert JJ, Orr WC, Elsenbruch S. Modulation of sleep quality and autonomic functioning by symptoms of depression in women with irritable bowel syndrome. Dig Dis Sei. 2004; 49(7-8): 1250-8.
Quilici FA, André SB. Síndrome do intestino irritável. São Paulo: Lemos; 2000.
Magalhães AFN, Brasio KM. Relação entre stress e doenças gástricas. ln: Mecanismos neuropsicológicos do stress: teoria e aplicações clínicas. Campinas: Papirus; 2003.
Whithead WE, Shabin. Psychological characterists of patients with gastrointestinal disorders. ln: Sweet JJ, Rosensky RH, Tovian SM. Handbook of clinicai Psychology in Medical Settings. New York: Plenuns Press; 1991. p.517-37.
Crane C, Martin M. Social Learning, affective state and passive coping in irritable bowel syndrome and inflammatory bowel disease. Gen Hosp Psychiatryl. 2004; 26(1):50-8.
Drossman DA. Presidential adress: gastrointestinal ilness and the biopsychosocial model. Psychosomatic Med. 1998; 60(3):258-67.
Barreiro MA. lrritable bowel syndrome. Milwanekee (Wi): lnternational Foundation for Bowel Dysfunction; 1993.
Prado FC, Ramos J, Valle JR. Atualização terapêutica: manual prático de diagnóstico e tratamento. São Paulo: Artes Médicas; 1999.
Folks DG. The interface of psychiatry and irritable bowel syndrome. Curr Psychiatry Rep. 2004; 6(3): 210-5.
Kaplan HI. Fatores psicológicos afetando condições físicas (Desordens Psicossomáticas) ln: Kaplan HI, Sadock BJ. Compêndio de psiquiatria dinãmica. 3. ed. Porto Alegre: Artes Médicas; 1984.
Machado WM. Síndrome do intestino irritável. Rev Bras Med. 2000; 57(11):1266-71.
Talley NJ, Spiller R. lrritable bowel syndrome: a little understood organic bowel disease? Lancet. 2002; 360(9332):555-64.
Ross CA. Childhood sexual abuse and psychosomatic symptoms in irritable bowel syndrome. J Child Sex Abus. 2005; 14(1):27-38.
Posserud 1, Agerforz P, Ekman R, Bjõrnsson ES, Abrahamsson H, Simrén M. Altered visceral perceptual and neuroendocrine response in patients with irritable bowel syndrome during mental stress. Gut. 2004; 53(8):1102-8.
Cornejo ZC, Villareal MJ. Relation between irritable bowel syndrome symptoms and depressive symptoms in hospitalized patients. Rev Gastroenterol Peru. 2005; 25(2):156-60.
Creed F, Ratcliffe J, Fernandes L, Palmer S, Rigby C, Tomenson B, et ai. Outcome in severe irritable bowel syndrome with and without accompanying depressive, panic and neurasthenic disorders. Br J Psychiatry. 2005; 186:507-15.
Whithead EW, Palsson O, Jones KR. Systematic review of the comorbidity of irritable bowel syndrome with other disorders: what are the causes and implications? Gastroenterology. 2002; 122(4): 1140-56.
Warnock JK, Clayton AH. Chronic episodic disorders in women. Psychiatric Clin North Am. 2003; 26(3): 725-40.
Smith NL. Serotonin mechanisms in pain and functional syndromes: management implications in comorbid fibromyalgia, headache, and irritable bowl syndrome - case study and discussion. J Pain Palliat Care Pharmacother. 2004; 18(4):31-45.
Heaton KW, O'Donnell U, Branddon FE, Mountford RA, Hugues AO, Cripps PJ. Symptons of irritable bowel syndrome in a british urban community: consulters and nonconsultors. Gastroenterology. 1992; 102(6):1962-7.
Schuster MM. Definindo e diagnosticando a síndrome do intestino irritável. São Paulo: Europa Press Comunicaciones; 2000.
Levin J. Estatística aplicada a ciências humanas. São Paulo: HABRA; 1987.
Siegel S. Estatística não paramétrica para ciências do comportamento. São Paulo: McGraw-Hill; 1975.
Drossman DA, Whitehead WE, Camilleri M. lrritable bowel syndrome: a technical review for practice guideline development. Gastroenterology. 1997; 112(6):2120-37.
Fiamenghi AG. Motivos e emoções. São Paulo: Mackenzie; 2001.
