Dysphoric spectrum of emotional disorders at irritable bowel syndrome
Aim of review. The role of emotional disorders of dysphoric range (irritability, strain, hostility etc.) in clinical presentation of the irritable bowel syndrome (IBS). Summary. Systematic literature search on severity of dysphoric disorders and their relation to somatic symptoms at IBS was carried out in the PubMed scientific database and Russian Science Citation Index (RSCI). Overall 42 articles were selected. The results of analysis has demonstrated that dysphoric emotional disorders are typical for IBS patients. These disorders are manifested as tendency to react by discontent and irritation in stressful situations. Somatic manifestations of IBS are associated to dysphoric experience indicating their potential pathogenic value. Imbalance between the scope of data on emotional disorders at IBS and the number of studies devoted to psychopharmacotherapy efficacy assessment at emotional disorders was revealed. Dysphoric disorders are not regarded as independent target for therapeutic actions. Conclusion. The chronic discontent and trend to react by anger to stressful situations are traits of IBS patients, and is the basis of the development and persistance of the somatic symtpoms. They have to be considered as an independent targets for medical care.