Anxiety-Phobic Disorders in Irritable Bowel Syndrome: Evalution of Psychotherapy and Psychopharmacotherapy Effectiveness.

Abstract

The study examines anxiety-phobic disorders in patients with irritable bowel syndrome (IBS) and evaluates the effectiveness of psychotherapeutic and psychopharmacological interventions. A total of 96 patients aged 25-40 were divided into two groups: Group 1 received psychopharmacotherapy with Sulpiride and psychotherapy based on Wolpe’s systematic desensitisation method; Group 2 received basic treatment and rational psychotherapy. Results indicated that phobic anxiety syndrome was more prevalent in women (59%) than men (41%), with severe phobia being more common in both groups. Psychotherapy led to significant improvements in anxiety and phobia levels, with Group 1 showing greater functional recovery than Group 2. The introduction of an algorithm based on Wolpe’s method into the treatment regimen enhanced the quality of psychocorrection, improving social adaptation and quality of life. The study concludes that combined psychopharmacological and psychotherapeutic treatment is highly effective in managing psycho-emotional disorders in IBS patients.