Síndrome do intestino irritável : um exercício em análise funcional do comportamento

AUTOR(ES)

Carlos Henrique Bohm

DATA DE PUBLICAÇÃO

2009

RESUMO

Irritable Bowel Syndrome (IBS) is characterized by an alteration of the frequency of evacuations and of the aspect of the fecal boli, which are associated with abdominal discomfort which, in turn, is reduced with the evacuation. The etiology of this health problem is not very well known yet. Experimental results suggest a relation between bowel motility and contingencies of reinforcement and temporal organization of general activities. These evidences from basic research suggest an analysis in IBS patients based on relations between daily activities and the complaint symptoms. This study was an exercise in functional analysis of behavior with three women, IBS patients, through interviews and prolonged selfmonitoring (SM) of daily activities. For one participant with constipation, there was an increase in the percentage of evacuations when she had more free time in the afternoon period, in function of her childrens school vacations. For another participant with constipation, there was a no programmed symptoms improvement as a reactivity effect to SM. Her activities used to occur in an uninterrupted way, and with the interruption of theses activities, evacuation frequency increased. A third participant showed a diarrhea symptom which had a consistent remission during a period of vacation, as a function of changes in the academic demands. Discussions in terms of temporal organization of activities, contingencies of reinforcement and adjunctive behavior are presented for the understanding of patterns of bowel motility. This study demonstrated the possibility of using functional analysis as an instrument capable of helping in SII comprehension and in the design of interventions for patients carrying of this syndrome.

ASSUNTO(S)

daily activities functional analysis of behavior síndrome do intestino irritável irritable bowel syndrome self-monitoring psicologia análise funcional do comportamento automonitoramento atividades diárias

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