Ask your doctor if something in here from gut to brain will improve stroke recovery. There is all this earlier research your competent doctor should know about. If your doctor has done nothing with this, you don't have a functioning stroke doctor. Yeah, it's probably newer than medical school but I expect my doctors and therapists to be up-to-date on all things stroke. If I wanted to stay employed as a programmer I had to learn the newest all the time.
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Future of Brain–Gut Behavior Therapies: Mediators and Moderators
Keywords
Cognitive-behavioral therapy
Exposure therapy
Disorders of gut–brain interaction
Functional gastrointestinal disorders
Irritable bowel syndrome
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Helen Burton Murray, PhD *, Brjánn Ljótsson, PhD
INTRODUCTION Brain–gut
behavior therapies are efficacious treatments for disorders of gut–brain
interaction (DGBI; also known as functional gastrointestinal [GI]
disorders). 1 There
is a large body of evidence supporting the efficacy of brain–gut
behavior therapies for irritable bowel syndrome (IBS)2,3 and emerging
evidence for other DGBI (eg, supragastric belching,4 functional
dyspepsia).5,6 Often used in combination with other
approaches(eg,neuromodulation),brain–gut behavior therapies increasingly
Funding: This article was supported by the National Institute of
Diabetes and Digestive and Division of Gastroenterology, Massachusetts
General Hospital, 55 Fruit Street, Boston, MA 02114, USA; Harvard
Medical School, 25 Shattuck St, Boston, MA 02115, USA; Department of
Psychiatry, Massachusetts General Hospital, Boston, MA, USA; Department
of Clinical Neuroscience, Division of Psychology, Karolinska Institutet,
Nobels va ̈ g 9, Solna, Stockholm 171* Corresponding author.
Massachusetts General Hospital, Division of Gastroenterology, 55 Fruit
Street, Boston, MA 02114 hbmurray@mgh.harvard.edu KEYWORDS
Cognitive-behavioral therapy Exposure therapy Disorders of gut–brain
interaction Functional gastrointestinal disorders Irritable bowel
syndrome Brain–gut behavior therapies for disorders of gut–brain
interaction have included therapies with different theorized targets.
There is a large knowledge gap regarding the processes through which
brain–gut behavior therapies achieve change in disorders of gut–brain
interaction. Consistent evidence suggests that gastrointestinal-specific
cognitive, affective, and behavioral processes are the primary targets
of brain–gut behavior therapies, leading to clinical improvements.
Future research is needed to evaluate other target mechanisms and
moderators, including understanding of which treatment techniques are
most potent and why and for whom they are most beneficial.
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