The efficacy of psychotherapy in duodenal peptic ulcer

As a result of examining 276 patients with duodenal ulcer the leading psychopathogenic variants of the disease were established. Inclusion of psychotherapy into multimodality treatment of patients with duodenal ulcer led to the reduction of anxious-depressive disturbances, accelerated the cessation of the painful and dyspeptic syndromes, lowered the ergotropic activity of the neurohormonal systems. Normalization of adrenalin excretion served as an indicator of favourable prognosis. Psychotherapy turned out less effective in patients with hypochondriac fixations and affective rigidity.