Susan Levenstein
Stress and peptic ulcer: life beyond helicobacter
h3abstracth3 discovery ihelicobacter pylorii cause peptic ulcer tempted many conclude psychological factors unimportant dichotomised thinking solid evidence psychological stress triggers many ulcers impairs response treatment helicobacter inadequate monocausal explanation infected people develop ulcers psychological stress probably functions often cofactor ih pylorii may act stimulating production gastric acid promoting behaviour causes risk health unravelling aetiology peptic ulcer make important contribution biopsychosocial model disease review role psychological stress aetiology peptic ulcer disease undertook conventional journal tracking reference tracing supplemented medline searches using paperchase important keywords used search included peptic ulcer duodenal ulcerpsychology stress life change events personality h3summary pointsh3 psychosomatic factors aetiology peptic ulcer become unfashionable since discovery ihelicobacter pylorii people harbour ih pylorii organism cannot serve sole explanation ulcer disease psychological stress impact onset course ulcer disease psychological stress probably interacts ih pylorii risk factors causing ulcer disease peptic ulcer important example biopsychosocial model disease