Dr. Simons, a GI psychologist, discusses the role of symptom expectancy in exacerbating food sensitivity symptoms. Topics include how past experiences influence reactions to food, psychological flexibility in navigating symptomatic challenges, and gradually expanding diets for food tolerance and joy.
Symptom expectancy can worsen food sensitivity symptoms through the brain's negative reaction anticipation.
Psychological flexibility is essential for expanding food tolerance and improving eating experience joy.
Deep dives
The Role of Expectancy in Food Sensitivity
The brain's protective response to negative food reactions leads to expectancy where negative symptoms are anticipated after eating. Hypervigilance can increase nerve sensitivity in the digestive tract due to the body's fight-or-flight response. Managing symptom anxiety is crucial as it predicts the severity of symptoms, even more than organic disease markers.
Conditioning and Expectancy in Food Sensitivity
Conditioning in food sensitivity stems from a negative reaction to food that becomes associated with certain outcomes. The brain's responses to food cues can lead to genuine physiologic reactions, not just imagined sensations. Overlapping biologically driven and conditioned mechanisms impact how symptoms manifest and could perpetuate a cycle of fear and symptom associations.
Enhancing Flexibility in Food Sensitivity
Psychological flexibility plays a vital role in expanding food tolerance and joy in eating experiences. Gradual exposure methods, starting from minimal risk situations, can help individuals reintroduce restricted foods. Embracing a flexible mindset allows for problem-solving and exploring diverse approaches to managing food-related challenges.
Food sensitivity is rarely a simple cause and effect. Biological and psychological factors interplay to produce symptoms. We will talk about the role of symptom expectancy (i.e., nocebo response) in exacerbating symptom severity and how minimizing expectancy can dramatically improve quality of life.
Dr. Simons is a GI psychologist in the Digestive Disease and Surgery Institute at the Cleveland Clinic and specializes in treating motility related gastrointestinal conditions. She is particularly interested in the precipitants and consequences of dietary modification in digestive disease and the overlap between gynecologic and gastrointestinal conditions.
Listeners can contact Dr. Simons via email at simonsm3@ccf.org.
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