RESUMENSe describe un caso clínico con un problema de "intestino irritable", varón de 19 años con una historia de 3 años de problemas gastrointestinales. Se ha aplicado un tratamiento en 20 sesiones, tras un análisis funcional adaptado a sus caracterfsticas individuales. Incluyó una fase educativa sobre esta problemática, y un conjunto de técnicas cognitivoconductuales que incluían: contrato de contingencias, control estimular sobre comidas y pautas alimenticias, control del estrés y emociones, y reestructuración cognitiva. Se ha utilizado un diseño de caso único, con línea base concurrente en los episodios de dolor, y vanas sesiones de seguimiento hasta un año. Los resultados mostraron una disminución rápida de los problemas en las cinco primeras semanas, hasta su eliminación casi completa al final del tratamiento. Palabras clave: INTESTINO IRRITABLE, TRATAIfIENTO IfUL TICOIfPONENTES, ANÁLISIS FUNCIONAL, CONTRATO DE CONTIN· GENCIAS. Correspondencia: Luis Valero Aguayo. Depto. Personalidad. Evaluación y Tratamiento Psicológico. Campus Teatinos. Universidad de Málaga. 29071. Málaga. Emall: IvaleroOuma.es Ana M' Regueiro Ávila y Luis Valero Aguayo SUMMARY A clínical case with a problem of irritable bowel is described. He was 19 year-old, male with a 3 year-old history of that problem.A functional analysis adapted to its individual characteristics was used, and a treatment mu/tiple was applied in 20 sessions. The treatment had an educational phase on this problem, and a group of behavioral-cognitive techniques (contingency contract, stimuJi control about foods and nutritious rules, stress and emotional control, and restructuring thoughts). An only-case design was used, with three base-Iines about the pain episodes. The following phase was during ayear. The resu/ts showed a quick decrease of the problems over five weeks, and the generalization was complete through that person's daily Jife.
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