Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor
Stress and the psychosomatic model have indeed been "out of fashion"
as a cause of peptic ulcer since the discovery of the pathogenic role of Helicobacter pylori in this disease.1
It is not unusual in the history of medicine for new discoveries to push previous
evidence into the background.
The role of H pylori and the "need" to eradicate
it from the gastric-duodenal tract with appropriate medical treatment have,
in fact, obscured the well-documented importance of psychological stress in
the genesis of peptic ulcer.
Sovarino R. Stressful Events and Peptic Ulcer Disease. JAMA. 1999;282(3):237. doi:10-1001/pubs.JAMA-ISSN-0098-7484-282-3-jac90006