

In most of stressful situations, problem-oriented strategies and more adjusted and effective than emotion- oriented strategies. These strategies include: Problem-oriented strategies, Emotion-oriented strategies and Aversion-oriented strategies. Ĭoping strategies are defined to cognitive and behavioral attempts to management of daily stressors and satisfaction of needs. Several researches showed that people with higher of Resilience, have more self-regulation skills, higher self-esteem, lower rate of physical illnesses and psychological disorders and duration of adjustment in confrontation to environmental stressors. Resilience has been defined to tolerance stress and regression to psychological balance. Resilience and coping strategies are two factors that are directly related to outcomes of stress and could be a mediating factor of stress. According to the results of some researches, psychological stressors and traumatic factors have important role in generation symptoms of IBS. Stress is one of most important factors in expression of physical illnesses and psychological disorders. IBS has significant psychological components and its high association with mental disorders has been confirmed and high correlation between severity of symptoms of IBS and psychological factors has been reported. Understanding and perception of pathology and treatment of irritable bowel syndrome have changed from a bio-medical reductionistic approach to a psycho-socio-biological complex syndrome during three past decades.

The worldwide prevalence of IBS in adults is between 9.0% and 23.5%. Irritable bowel syndrome (IBS) is the most common functional gastrointestinal disorder. Resilience Stress Irritable Bowel Syndrome Coping Strategies Dialectical Behavioral Therapy 1. Dialectical behavioral therapy could be useful to improvement of psychological status of IBS patients, but it needs longer therapeutic period for more persistent effects.
