A year in out-patients with the irritable bowel syndrome

Jf, Fielding

doi:10.1007/bf03030953

Cited by 56 publications

(26 citation statements)

References 11 publications

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“…Like Fielding and colleagues, who studied IBS patients attending a Dublin clinic, we also noted that the majority of patients were female [16]. We noted a significant difference in diagnostic latency between males and females, possibly reflecting differences in presenting symptoms.…”

Section: Discussionsupporting

confidence: 48%

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The spectrum of functional gastrointestinal disorders in a tertiary referral clinic in Ireland

et al. 2011

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Section: Discussionsupporting

confidence: 48%

“…Co-morbidity is another issue that contributes to the burden of care for FGIDs. Conditions commonly associated with FGID's include depression and anxiety [9,10], fibromyalgia [11,12], migraine [11], chronic pelvic pain and dysmenorrhoea [13,14] and gastro-oesophageal reflux disease [15,16].…”

Section: Introductionmentioning

confidence: 99%

The spectrum of functional gastrointestinal disorders in a tertiary referral clinic in Ireland

et al. 2011

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“…14 Patients with IBS may have many extraintestinal, in particular urinary, symptoms and they are frequently referred to urologists, gynaecologists and gastrointestinal surgeons. [15][16][17][18][19][20] There is an excess of hysterectomy, cholecystectomy and laparoscopy 19,21,22 among these patients and it may be that some of these procedures result from the diagnostic confusion engendered by IBS symptoms. In addition to the direct and indirect costs of IBS there is a significant opportunity cost to the NHS in terms of reduction in the availability of investigation and treatment for patients with other disorders such as inflammatory bowel disease, gastrointestinal cancer and gynaecological pathology.…”

Section: (See Boxes 1 and 2)mentioning

confidence: 99%

Cognitive behavioural therapy in addition to antispasmodic therapy for irritable bowel syndrome in primary care: randomised controlled trial

Kennedy¹,

Chalder²,

McCrone³

et al. 2006

Health Technol Assess

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“…[2][3][4][5] The disorder amounts to a major burden on healthcare, and constitutes nearly half of the referrals to gastroenterology clinics. [6][7][8] The mechanism of development of IBS has not been fully explained. Post-infectious inflammation, impaired gut motility, psychological distress; adverse life events and alteration in the brain-gut axis are among the various suggested pathophysiological explanations which may result in the development of this syndrome.…”

Section: Introductionmentioning

confidence: 99%

Psychiatric Co-morbidity in Patients With Irritable Bowel Syndrome at a Tertiary Care Center in Northern India

Kawoos

Wani

Kadla

et al. 2017

J Neurogastroenterol Motil

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Background/AimsIrritable bowel syndrome (IBS) is a chronic psycho-physiological disorder. It is considered to be the most common functional gastrointestinal disorder, and about 50-90% of IBS patients have associated psychiatric co-morbidity. We aimed to study psychiatric co-morbidities in patients with IBS visiting a tertiary care center. MethodsThis was a cross-sectional case-control study conducted over a duration of one and a half years from January 2014 to July 2015. Patients were selected from the out-patient department of gastroenterology. About 160 patients with IBS who fulfilled the inclusion criteria and who gave written informed consent were selected as study cases. The healthy attendants of cases were selected as controls. A total of 200 controls were selected. Rome-III criteria were used to diagnose IBS. For diagnosing psychiatric disorders, we used the Mini International Neuropsychiatric Interview Schedule Plus. ResultsMean age of our cases and controls was 39.7 ± 11.4 and 37.7 ± 9.6 years, respectively. Females outnumbered males in our cases as well as their controls by a ratio of 2:1 approximately. Psychiatric disorders were seen in 84.4% of IBS patients as compared to 41.5% in controls. Major psychiatric disorders seen in our patients were generalized anxiety disorders (30.0%) and depression (28.0%). ConclusionsThe majority of patients with IBS who present to a tertiary care center have co-morbid psychiatric disorders. We need to screen these patients for such co-morbidities and develop a holistic approach for better outcome in such cases.

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A year in out-patients with the irritable bowel syndrome

Cited by 56 publications

References 11 publications

The spectrum of functional gastrointestinal disorders in a tertiary referral clinic in Ireland

The spectrum of functional gastrointestinal disorders in a tertiary referral clinic in Ireland

Cognitive behavioural therapy in addition to antispasmodic therapy for irritable bowel syndrome in primary care: randomised controlled trial

Psychiatric Co-morbidity in Patients With Irritable Bowel Syndrome at a Tertiary Care Center in Northern India

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