Abdominal pain and irritable bowel syndrome in adolescents: A community-based study

Hyams, Jeffrey S.; Burke, Georgine; Davis, Patricia M.; Rzepski, Barbara; Andrulonis, Paul A.

doi:10.1016/s0022-3476(96)70246-9

Cited by 501 publications

(390 citation statements)

References 19 publications

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“…IBS causes significant morbidity, places substantial burden on healthcare systems and can greatly affect quality of life [10][11][12][13][14][15][16][17]. In the USA, IBS accounts for 2·4-3·5 million physician visits annually, costing an estimated US$30 billion [13].…”

Section: Introductionmentioning

confidence: 99%

Relative risk of irritable bowel syndrome following acute gastroenteritis and associated risk factors

et al. 2013

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SUMMARYA prospective cohort study using electronic medical records was undertaken to estimate the relative risk (RR) of irritable bowel syndrome (IBS) following acute gastroenteritis (GE) in primary-care patients in The Netherlands and explore risk factors. Patients aged 18-70 years who consulted for GE symptoms from 1998 to 2009, met inclusion/exclusion criteria and had at least 1 year of follow-up data were included. Patients with non-GE consultations, matched by age, gender, consulting practice and time of visit, served as the reference group. At 1 year, 1·2% of GE patients (N = 2428) had been diagnosed with IBS compared to 0·3% of the reference group (N = 2354). GE patients had increased risk of IBS [RR 4·85, 95% confidence interval (CI) 2·02-11·63]. For GE patients, concomitant cramps and history of psycho-social consultations were significantly associated with increased risk. GE patients had increased risk of IBS up to 5 years post-exposure (RR 5·40, 95% CI 2·60-11·24), suggesting there may be other contributing factors.

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Section: Introductionmentioning

confidence: 99%

Relative risk of irritable bowel syndrome following acute gastroenteritis and associated risk factors

et al. 2013

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“…IBS prevalence estimates in North America for adults and adolescents are between 10 -15% [1,2]. Boys and girls appear to be equally affected until late adolescence [3], when sex differences emerge and women are twice as likely to be affected as men [4]. Direct costs of IBS to the U.S. health system are in the region of $10 billion, with indirect costs contributing a further $20 billion [5].…”

Section: Introductionmentioning

confidence: 99%

“…Adolescence represents a particularly important time in the development of IBS symptoms. Prevalence estimates suggest an increase from around 8% in middle school to 14% in high school-aged students- a prevalence rate similar to that seen in adult populations [3]. Given the often protracted course of IBS, it is important to study the emergence of IBS and treatment options in young populations.…”

Section: Introductionmentioning

confidence: 99%

“…Perceived academic competence has been found to moderate the relationship between symptoms and disability in adolescents with IBS, such that the relationship between symptoms and disability was strongest when perceived competence was low [15]. Adolescents with IBS are also more likely to experience depression and anxiety than are healthy counterparts [3], co-morbidities that may further impact quality of life and exacerbate IBS symptoms. As reviewed below, the roles of stress and psychosocial variables are becoming apparent in current conceptualizations of symptom maintenance.…”

Section: Introductionmentioning

confidence: 99%

“…Third, the target age range reflects the peak in IBS prevalence that remains relatively consistent across adulthood. During high school, IBS rates increase to adult levels of 15%, from around 8% earlier in childhood [3]. This suggests a developmental shift in the illness around adolescence.…”

Section: Introductionmentioning

confidence: 99%

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Protocol for a randomized controlled study of Iyengar yoga for youth with irritable bowel syndrome

Evans

Cousins

Tsao

et al. 2011

Trials

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IntroductionIrritable bowel syndrome affects as many as 14% of high school-aged students. Symptoms include discomfort in the abdomen, along with diarrhea and/or constipation and other gastroenterological symptoms that can significantly impact quality of life and daily functioning. Emotional stress appears to exacerbate irritable bowel syndrome symptoms suggesting that mind-body interventions reducing arousal may prove beneficial. For many sufferers, symptoms can be traced to childhood and adolescence, making the early manifestation of irritable bowel syndrome important to understand. The current study will focus on young people aged 14-26 years with irritable bowel syndrome. The study will test the potential benefits of Iyengar yoga on clinical symptoms, psychospiritual functioning and visceral sensitivity. Yoga is thought to bring physical, psychological and spiritual benefits to practitioners and has been associated with reduced stress and pain. Through its focus on restoration and use of props, Iyengar yoga is especially designed to decrease arousal and promote psychospiritual resources in physically compromised individuals. An extensive and standardized teacher-training program support Iyengar yoga's reliability and safety. It is hypothesized that yoga will be feasible with less than 20% attrition; and the yoga group will demonstrate significantly improved outcomes compared to controls, with physiological and psychospiritual mechanisms contributing to improvements.Methods/DesignSixty irritable bowel syndrome patients aged 14-26 will be randomly assigned to a standardized 6-week twice weekly Iyengar yoga group-based program or a wait-list usual care control group. The groups will be compared on the primary clinical outcomes of irritable bowel syndrome symptoms, quality of life and global improvement at post-treatment and 2-month follow-up. Secondary outcomes will include visceral pain sensitivity assessed with a standardized laboratory task (water load task), functional disability and psychospiritual variables including catastrophizing, self-efficacy, mood, acceptance and mindfulness. Mechanisms of action involved in the proposed beneficial effects of yoga upon clinical outcomes will be explored, and include the mediating effects of visceral sensitivity, increased psychospiritual resources, regulated autonomic nervous system responses and regulated hormonal stress response assessed via salivary cortisol.Trial registrationClinicalTrials.gov NCT01107977.

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Physical and Emotional Health of Mothers of Youth With Functional Abdominal Pain

Campo¹,

Bridge²,

Lucas³

et al. 2007

Arch Pediatr Adolesc Med

179

144

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Abdominal pain and irritable bowel syndrome in adolescents: A community-based study

Cited by 501 publications

References 19 publications

Relative risk of irritable bowel syndrome following acute gastroenteritis and associated risk factors

Relative risk of irritable bowel syndrome following acute gastroenteritis and associated risk factors

Protocol for a randomized controlled study of Iyengar yoga for youth with irritable bowel syndrome

Physical and Emotional Health of Mothers of Youth With Functional Abdominal Pain

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