Psychological significance of the irritable colon syndrome

Hislop, I. G.

doi:10.1136/gut.12.6.452

Cited by 226 publications

(53 citation statements)

References 23 publications

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“…After a basal period of at least 15 minutes the rectal balloon was serially inflated with air at intervals of 1 minute in 20 ml increments up to 100 ml and then in 50 ml increments up to the sensation of discomfort. In order to provide a control for the second part of the posthypnotherapy assessment (see below) the study was repeated after a rest period of 15 minutes. After hypnotherapy the subject was restudied first in the waking state and then, after 15 minutes, following induction of hypnosis.…”

Section: Introductionmentioning

confidence: 99%

Changes in rectal sensitivity after hypnotherapy in patients with irritable bowel syndrome.

Prior¹,

Colgan²,

Whorwell³

1990

Gut

145

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It has been claimed that hypnotherapy may influence a number of physiological parameters not readily amenable to conscious control,"4 and it is therefore possible that its effect in the irritable bowel syndrome results from a direct action on the gut. On the other hand, it is known that patients with the irritable bowel syndrome have a high incidence of psychopathology'5"6 and it may be that improvement during hypnotherapy is secondary to its psychotherapeutic potential.It was the purpose of the present study to perform a controlled investigation into the effect of hypnotherapy on the sensory and motor functions of the rectum in patients with irritable bowel syndrome.

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Section: Introductionmentioning

confidence: 99%

Changes in rectal sensitivity after hypnotherapy in patients with irritable bowel syndrome.

Prior¹,

Colgan²,

Whorwell³

1990

Gut

145

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“…The other possibility is that the two conditions are not causally linked but share a common aetiological fac tor. A high incidence of psychopathology has been reported in patients with both chronic hyperventilation [1,3] and IBS [15,16] and it may be that this accounts for the symptom overlap rather than there being a direct cau sal relationship.…”

Section: Discussionmentioning

confidence: 99%

Effect of Hyperventilation on Distal Colonic Motility and Rectal Sensitivity in Irritable Bowel Syndrome

Maxton¹,

Prior²,

Whorwell³

1991

Digestion

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Hyperventilation is associated with some symptoms suggestive of irritable bowel syndrome and has been implicated in provoking excessive oesophageal contractility. Sixteen patients with irritable bowel syndrome were therefore studied in order to assess the effect of hyperventilation on distal colonic motility and rectal sensitivity. No significant change in either the amplitude or frequency of colonic contractile activity was noted following hyperventilation, nor was any alteration in rectal sensitivity observed. This study shows that acute hyperventilation does not affect colonic motor activity or visceral sensitivity and suggests that hyperventilation and irritable bowel syndrome are not causally related.

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“…Over 50% of IBS subjects-consulters [33] and non-consulters alike [34] report that stressful events precipitate or worsen their symptoms. While some previous studies have observed that IBS subjects experience a slightly greater number of stressful life events than do controls or patients with other digestive disease [35,36] , other studies have observed no differences in this regard [6,37] .…”

Section: Discussionmentioning

confidence: 99%

Constructive thinking, rational intelligence and irritable bowel syndrome

Rey¹,

Ortega²,

Alonso³

et al. 2009

WJG

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AIM:To evaluate rational and experiential intelligence in irritable bowel syndrome (IBS) sufferers. METHODS:We recruited 100 subjects with IBS as per Rome Ⅱ criteria (50 consulters and 50 non-consulters) and 100 healthy controls, matched by age, sex and educational level. Cases and controls completed a clinical questionnaire (including symptom characteristics and medical consultation) and the following tests: rationalintelligence (Wechsler Adult Intelligence Scale, 3rd edition); experiential-intelligence (Constructive Thinking Inventory); personality (NEO personality inventory); psychopathology (MMPI-2), anxiety (state-trait anxiety inventory) and life events (social readjustment rating scale). Analysis of variance was used to compare the test results of IBS-sufferers and controls, and a logistic regression model was then constructed and adjusted for age, sex and educational level to evaluate any possible association with IBS. RESULTS:No differences were found between IBS cases and controls in terms of IQ (102.0 ± 10.8 vs 102.8 ± 12.6), but IBS sufferers scored significantly lower in global constructive thinking (43.7 ± 9.4 vs 49.6 ± 9.7). In the logistic regression model, global constructive thinking score was independently linked to suffering from IBS ], without significant OR for total IQ. CONCLUSION:IBS subjects do not show lower rational intelligence than controls, but lower experiential intelligence is nevertheless associated with IBS.

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Psychological significance of the irritable colon syndrome

Cited by 226 publications

References 23 publications

Changes in rectal sensitivity after hypnotherapy in patients with irritable bowel syndrome.

Changes in rectal sensitivity after hypnotherapy in patients with irritable bowel syndrome.

Effect of Hyperventilation on Distal Colonic Motility and Rectal Sensitivity in Irritable Bowel Syndrome

Constructive thinking, rational intelligence and irritable bowel syndrome

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