Psychosocial factors are associated with health care seeking rather than diagnosis in irritable bowel syndrome

Smith, Robert C.; Greenbaum, David S.; Vancouver, Jeffery B.; Henry, Rebecca; Reinhart, Mary Ann; Greenbaum, Ruth B.; Dean, Howard A.; Mayle, James E.

doi:10.1016/0016-5085(90)90817-k

Cited by 159 publications

(59 citation statements)

References 40 publications

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“…4 Psychiatric symptoms are more common among subjects who have IBS than those who do not. 5 In a study of enrolled medical students and interns, morbid anxiety was one of the independent predictors of IBS. 6 Although, the basic role of psychosocial factors in the development of FGIDs remains obscure, these studies have provided a basis for understanding the role of psychosocial factors in developing FGIDs.…”

Section: Introductionmentioning

confidence: 99%

Psychosocial Stress in Nurses With Shift Work Schedule Is Associated With Functional Gastrointestinal Disorders

Koh¹,

Kim²,

Oh³

et al. 2014

J Neurogastroenterol Motil

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Background/Aims The aim of this study was to investigate the role of psychosocial problems and their associations with rotating shift work in the development of functional gastrointestinal disorders. Methods In this cross-sectional observation study, survey was administered to nurses and nurse assistants in a referral hospital. In addition to demographic questions, subjects were asked to complete the Rome III Questionnaire, Pittsburgh Sleep Quality Index and Rome III Psychosocial Alarm Questionnaire. Results Responses from 301 subjects were assessed. The overall prevalence of irritable bowel syndrome (IBS) and functional dyspepsia (FD) were 15.0% and 19.6%, respectively. Psychosocial alarms were prevalent in the nursing personnel (74.8% with alarm presence and 23.3% with serious condition) and were more frequent among rotating shift workers (84.7% vs. 74.5% for alarm presence and 28.1% vs. 13.3% for serious condition). The prevalence of both IBS and FD significantly increased with psychosocial risk. An independent risk factor for IBS was serious psychosocial alarm (adjusted odds ratio [aOR], 10.75; 95% confidence interval (CI), 1.30–88.99; P = 0.028). Serious psychosocial alarm was an independent risk factor for FD (aOR, 7.84; 95% CI, 1.98–31.02; P = 0.003). Marriage (aOR 0.30; 95% CI, 0.09–0.93; P = 0.037) was associated with the decreased risk of FD. Conclusions The high prevalence of psychosocial stress among nurses who work rotating shifts is associated with the development of functional gastrointestinal disorders.

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Section: Introductionmentioning

confidence: 99%

Psychosocial Stress in Nurses With Shift Work Schedule Is Associated With Functional Gastrointestinal Disorders

Koh¹,

Kim²,

Oh³

et al. 2014

J Neurogastroenterol Motil

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“…Whereas some studies have indicated that psychological distress, abnormal personality traits, and psychiatric disorders are associated with healthcare seeking behavior (13,14), some other studies showed no relationship with psychological factors in this context (12,15).…”

Section: Introductionmentioning

confidence: 92%

Gastrointestinal symptoms in psychiatry: comparison of direct applications and referrals

Batmaz¹,

Yıldız²,

Songur³

2016

Dusunen Adam

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Gastrointestinal symptoms in psychiatry: comparison of direct applications and referralsObjective: Clinical experience and observations suggest that there are some discrepancies between patients who directly apply to psychiatry clinic, and who are referred from gastroenterology clinic to psychiatry clinic. Thus, we aimed to investigate differences related to the demographic and clinical characteristics of these patients. Method: The study included 115 consecutive patients aged between 18-65 years. Sixty-one of the patients applied directly to the psychiatry clinic, and 54 patients were referred for consultation to the psychiatry clinic. Primary gastrointestinal complaints, psychiatric diagnoses and personality features were recorded on the scoiodemographic data form, and the severity of psychiatric disorders were assessed by the Clinical Global Impression Scale -Severity Subscale. Results: Patients who directly applied to psychiatry clinic were more likely to be female, older, and married. They attributed their gastrointestinal symptoms also more likely to be of psychogenic origin. Patients who directly applied to psychiatry clinic suffered more likely from a sense of fullness/abdominal tension, while patients who were referred to psychiatry clinic more frequently complained of bloating, abdominal pain, and constipation. Patients who directly applied to psychiatry clinic were more frequently diagnosed with depressive disorders, trauma related disorders, and personality disorders, whereas referrals were more frequently diagnosed with psychotic disorders. Directly admitted patients were also more likely to exhibit impulsivity as a personality feature. Conclusion: Patients with gastrointestinal symptoms who directly presented to psychiatry differed from those who were referred from gastroenterology clinics on some of their demographic aspects, primary psychiatric diagnoses and personality traits.

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“…In the 1980s and 1990s, psychological factors were regarded as predictors of health care sought by IBS subjects [6,54] , but recent population-based studies suggest that such factors are not quite so important [7,39,55] . Our results are closer to these latter studies, inasmuch as severity of symptoms is seen as the leading factor accounting for medical consultation, without any role for psychological factors.…”

Section: Modelmentioning

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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Psychosocial factors are associated with health care seeking rather than diagnosis in irritable bowel syndrome

Cited by 159 publications

References 40 publications

Psychosocial Stress in Nurses With Shift Work Schedule Is Associated With Functional Gastrointestinal Disorders

Psychosocial Stress in Nurses With Shift Work Schedule Is Associated With Functional Gastrointestinal Disorders

Gastrointestinal symptoms in psychiatry: comparison of direct applications and referrals

Constructive thinking, rational intelligence and irritable bowel syndrome

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