Subjective theories of illness and clinical and psychological outcomes in patients with irritable bowel syndrome

Riedl, Andrea; Maass, Julia; Fliege, Herbert; Stengel, Andreas; Schmidtmann, M.; Klapp, Burghard F.; Mönnikes, Hubert

doi:10.1016/j.jpsychores.2009.02.001

Cited by 27 publications

(23 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The motive for doing this varied from wanting to avoid damage, to simply trying to avoid hearing the noise that they disliked. [21]. Furthermore, subjective causal assumptions are documented to be more powerful in conditions where a uniform etiological model has not been described, and particularly where the onset is insidious.…”

Section: Having Spoken With My Physiotherapist I Know It Is Not Actuamentioning

confidence: 99%

People's beliefs about the meaning of crepitus in patellofemoral pain and the impact of these beliefs on their behaviour: A qualitative study

Robertson

Hurley

Jones

2017

Musculoskeletal Science and Practice

View full text Add to dashboard Cite

show abstract

Section: Having Spoken With My Physiotherapist I Know It Is Not Actuamentioning

confidence: 99%

People's beliefs about the meaning of crepitus in patellofemoral pain and the impact of these beliefs on their behaviour: A qualitative study

Robertson

Hurley

Jones

2017

Musculoskeletal Science and Practice

View full text Add to dashboard Cite

show abstract

“…This questionnaire has not been validated yet but was used before 21 and can group patients according to Rome II criteria.…”

Section: Patient Population Characteristicsmentioning

confidence: 99%

Unclear Abdominal Discomfort: Pivotal Role of Carbohydrate Malabsorption

Goebel-Stengel

Stengel

Schmidtmann

et al. 2014

J Neurogastroenterol Motil

Self Cite

View full text Add to dashboard Cite

Background/AimsCarbohydrate malabsorption is frequent in patients with functional gastrointestinal disorders and in healthy volunteers and can cause gastrointestinal symptoms mimicking irritable bowel syndrome (IBS). The aim of this study was to investigate the prevalence of symptomatic lactose and fructose malabsorption in a large population of patients with IBS-like symptoms based on Rome II criteria. MethodsPatients with unclear abdominal discomfort (n = 2,390) underwent lactose (50 g) and fructose (50 g) hydrogen (H 2 ) breath tests and depending on the results further testing with 25 g fructose or 50 g glucose, or upper endoscopy with duodenal biopsies. Additionally, this population was investigated regarding the prevalence of small intestinal bacterial overgrowth (SIBO) based on glucose breath test and celiac disease. ResultsOf the 2,390 patients with IBS-like symptoms, 848 (35%) were symptomatic lactose malabsorbers and 1,531 (64%) symptomatic fructose malabsorbers. A combined symptomatic carbohydrate malabsorption was found in 587 (25%) patients. Severe fructose malabsorbers (pathologic 25 g fructose test) exhaled significantly higher H2 concentrations in the 50 g test than patients with negative 25 g fructose test (P < 0.001). Out of 460/659 patients with early significant H2 increase in the lactose and fructose test who underwent a glucose breath test, 88 patients had positive results indicative of SIBO and they were significantly older than patients with negative test result (P < 0.01). Celiac disease was found in 1/161 patients by upper endoscopy. ConclusionsCarbohydrate malabsorption is a frequent but underestimated condition in patients with IBS-like symptoms although diagnosis can be easily confirmed by H2 breath testing.

show abstract

“…Several studies (Gé linas & Fillion, 2004;Lee, 2008) demonstrated that the ideas that patients have about the causes of fatigue affect their ability to cope with the disease. Furthermore, based on the stress-process theory applied to fatigue (Riedl, 2009), inefficient coping strategies may result in increased fatigue (Laffrey & Isenberg, 2003). As the literature suggests, patients' ideas about the factors that play a role in controlling their disease reflect their health locus of control which is defined as the perceived control of the individual's own health (Grotz et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

How Patients Experience and Give Meaning to Their Cancer-related Fatigue?

Barello

Graffigna

Lamiani

et al. 2013

International Journal of Social Science Studies

View full text Add to dashboard Cite

Fatigue is a common experience occurring in 70% to 100% of advanced cancer patients with a great impact on quality of life and survival. Despite the complexity of this phenomenon, fatigue's psychosocial dimensions are still not well understood. The aim of this study was to deepen how Italian patients perceive and give meaning to their cancer-related fatigue through the analysis of their language. The study was designed using ethnoscience, an approach that allows to explore how meaning is conveyed through language. We interviewed 16 cancer patients with different level of fatigue (5 mild, 5 moderate, 6 severe). The data analysis showed that fatigue affected three experiential dimensions (mind, body and interpersonal relationships) which are characterized by different symptomatic manifestations depending on the level of fatigue. Patients' causal attributions also varied across levels of fatigue: patients with mild and moderate fatigue attributed their fatigue to psychological and contextual causes, whereas patients with severe fatigue attributed their fatigue to physical and medical causes. As fatigue affects multiple areas of patients' lives, this study suggests the importance of holistic treatments with a multidisciplinary approach able to support patient engagement and activation in their healthcare. This study also shows the importance of considering patients' causal attributions about fatigue, as these appeared to play a role in how patients managed fatigue. Finally, our data highlighted the importance of using a shared language when speaking with patients about fatigue as this may help patients to feel more understood and supported, thus also improving their quality of life and engagement in their care & cure process.

show abstract

Subjective theories of illness and clinical and psychological outcomes in patients with irritable bowel syndrome

Cited by 27 publications

References 29 publications

People's beliefs about the meaning of crepitus in patellofemoral pain and the impact of these beliefs on their behaviour: A qualitative study

People's beliefs about the meaning of crepitus in patellofemoral pain and the impact of these beliefs on their behaviour: A qualitative study

Unclear Abdominal Discomfort: Pivotal Role of Carbohydrate Malabsorption

How Patients Experience and Give Meaning to Their Cancer-related Fatigue?

Contact Info

Product

Resources

About