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HeatherAdministrator

Reged: 12/09/02
Posts: 7410
Loc: Seattle, WA
Psychosocial Factors are Linked to Functional Gastrointestinal Disorders
      04/13/04 03:39 PM

Psychosocial Factors are Linked to Functional Gastrointestinal Disorders: A Population Based Nested Case-Control Study

Posted 03/25/2004

G. Richard Locke, III, M.D.; Amy L. Weaver, M.S.; L. Joseph Melton III, M.D.; Nicholas J. Talley, M.D., Ph.D.

Abstract

Background: It is widely accepted based on volunteer studies that levels of psychological distress are similar in those with functional gastrointestinal (GI) disorders and health in the community, while increased psychological distress in outpatients is largely explained by health-care seeking.

Aims: To determine if psychological distress, life event stress, or social support is associated with functional GI disorders in a population-based study.

Methods: A nested case-control study was performed by first mailing a self-report bowel disease questionnaire to a random sample of Olmsted County, Minnesota, aged 20-50 yr. All persons who reported symptoms of nonulcer dyspepsia (NUD) or irritable bowel syndrome (IBS) (cases), or an absence of GI symptoms (controls), were invited to complete a series of validated questionnaires designed to measure psychological distress, life event stress, social support, current symptoms, and physician visits.

Results: 103 subjects with functional GI disorders and 119 controls participated (85% of eligible). Functional GI disorders were more likely to be reported by those with higher scores on each of the nine SCL-90-R scales used to measure psychological distress (except phobic anxiety), and those with more negative and total life event stress. In a multiple logistic regression model (including age and gender), somatization, interpersonal sensitivity, and total life event stress were independently associated with functional GI disorders. Findings were similar when subjects with the IBS and NUD were analyzed separately compared to controls.

Conclusions: Contrary to current dogma, psychosocial factors were significantly associated with functional GI disorders in this community sample. This suggests that these factors may be involved in the etiopathogenesis rather than just driving health-care utilization.

http://www.medscape.com/viewarticle/468754?mpid=26625

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Subject Posted by Posted on
* Psychological / Psychiatric HeatherAdministrator 07/14/03 01:50 PM
. * The Impact of Rotating Shift Work on the Prevalence of Irritable Bowel Syndrome in Nurses HeatherAdministrator   03/11/10 01:57 PM
. * Interpersonal communication apprehension, topic avoidance, and the experience of irritable bowel syndrome HeatherAdministrator   07/08/09 12:25 PM
. * Cognitive behavioural model of irritable bowel syndrome - is it your personality? HeatherAdministrator   09/13/07 11:49 AM
. * Psychological factors as a predictor of treatment response in patients with heartburn HeatherAdministrator   03/04/06 12:39 PM
. * A History of Abuse in Community Subjects with Irritable Bowel Syndrome HeatherAdministrator   09/01/05 10:57 AM
. * Psychosocial Factors are Linked to Functional Gastrointestinal Disorders HeatherAdministrator   04/13/04 03:39 PM
. * Psychological factors in the irritable bowel syndrome HeatherAdministrator   02/10/04 02:30 PM
. * Beyond abuse: the association among parenting style, abdominal pain, & somatization in IBS patients HeatherAdministrator   02/10/04 02:27 PM
. * Social learning, affective state and passive coping in irritable bowel syndrome and IBD HeatherAdministrator   02/10/04 01:43 PM
. * Computer game cure for stress related illnesses HeatherAdministrator   11/18/03 03:26 PM
. * Psychopathology in irritable bowel syndrome HeatherAdministrator   08/19/03 01:50 PM
. * The relationship between irritable bowel syndrome and psychiatric illness. HeatherAdministrator   08/02/03 10:34 PM
. * Psychiatric illness, personality traits and the irritable bowel syndrome. HeatherAdministrator   07/18/03 12:27 PM
. * Pattern-Specific Brain Activation and Personalities Seen in IBS HeatherAdministrator   07/14/03 03:12 PM

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