All Boards >> Irritable Bowel Syndrome Research Library

View all threads Posts     Flat     Threaded

Stress Therapy Can Help Irritable Bowel
      10/24/04 07:38 PM
HeatherAdministrator

Reged: 12/09/02
Posts: 7795
Loc: Seattle, WA

Stress Therapy Can Help Irritable Bowel

Don't Just Put Up With Symptoms; Treatments Can Improve Life Quality

By Jeanie Lerche Davis

Reviewed By Brunilda Nazario, MD
on Monday, September 13, 2004

Sept. 13, 2004 -- Tense, tired, depressed: For people with irritable bowel syndrome (IBS), dealing with their disease takes a mental and physical toll. Emotional state and energy level -- not just bowel problems -- need a doctor's attention, a new study shows.

Many doctors do a poor job of addressing their patients' fears and concerns and understanding how quality of life is affected, writes lead researcher Brennan M.R. Spiegel, MD, MSHS, a gastroenterologist with The David Geffen School of Medicine at UCLA and the VA Greater Los Angeles Healthcare System.

His paper appears in the latest Archives of Internal Medicine.

"There's a disconnect between how patients and doctors view the disease," Spiegel tells WebMD. "Doctors are trained to think about bowel movements -- their frequency, their color, texture. But this study shows that our patients feel we are underestimating the severity of the effect on their quality of life."

It's very clear that IBS can reduce quality of life, he adds. "It causes what we refer to as 'vital exhaustion' -- loss of vitality, sleep disorders, sexual dysfunction, feeling tired all the time, dispirited, low energy -- all the things that interfere with quality of life."

Picture of Health

Spiegel has developed a quality-of-life survey that busy doctors can use. He used the survey on 770 patients with irritable bowel syndrome. Each completed the questions: Do you feel low in energy? Nervous? Hopeless? Tense? Tire easily? Have sleep difficulties? Not interested in sex? Feel there is something seriously wrong with your body? They also answered questions related to their bowel problems.

Physical health-related quality of life is related to the severity of bowel problems, frequency, and pain, he explains. But mental health-related quality of life is related to sexuality, mood, and anxiety.

His study showed that how patients felt physically and mentally affected their quality of life. Patients who got tired easily had a 9% lower physical health-related quality-of-life score, compared with those who didn't tire easily. Patients whose symptoms flared up for a day had a 4% lower physical health-related quality-of-life score. If they had both problems, they lost 13% in quality-of-life scores.

Mental health had a similar impact; patients who felt tense had a 14% lower mental health-related quality of life. When their IBS symptoms interfered with their sexual function, they had a 4% lower mental health-related quality of life. For those who had both problems, their mental health-related quality of life was 17% lower.

"We have to spend some time talking about these emotional issues," Spiegel tells WebMD. "Sometimes, all that's necessary is letting a patient know it's not cancer, that it will not cause cancer. That in itself can help relieve the depression and anxiety."

Stress Therapy, Medications Help

Many people put up with symptoms of IBS without getting treatment. "Yet the quality-of-life impact of IBS has been shown to be comparable to congestive heart disease and may be as great as diabetes," says William E. Whitehead, PhD, director of the Center for Functional GI and Motility Disorders Center at the University of North Carolina School of Medicine.

"The anxiety and stress can impact how well a patient interacts with friends and family," he tells WebMD. "Also, work absenteeism is three times higher for irritable bowel patients, compared to rest of the population."

There are a range of effective treatments for irritable bowel, says Whitehead. "Treatments range from low doses of antidepressants, hypnosis, [stress] therapy to dietary changes, medicines for constipation and diarrhea, a whole spectrum of treatments."

It's true that "with IBS one symptom can make other symptoms seem worse," says Ryan Madanick, MD, a gastrointestinal specialist at the University of Miami School of Medicine. "It's like when you're under stress, you tend to respond more negatively to stimuli that don't normally cause you problems, they irritate you. With IBS, it seems to be the same thing going on in the intestine.

"Antidepressants and anti-anxiety medications probably help the most, because unfortunately stress-related disorders and IBS go hand in hand," Madanick tells WebMD. "If you can decrease the stress, you're breaking the cycle and improving overall quality of life."

Also, make regularly scheduled visits for irritable bowel problems, not visits on an emergency basis, he advises.


--------------------------------------------------------------------------------

SOURCES: Spiegel, B. Archives of Internal Medicine, Sept. 15, 2004; vol 164: pp 1773-1780. Brennan M.R. Spiegel, MD, MSHS, gastroenterologist, The David Geffen School of Medicine, UCLA, and the VA Greater Los Angeles Healthcare System. William E. Whitehead, PhD, director, Center for Functional GI and Motility Disorders, University of North Carolina School of Medicine. Ryan Madanick, MD, gastrointestinal specialist, University of Miami School of Medicine.


http://content.health.msn.com/content/article/94/102633.htm?pagenumber=2

--------------------
Heather is the Administrator of the IBS Message Boards. She is the author of Eating for IBS and The First Year: IBS, and the CEO of Heather's Tummy Care. Join her IBS Newsletter. Meet Heather on Facebook!

Print     Remind Me     Notify Moderator    

Entire thread
* General IBS / Bowel Dysfunction
HeatherAdministrator
07/14/03 01:56 PM
* Top 25 recommendations for IBS from the American College of Gastroenterology
HeatherAdministrator
12/15/20 03:38 PM
* Postcolonoscopy Antibiotics Linked With IBS
HeatherAdministrator
06/02/20 02:14 PM
* Expanding Role of Fecal Microbiota Transplants: Hope or Hype?
HeatherAdministrator
12/30/19 03:03 PM
* Constipation in Older Adults Improved With Biofeedback
HeatherAdministrator
11/06/19 03:24 PM
* Patients with IBS Diarrhea, IBS Constipation, find their lives impacted in different ways
HeatherAdministrator
08/15/19 04:32 PM
* New, noninvasive test for bowel diseases
HeatherAdministrator
06/28/19 04:42 PM
* Oh, Poop! Study Links Pets to Higher IBS Risk for Owners
HeatherAdministrator
05/21/19 03:05 PM
* Microbiome science may deliver more effective, personalized treatment to children with IBS
HeatherAdministrator
04/23/19 03:23 PM
* Altered gut microbiota as a possible cause of IBS - Harmful bacteria increased in IBS, protective bacteria decreased.
HeatherAdministrator
04/09/19 01:59 PM
* 5 conditions that can cause uncontrolled bowel movements
HeatherAdministrator
02/28/19 03:01 PM
* Exercise boosts well-being by improving gut health
HeatherAdministrator
02/20/19 02:42 PM
* Scientists find that hundreds of gut bacteria are electric
HeatherAdministrator
09/19/18 01:06 PM
* Fecal transplantation may not improve IBS symptoms
HeatherAdministrator
08/22/18 02:03 PM
* Fecal Microbiota Transplant Relieves IBS With Predominant Bloating
HeatherAdministrator
07/25/18 12:46 PM
* April is IBS Awareness Month: 10 recent advances in research, diagnostics
HeatherAdministrator
04/16/18 02:05 PM
* Bacteria can trigger stomach cancer
HeatherAdministrator
08/25/17 04:11 PM
* Fecal microbiota transplantation improved symptoms and quality of life in patients with IBS
HeatherAdministrator
05/09/17 01:28 PM
* Autism symptoms improve after fecal transplant, small study finds
HeatherAdministrator
01/26/17 02:54 PM
* Microbiota and arthritis: correlations or cause?
HeatherAdministrator
02/19/16 01:09 PM
* Takeda, Enterome to collaborate on microbiome-based drugs for IBD, IBS, other GI disorders
HeatherAdministrator
01/11/16 03:21 PM
* Risk factors for IBS in military include stress, infectious gastroenteritis
HeatherAdministrator
01/11/16 03:19 PM
* Risk Factors ID'd for Fecal Transplant Failure
HeatherAdministrator
10/26/15 03:06 PM
* Blood Test Helps Some IBS Patients Get Firm Diagnosis
HeatherAdministrator
10/15/15 10:51 AM
* Differences in IBS patients' microbiota more significant in feces vs. mucosa
HeatherAdministrator
09/28/15 02:14 PM
* Higher reported cat dander sensitization rate may explain asthma prevalence in IBS patients
HeatherAdministrator
09/14/15 03:32 PM
* Picky Eaters Have Extra Helpings of Anxiety, Depression
HeatherAdministrator
08/05/15 03:42 PM
* Prediabetes Patients Have Fewer Gut Bugs
HeatherAdministrator
03/09/15 03:08 PM
* FDA approves Eclipse System for fecal incontinence in women
HeatherAdministrator
02/23/15 01:35 PM
* Fecal transplant leads to sudden obesity
HeatherAdministrator
02/23/15 01:24 PM
* New Criteria Would Double Fibromyalgia Cases
HeatherAdministrator
02/10/15 04:17 PM
* 2014 FDA approvals in gastroenterology
HeatherAdministrator
01/12/15 03:36 PM
* Colonoscopy prep affects gut bacteria
HeatherAdministrator
01/07/15 03:58 PM
* The Bile-IBS Link
HeatherAdministrator
12/15/14 03:18 PM
* Ineffective Pain Meds in IBS Patients Related to Immune System Changes
HeatherAdministrator
12/09/14 11:34 AM
* Volatile organic compounds accurate biomarkers for IBS in children
HeatherAdministrator
10/27/14 01:59 PM
* Researchers develop, validate eight GI symptom scales
HeatherAdministrator
10/07/14 02:17 PM
* Sleep Measures Can Help Predict Next-Day Symptoms in IBS Female Patients
HeatherAdministrator
09/17/14 02:27 PM
* Domestic violence may trigger irritable bowel syndrome
HeatherAdministrator
09/17/14 02:15 PM
* All IBS subtypes have similar symptom severity
HeatherAdministrator
09/05/14 03:50 PM
* Gut microbiome can diagnose colorectal cancer?
HeatherAdministrator
08/12/14 11:21 AM
* Sacral nerve stimulation does not help IBS
HeatherAdministrator
07/15/14 02:57 PM
* Small Study of IBS Patients Suggests Symptom Improvement with Fecal Microbiota Transplant
HeatherAdministrator
06/27/14 04:15 PM
* Vitamin D Role in Fecal Incontinence?
HeatherAdministrator
05/22/14 05:03 PM
* Colonic bile acid exposure influenced IBS symptoms
HeatherAdministrator
05/22/14 04:50 PM
* Good Vibration(s) for Constipation?
HeatherAdministrator
05/12/14 03:55 PM
* Can you give your spouse IBS?
HeatherAdministrator
04/22/14 02:12 PM
* Factors linked to chronic constipation
HeatherAdministrator
04/07/14 02:06 PM
* IBS patients' health perceptions focus on non-GI issues
HeatherAdministrator
04/07/14 01:35 PM
* Is IBS Funding a Joke?
HeatherAdministrator
01/17/14 11:53 AM
* Blood Test for IBS?
HeatherAdministrator
10/16/13 01:30 PM
* Gut microbes closely linked to proper immune function
HeatherAdministrator
09/17/13 02:09 PM
* More bugs in your gut = better health, lower body weight.
HeatherAdministrator
08/30/13 11:32 AM
* Top 10 Questions to Ask Your Doc about IBS
HeatherAdministrator
08/16/13 01:01 PM
* Had your gallbladder out? You may not have IBS.
HeatherAdministrator
08/16/13 01:01 PM
* IBS Quick Tip - Bloating Relief