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Gender-related differences in prepulse inhibition of startle in irritable bowel syndrome
      03/11/10 01:48 PM
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Biol Psychol. 2010 Mar 1.

Gender-related differences in prepulse inhibition of startle in irritable bowel syndrome (IBS).

Kilpatrick LA, Ornitz E, Ibrahimovic H, Treanor M, Craske M, Nazarian M, Mayer EA, Naliboff BD.

Center for Neurobiology of Stress, David Geffen School of Medicine, UCLA, United States; Department of Medicine and Physiology, Division of Digestive Diseases, David Geffen School of Medicine, UCLA, United States.

Alterations in central networks involved in the regulation of arousal, attention, and cognition may be critical for irritable bowel syndrome (IBS) symptom maintenance and exacerbation.

Differential sensitivities in these networks may underlie sex differences noted in IBS. The current study examined prepulse inhibition (PPI), a measure of sensorimotor gating, in male and female IBS patients.

Relationships between PPI and symptom severity were examined, as well as potential menstrual status effects.

Compared to healthy controls, male IBS patients had significantly reduced PPI; whereas female IBS patients (particularly naturally cycling women) had significantly enhanced PPI suggesting hypervigilance.

Considering previously demonstrated sex-related differences in perceptual and brain imaging findings in IBS patients, the current findings suggest that different neurobiological mechanisms underlie symptom presentation in male and female IBS patients.

Compromised filtering of information in male IBS patients may be due to compromised top down (prefrontal, midcingulate) control mechanisms while increased attention to threat due to increased limbic and paralimbic circuits may be characteristic of female IBS patients. Copyright © 2010. Published by Elsevier B.V.

PMID: 20193731 [PubMed - as supplied by publisher]

http://www.ncbi.nlm.nih.gov/pubmed/20193731

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