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Slide 57 of 250
|Slide 57 |
|Comparison of Psychologic Disturbance |
In one study, patients with IBS were compared with regard to bowel symptoms (abdominal pain, stool frequency) and psychosocial factors (mood, life stress, personality, social support, illness behavior) to a matched group with IBS not seeking health care (IBS non-patients), and to normal subjects without bowel symptoms. After controlling for demographic factors and bowel symptom severity, the patients with IBS had greater psychological disturbance than the other two groups. Furthermore, the IBS non-patients were not psychologically different from normals. Similar results were found in a community survey where these three groups were compared on a measure of psychological distress.
|Therefore, the psychological disturbances previously reported in IBS relate to patients who see physicians. Psychological disturbances are not a part of the IBS per se, but they do influence who with the disorder will seek health care. |
Drossman DA, McKee DC, Sandler RS, et al. Psychosocial factors in the irritable bowel syndrome. A multivariate study of patients and non patients with irritable bowel syndrome. Gastroenterol. 1988; 95:701-8.
Whitehead WE, Bosmajian L. Zonderman AB, Costa PTJ, Schuster MM. Symptoms of psychologic distress associated with irritable bowel syndrome. Comparison of community and medical clinic samples. Gastroenterol. 1988; 95:709-14.