Is Health Care Seeking for Irritable Bowel Syndrome and Functional Dyspepsia a Socially Learned Response to Illness?
Abstract
In a population-based study of 207 subjects with irritable bowel syndrome (IBS) or functional dyspepsia (FD) and controls (n = 100), we aimed to determine whether dimensions of abnormal illness behavior from the Abnormal Illness Behaviour Questionnaire and aspects of social learning of illness behavior from the Social Learning of Illness Behaviour scale were independent predictors of health care seeking for IBS and FD. Results showed that dimensions of abnormal illness behavior and aspects of social learning of illness behavior (encouragement, reinforcement, and modeling) did not significantly differentiate between consulters and nonconsulters with IBS and/or FD. The Disease Conviction scale (OR = 1.55; 95% CI, 1.15-2.09) of the Abnormal Illness Behaviour Questionnaire was an independent predictor of having a diagnosis of IBS and/or FD, independent of age and gender, psychiatric diagnoses, and symptom severity. We conclude that a belief in the presence of serious pathology characterizes community subjects with IBS and FD, but not health care seeking.
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More recent population studies have suggested that earlier volunteer non-population-based studies may have been biased, but this view remains controversial.
“In contrast, more recent population studies (42–45) have suggested that the earlier volunteer non-population-based studies may have been biased, but this view is still controversial (16).”
From Psychosocial Distress and Somatic Symptoms in Community Subjects With Irritable Bowel Syndrome: A Psychological Component Is the Rule (2009) · cites this paper as [42]
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- Authors
- Koloski, N. A., Boyce, P. M., & Talley, N. J.
- Affiliations
- The University of Queensland (AU)
- The University of Sydney (AU)
- Mayo Clinic (US)
- Corresponding author
- Talley, Nicholas J.
- Venue
- Digestive Diseases and Sciences
- Published
- 2005-01
- Volume
- 50
- Issue
- 1
- Pages
- 153-162
- ISSN
- 0163-2116 (ISSN-L)
- 1573-2568
- OpenAlex
- W1978243067
- Cited by
- 27
- References
- 26
- Citations by year
- 2019: 1 · 2016: 1 · 2015: 2 · 2014: 4 · 2013: 1 · 2012: 1
- FWCI
- 2.56
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Digestive Diseases and Sciences (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Health and Medical Research Council
- National Medical Research Council
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Keywords
- irritable bowel syndrome, functional dyspepsia, health-seeking behavior, abnormal illness behavior, disease conviction
- MeSH terms
- Adult, Aged, Aged, 80 and over, Dyspepsia, Female, Humans, Learning, Male, Middle Aged, Patient Acceptance of Health Care, Surveys and Questionnaires, Sick Role, Social Behavior, Case-Control Studies, Irritable Bowel Syndrome
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