Symptom complaints and health care seeking behavior in subjects with bowel dysfunction
Abstract
A significant proportion of the population (14%-22%) appears to have symptoms compatible with the irritable bowel syndrome, yet only a small number seek medical aid. To explore why some people with bowel dysfunction go to the doctor and others do not, we surveyed 566 healthy subjects. Eighty-six (15%) had bowel dysfunction compatible with irritable bowel syndrome, but the majority of those affected (53 subjects or 62%) had never been to a doctor for these complaints. Although those who consulted physicians for bowel symptoms were more likely to report abdominal pain than those who did not, pain was not sufficient to explain doctor visits. Subjects with bowel dysfunction also reported more nongastrointestinal symptoms, and those with bowel dysfunction who visited physicians were more likely to see physicians for their nongastrointestinal symptoms. The reported higher prevalence of psychopathology among the patient population with irritable bowel syndrome may be due to behavioral influences that lead to health care seeking.
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Several volunteer studies reported that persons with IBS who do not see physicians are psychologically similar to those without bowel complaints.
“Several studies carried out in volunteers (12,13,41) reported that persons with IBS, who do not see physicians, are psychologically similar to those without bowel complaints.”
From Psychosocial Distress and Somatic Symptoms in Community Subjects With Irritable Bowel Syndrome: A Psychological Component Is the Rule (2009) · cites this paper as [41]
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Self-citation
- Authors
- Sandler, R. S., Drossman, D. A., Nathan, H. P., & McKee, D. C.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Venue
- Gastroenterology
- Publisher
- Elsevier BV
- Published
- 1984-08
- Volume
- 87
- Issue
- 2
- Pages
- 314-318
- ISSN
- 0016-5085 (ISSN-L)
- OpenAlex
- W1522717776
- Cited by
- 326
- References
- 12
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 1 · 2021: 3 · 2020: 4 · 2017: 3 · 2016: 5 · 2015: 5 · 2014: 2 · 2013: 7 · 2012: 5
- FWCI
- 13.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Gastroenterology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01am029934-03)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Keywords
- irritable bowel syndrome, bowel dysfunction, health-seeking behavior, abdominal pain, psychopathology, physician visits, underdiagnosis
- MeSH terms
- Abdomen, Adult, Colonic Diseases, Functional, Constipation, Female, Humans, Male, Office Visits, Pain, Patient Acceptance of Health Care, Probability, Surveys and Questionnaires, Stress, Psychological
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