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Psychological adjustment and autonomic disturbances in inflammatory bowel diseases and irritable bowel syndrome
Open accessAbstract
Psychological factors and the autonomic nervous system (ANS) are implicated in the pathogenesis of inflammatory bowel diseases (IBD) and irritable bowel syndrome (IBS). This study aimed to assess, firstly the way IBS and IBD patients cope with their pathology according to their affective adjustment and secondly the possible links between these affective adjustments and ANS reactivity. Patients with Crohn's disease (CD; n=26), ulcerative colitis (UC; n=22), or IBS (n=27) were recruited and compared to 21 healthy subjects based on psychological variables (trait- and state anxiety, depressive symptomatology, negative mood, perceived stress, coping, health locus of control) and sympatho-vagal balance through heart-rate variability monitored at rest. A principal component analysis, performed on all affective variables, isolated a leading factor labelled as "affective adjustment". In each disease, patients were distributed into positive and negative affective adjustment. In all the diseases, a positive affect was associated with problem-focused coping, and a negative affect with emotion-focused coping and external health locus of control. Results show that the sympatho-vagal balance varied according to the disease. In CD presenting positive affectivity, an adapted high sympathetic activity was observed. In UC, a parasympathetic blunt was observed in the presence of negative affectivity and an equilibrated sympatho-vagal balance in the presence of positive affectivity. In contrast, in IBS, an important dysautonomia (with high sympathetic and low parasympathetic tone) was constantly observed whatever the affective adjustment. In conclusion, this study suggests that the equilibrium of the ANS is differentially adapted according to the disease. This equilibrium is conjugated with positive affective and cognitive adjustment in IBD (CD and UC) but not in IBS.
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“HF was recorded in all studies, LF was recorded in 26 (96.8%) (31–47,50–58), and VLF was recorded in 6 (21.4%) (37,41,44,52,56,57).”
From Alterations in Heart Rate Variability Associated With Irritable Bowel Syndrome or Inflammatory Bowel Disease: A Systematic Review and Meta-Analysis (2021) · cites this paper as [39]
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“Nineteen studies compared IBS with HC (31–49), 9 compared IBD with HC (50–58), and 2 compared HRV across all 3 comparators (41,44).”
From Alterations in Heart Rate Variability Associated With Irritable Bowel Syndrome or Inflammatory Bowel Disease: A Systematic Review and Meta-Analysis (2021) · cites this paper as [39]
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Metadata
- Authors
- Pellissier, S., Dantzer, C., Canini, F., Mathieu, N., & Bonaz, B.
- Affiliations
- Laboratoire Inter-universitaire de Psychologie: Personnalité, Cognition, Changement Social (FR)
- Centre Hospitalier Universitaire de Grenoble (FR)
- Inserm (FR)
- Venue
- Psychoneuroendocrinology
- Publisher
- Elsevier BV
- Published
- 2010-06
- Volume
- 35
- Issue
- 5
- Pages
- 653-662
- ISSN
- 0306-4530 (ISSN-L)
- OpenAlex
- W1982962172
- Cited by
- 198
- References
- 85
- Citations by year
- 2026: 8 · 2025: 10 · 2024: 11 · 2023: 10 · 2022: 11 · 2021: 20 · 2020: 14 · 2019: 9 · 2018: 17 · 2017: 12 · 2016: 19 · 2015: 14 · 2014: 15 · 2013: 8 · 2012: 10
- FWCI
- 3.87
- Type
- journal article
- Language
- en
- Open access
- green
- inserm.hal.science
- Licence
- Locations
- Psychoneuroendocrinology (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Gastroenterology › Inflammatory Bowel Disease
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Keywords
- inflammatory bowel disease, irritable bowel syndrome, Crohn's disease, ulcerative colitis, psychological adjustment, autonomic nervous system, sympathovagal balance, heart rate variability, coping strategies, problem-focused coping, emotion-focused coping, health locus of control, anxiety, depression, perceived stress, autonomic dysfunction
- MeSH terms
- Adaptation, Psychological, Adult, Affect, Colitis, Ulcerative, Crohn Disease, Female, Heart Rate, Humans, Internal-External Control, Male, Irritable Bowel Syndrome, Primary Dysautonomias
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