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Cited by 198Inflammatory Bowel DiseaseHeart Rate Variability and Autonomic ControlGastrointestinal motility and disorders

The DOI matches its Crossref record; 83 of the 85 references it cites were found in a registry or an index.

Psychological adjustment and autonomic disturbances in inflammatory bowel diseases and irritable bowel syndrome

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Pellissier, Sonia, Dantzer, Cécile, Canini, Fréderic, Mathieu, Nicolas, Bonaz, Bruno·2010·Psychoneuroendocrinology
DOI 10.1016/j.psyneuen.2009.10.004
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Abstract

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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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)
ORCID
Venue
Psychoneuroendocrinology
Publisher
Elsevier BV
Published
2010-06
Volume
35
Issue
5
Pages
653-662
ISSN
0306-4530 (ISSN-L)
DOI
10.1016/j.psyneuen.2009.10.004
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
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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