The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.
Psychosocial Factors in the Irritable Bowel Syndrome
Abstract
In this multivariate analysis of the irritable bowel syndrome (IBS) we describe the symptomatic and psychologic features of the condition and their possible contributions to health care seeking. We studied 72 IBS patients, 82 persons with IBS who had not sought medical treatment, and 84 normal subjects. All subjects received complete medical evaluation, diary card assessment of abdominal pain and stool habit, and standard psychologic tests of pain, personality, mood, stressful life events, illness behavior, and social support. Pain and diarrhea were the most important symptoms associated with patient status. When controlling for these symptoms we found that (a) IBS patients have a higher proportion of abnormal personality patterns, greater illness behaviors, and lower positive stressful life event scores than IBS nonpatients (p less than 0.001) and normals (p less than 0.001); (b) IBS nonpatients, although psychologically intermediate between patients and normals, are not different from normals (p less than 0.21); and (c) IBS nonpatients have higher coping capabilities, experience illness as less disruptive to life, and tend to exhibit less psychologic denial than patients. These factors may contribute to "wellness behaviors" among people with chronic bowel symptoms. We conclude that the psychologic factors previously attributed to the IBS are associated with patient status rather than to the disorder per se. These factors may interact with physiologic disturbances in the bowel to determine how the illness is experienced and acted upon.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“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 [12]
Citations
Cites
The McGill Pain Questionnaire: Major properties and scoring methods
Melzack, R. (1975) · Pain · doi:10.1016/0304-3959(75)90044-5 · Cited by 6,873
Assessing the impact of life changes: Development of the Life Experiences Survey.
Sarason, I. G., Johnson, J. H., & Siegel, J. M. (1978) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.46.5.932 · Cited by 2,788
Towards positive diagnosis of the irritable bowel.
Manning, A. P., Thompson, W., Heaton, K. W., & Morris, A. F. (1978) · BMJ · doi:10.1136/bmj.2.6138.653 · Cited by 1,404
Validity and reliability of the family APGAR as a test of family function.
SMILKSTEIN, G., Ashworth, C. D., & Montaño, D. E. (1982) · PubMed · Cited by 765
Bowel Patterns Among Subjects Not Seeking g Health Care
Drossman, D. A., Sandler, R. S., McKee, D. C., & Lovitz, A. J. (1982) · Gastroenterology · doi:10.1016/s0016-5085(82)80186-8 · Cited by 711
Self-citationFunctional bowel disorders in apparently healthy people
Thompson, W., & Heaton, K. W. (1980) · Gastroenterology · doi:10.1016/0016-5085(80)90142-0 · Cited by 654
The concept of illness behavior
Mechanic, D. (1962) · Journal of Chronic Diseases · doi:10.1016/0021-9681(62)90068-1 · Cited by 621
Symptom complaints and health care seeking behavior in subjects with bowel dysfunction
Sandler, R. S., Drossman, D. A., Nathan, H. P., & McKee, D. C. (1984) · Gastroenterology · doi:10.1016/0016-5085(84)90706-6 · Cited by 326
Self-citationLearned illness behavior in patients with irritable bowel syndrome and peptic ulcer
Whitehead, W. E., Winget, C. N., Fedoravicius, A. S., Wooley, S. C., & Blackwell, B. (1982) · Digestive Diseases and Sciences · doi:10.1007/bf01296915 · Cited by 302
Survey of the AGA Membership Relating to Patients With Functional Gastrointestinal Disorders
Mitchell, C. M., & Drossman, D. A. (1987) · Gastroenterology · doi:10.1016/s0016-5085(87)91099-7 · Cited by 292
Self-citationPsychiatric Illness and The Irritable Bowel Syndrome
Young, S. J., Alpers, D., Norland, C. C., & Woodruff, R. A. (1976) · Gastroenterology · doi:10.1016/s0016-5085(76)80002-9 · Cited by 275
Multiple Testing of Hypotheses in Comparing Two Groups
Cupples, L. A., Heeren, T., Schatzkin, A. G., & Colton, T. (1984) · Annals of Internal Medicine · doi:10.7326/0003-4819-100-1-122 · Cited by 187
Illness Experience and Life Stresses in Patients with Irritable Colon and with Ulcerative Colitis
Mendeloff, A. I., Monk, M., Siegel, C. I., & Lilienfeld, A. M. (1970) · New England Journal of Medicine · doi:10.1056/nejm197001012820104 · Cited by 172
The Effect of Stress on Colon Motor and Electrical Activity in Irritable Bowel Syndrome
Welgan, P. R., Meshkinpour, H., & Hoehler, F. K. (1985) · Psychosomatic Medicine · doi:10.1097/00006842-198503000-00005 · Cited by 147
Recollection of Childhood Events in Adults with Irritable Bowel Syndrome
Lowman, B., Drossman, D. A., Cramer, E. M., & McKee, D. C. (1987) · Journal of Clinical Gastroenterology · doi:10.1097/00004836-198706000-00017 · Cited by 146
Self-citationAlternative medicine consultations and remedies in patients with the irritable bowel syndrome.
Smart, H. L., Mayberry, J. F., & Atkinson, M. A. (1986) · Gut · doi:10.1136/gut.27.7.826 · Cited by 139
Psychological characteristics of patients with the irritable bowel syndrome
Palmer, R. L., Crisp, A. H., Stonehill, E., Waller, S. L., & Misiewicz, J. J. (1974) · Postgraduate Medical Journal · doi:10.1136/pgmj.50.585.416 · Cited by 130
How trustworthy are bowel histories? Comparison of recalled and recorded information.
Manning, A. P., Wyman, J. B., & Heaton, K. W. (1976) · BMJ · doi:10.1136/bmj.2.6029.213 · Cited by 100
Therapeutic Usefulness of Amitriptyline in Spastic Colon Syndrome
Steinhart, M. J., Wong, P. Y., & Zarr, M. L. (1982) · The International Journal of Psychiatry in Medicine · doi:10.2190/wfhg-gr7t-79d6-uqvd · Cited by 66
Does the Illness Behavior Questionnaire measure abnormal illness behavior?
Zonderman, A. B., Heft, M. W., & Costa, P. T. (1985) · Health Psychology · doi:10.1037/0278-6133.4.5.425 · Cited by 63
Psychological aspects of irritable bowel syndrome
Langeluddecke, P. M. (1985) · Australian & New Zealand Journal of Psychiatry · doi:10.3109/00048678509158826 · Cited by 48
Irritable Bowel Syndrome: Epidemiology, Diagnosis and Treatment
Drossman, D. A., & Lowman, B. (1985) · Clinics in Gastroenterology · doi:10.1016/s0300-5089(21)00724-0 · Cited by 25
Self-citationDiagnosis of the Irritable Bowel Syndrome
Drossman, D. A. (1979) · Annals of Internal Medicine · doi:10.7326/0003-4819-90-3-431 · Cited by 23
Self-citationClinical Research in the Functional Digestive Disorders
Drossman, D. A. (1987) · Gastroenterology · doi:10.1016/s0016-5085(87)91087-0 · Cited by 18
Self-citationPersonality patterns seen in irritable bowel syndrome patients.
Cm, B., & Gl, M. (1985) · PubMed · Cited by 17
Investigating the psychological aspects of irritable bowel syndrome
BARSKY, A. J. (1987) · Gastroenterology · doi:10.1016/0016-5085(87)90457-4 · Cited by 11
Neuromuscular Disorders of the Gastrointestinal Tract
Cohen, S. (1983) · Hospital Practice · doi:10.1080/21548331.1983.11702518 · Cited by 6
Research works printed but not linked: 1
- Greenbaum, 1983, Irritable bowel symptom prevalence, rectosigmoid motility and psychometrics in symptomatic subjects not seeing physicians (abstr), Gastroenterology, 84, 1174
Cited by
Sorted by citations
Lacy, B. E., Mearin, F., Chang, L., Chey, W. D., Lembo, A. J., Simren, M., & Spiller, R. (2016) · Gastroenterology · doi:10.1053/j.gastro.2016.02.031 · Cited by 2,866
The functional gastrointestinal disorders and the Rome III process
Drossman, D. A. (2006) · Gastroenterology · doi:10.1053/j.gastro.2006.03.008 · Cited by 2,416
Self-citationAGA technical review on irritable bowel syndrome.
Drossman, D. A., Camilleri, M., Mayer, E. A., & Whitehead, W. E. (2002) · Gastroenterology · doi:10.1053/gast.2002.37095 · Cited by 1,384
Self-citationWhitehead, W. E., Palsson, O., & Jones, K. R. (2002) · Gastroenterology · doi:10.1053/gast.2002.32392 · Cited by 1,116
Postinfectious Irritable Bowel Syndrome
Spiller, R., & Garsed, K. (2009) · Gastroenterology · doi:10.1053/j.gastro.2009.02.074 · Cited by 1,024
Metadata
- Authors
- Drossman, D. A., McKee, D. C., Sandler, R. S., Mitchell, C. M., Cramer, E. M., Lowman, B. C., & Burger, A. L.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Venue
- Gastroenterology
- Publisher
- Elsevier BV
- Published
- 1988-09
- Volume
- 95
- Issue
- 3
- Pages
- 701-708
- ISSN
- 0016-5085 (ISSN-L)
- OpenAlex
- W184872731
- Cited by
- 757
- References
- 27
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 5 · 2023: 3 · 2022: 6 · 2021: 7 · 2020: 10 · 2019: 12 · 2018: 11 · 2017: 10 · 2016: 8 · 2015: 9 · 2014: 20 · 2013: 16 · 2012: 7
- FWCI
- 21.71
- 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 › Pediatrics, Perinatology and Child Health › Infant Health and Development
- Keywords
- irritable bowel syndrome, psychosocial factors, personality, illness behavior, life events, coping, social support, health-seeking behavior, abdominal pain, diarrhea
- MeSH terms
- Adult, Affect, Attitude to Health, Colonic Diseases, Functional, Diarrhea, Female, Humans, Life Change Events, Male, Pain, Personality, Social Support
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
