Cited by 480Gastrointestinal motility and disordersPsychosomatic Disorders and Their TreatmentsFibromyalgia and Chronic Fatigue Syndrome Research

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Symptoms of Psychologic Distress Associated With Irritable Bowel Syndrome

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Whitehead, William E., Bosmajian, Linda, Zonderman, Alan B., Costa Jr., Paul T., Schuster, Marvin M.·1988·Gastroenterology

DOI 10.1016/s0016-5085(88)80018-0

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Abstract

Women with symptoms indicative of irritable bowel syndrome who had not consulted a physician were compared with female patients at a gastroenterology clinic to investigate whether self-selection for treatment accounts for psychologic abnormalities in clinic patients' with irritable bowel syndrome. Two sets of diagnostic criteria were compared: restrictive criteria based on the work of Manning and conventional criteria (abdominal pain plus altered bowel habits). Lactose malabsorbers were included as a control group because they have medically explained bowel symptoms similar to those that define irritable bowel syndrome. Thus they control for the causative effects of chronic bowel symptoms on psychologic distress. Women who met restrictive criteria for irritable bowel syndrome but had not consulted a physician had no more symptoms of psychologic distress on the Hopkins Symptom Checklist than asymptomatic controls. However, medical clinic patients with both irritable bowel syndrome and lactose malabsorption had significantly more psychologic symptoms than asymptomatic controls or nonconsulters with the same diagnoses. Individuals who met only the conventional criteria for irritable bowel syndrome reported more psychologic distress than controls, whether or not they consulted a physician. These results suggest that (a) symptoms of psychologic distress are unrelated to irritable bowel syndrome but influence which patients consult a doctor and (b) conventional diagnostic criteria identify more psychologically distressed individuals than do restrictive criteria.

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A new soy germ fermented ingredient displays estrogenic and protease inhibitor activities able to prevent irritable bowel syndrome-like symptoms in stressed female rats
Moussa, L., Bézirard, V., Salvador–Cartier, C., Bacquie, V., Houdeau, É., & Théodorou, V. (2012) · Clinical Nutrition · doi:10.1016/j.clnu.2012.05.021 · Cited by 26
Irritable Bowel Syndrome: Update on Pathogenesis and Management
Alaradi, O., & Barkin, J. S. (2002) · Medical Principles and Practice · doi:10.1159/000048654 · Cited by 25
Diagnosing an irritable bowel: Does sex matter?
Talley, N. J. (1991) · Gastroenterology · doi:10.1016/0016-5085(91)80034-7 · Cited by 26
Irritable bowel syndrome and family history of psychiatric disorder: A preliminary study
Sullivan, G., Jenkins, P. L., & Blewett, A. E. (1995) · General Hospital Psychiatry · doi:10.1016/0163-8343(94)00064-k · Cited by 26
Persisting improvement in complaint-related cognitions initiated during medical consultations in functional abdominal complaints
van Dulmen, S., Fennis, J. F. M., Mokkink, H. G. A., van der Velden, H. G. M., & Bleijenberg, G. (1997) · Psychological Medicine · doi:10.1017/s0033291796003777 · Cited by 26
“IBS can also be defined more restrictively using the criteria formulated by Manning et al. (1978; Whitehead et al. 1988; Drossman et al. 1990).”
Method
Why do functional gastrointestinal disorders come and go?
Talley, N. J. (1994) · Digestive Diseases and Sciences · doi:10.1007/bf02087407 · Cited by 26
Functional Bowel Disorders
Wiley, J. W., & Chang, L. (2018) · Gastroenterology · doi:10.1053/j.gastro.2018.02.014 · Cited by 25
The measurement of beliefs about physical symptoms in English general practice patients
Salmon, P., Woloshynowych, M., & Valor, R. (1996) · Social Science & Medicine · doi:10.1016/0277-9536(95)00263-4 · Cited by 24
Irritable Bowel Syndrome Increases the Risk of Epilepsy
Chen, C., Lin, C., & Kao, C. (2015) · Medicine · doi:10.1097/md.0000000000001497 · Cited by 25
Anxiety and Depression in Patients with Abdominal Bloating
Song, J.-Y., Merskey, H., Sullivan, S. N., & Noh, S. (1993) · The Canadian Journal of Psychiatry · doi:10.1177/070674379303800703 · Cited by 23
“Neither a specific psychiatric diagnosis nor a specific psychological profile has been found (11).”
Background
The Role of Psychosocial Factors in Gastrointestinal Illness
Drossman, D. A. (1996) · Scandinavian Journal of Gastroenterology · doi:10.3109/00365529609095542 · Cited by 23
Importance of the psyche in heartburn and dyspepsia
Drossman, D. A. (1997) · Alimentary Pharmacology & Therapeutics · doi:10.1111/j.1365-2036.1997.tb00794.x · Cited by 23
Evaluation of Psychological Aspects Among Subtypes of Irritable Bowel Syndrome
Farzaneh, N., Ghobakhlou, M., Moghimi-Dehkordi, B., Naderi, N., & Fadai, F. (2012) · Indian Journal of Psychological Medicine · doi:10.4103/0253-7176.101780 · Cited by 21
“[10] In 1988, Whitehead’s group[11] administered the Symptom SCL-90-R in order to comparing IBS patients with IBS non-patients and normal subjects.”
Method
Eating attitudes and the irritable bowel syndrome
Sullivan, G., Blewett, A. E., Jenkins, P. L., & Allison, M. C. (1997) · General Hospital Psychiatry · doi:10.1016/s0163-8343(96)00106-5 · Cited by 22
The management of irritable bowel syndrome: a European, primary and secondary care collaboration
Thompson, W., Hungin, A. P. S., Neri, M., Holtmann, G., Sofos Kontoyannis, S., Delvaux, M. M., & Caballero-Plasencia, A. M. (2001) · European Journal of Gastroenterology & Hepatology · doi:10.1097/00042737-200108000-00010 · Cited by 22
Psychological factors in pelvic/urogenital pain: the influence of site of pain versus sex
Heinberg, L. J., Fisher, B., Wesselmann, U., Reed, J., & Haythornthwaite, J. A. (2004) · Pain · doi:10.1016/j.pain.2003.12.007 · Cited by 22
“Data comparing patients from tertiary settings to individuals living in the community indicate that psychiatric co-morbidity is higher among individuals seen in tertiary/specialty pain clinics (e.g. Whitehead et al., 1988; Aaron et al., 1996).”
Background
The short term natural history of irritable bowel syndrome: A time-series analysis
Stevens, J. A., Wan, C. K., & Blanchard, E. B. (1997) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(96)00104-0 · Cited by 22
Recurrent Abdominal Pain in Primary and Tertiary Care: Differences and Similarities
Czyzewski, D. I., Eakin, M. N., Lane, M. M., Jarrett, M. E., & Shulman, R. J. (2007) · Children s Health Care · doi:10.1080/02739610701334970 · Cited by 21
Duodenal eosinophilia and the link to anxiety: A population‐based endoscopic study
Ronkainen, J., Aro, P., Jones, M., Walker, M. M., Agréus, L., Andréasson, A., & Talley, N. J. (2021) · Neurogastroenterology & Motility · doi:10.1111/nmo.14109 · Cited by 21
Psychiatric Illness, Personality Traits and the Irritable Bowel Syndrome
Fock, K., Chew, C. N., Tay, L., Peh, L. H., Chan, S., & Pang, E. (2001) · Annals of the Academy of Medicine Singapore · doi:10.47102/annals-acadmedsg.v30n6p611 · Cited by 21

Authors: Whitehead, W. E., Bosmajian, L., Zonderman, A. B., Costa Jr., P. T., & Schuster, M. M.
Affiliations: Johns Hopkins University (US)
ORCID: Whitehead, William E.
Zonderman, Alan B.
Venue: Gastroenterology
Publisher: Elsevier BV
Published: 1988-09
Volume: 95
Issue: 3
Pages: 709-714
ISSN: 0016-5085 (ISSN-L)
DOI: 10.1016/s0016-5085(88)80018-0
OpenAlex: W2313802172
Cited by: 480
References: 24
Citations by year: 2024: 1 · 2022: 2 · 2021: 6 · 2020: 3 · 2019: 5 · 2018: 4 · 2017: 3 · 2016: 5 · 2015: 6 · 2014: 5 · 2013: 4 · 2012: 5
FWCI: 22.75
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Gastroenterology (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute on Aging
National Institute of Mental Health (MH 00133)
National Institute of Diabetes and Digestive and Kidney Diseases (DK31369)
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, psychological distress, diagnostic criteria, lactose malabsorption, abdominal pain, altered bowel habits, Hopkins Symptom Checklist, women, physician consultation
MeSH terms: Adolescent, Adult, Aged, Aged, 80 and over, Ambulatory Care Facilities, Colonic Diseases, Functional, Female, Humans, Lactose Intolerance, Middle Aged, Patient Acceptance of Health Care, Personality

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Symptoms of Psychologic Distress Associated With Irritable Bowel Syndrome

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