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Prevalence of irritable bowel syndrome among university students
Abstract
Objective Relationships between presence of irritable bowel syndrome (IBS) and generalized anxiety disorder (GAD), chronic worry, neuroticism, anxiety sensitivity and anxiety about visceral sensations were examined among university students.Methods College student participants were administered self-report diagnostic measures of IBS and GAD, the Penn State Worry Questionnaire (PSWQ), the Neuroticism subscale of the Eysenck Personality Questionnaire, the Anxiety Sensitivity Index (ASI) and five additional items designed to measure visceral anxiety.Results The prevalence of IBS and its associated characteristics among students were similar to previous community survey studies, with the exception of lower symptom severity in the university sample. IBS was associated with a higher frequency of GAD and greater worry, neuroticism, anxiety sensitivity and visceral anxiety. Logistic regression analyses further showed that the measure of anxiety specific to visceral sensations was the strongest predictor of IBS diagnostic status.Conclusions While various aspects of anxiety appear related to IBS, specific anxiety about visceral sensations appears to be the most significant factor. Implications of the associations between anxiety-related variables, particularly anxiety about visceral sensations, are discussed.
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“Several studies have confirmed the impact of symptom-related fear and avoidance behaviors on symptom severity and quality of life in IBS [24,27-30].”
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“Anxiety and depression often coexist with IBS [22] and are prone to influencing IBS symptom severity und quality of life [23,24].”
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“9% in American university students (56) and 10.”
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“However, studies of adults with IBS have indicated that fear and avoidance of symptoms rather than stress may be the most important factor associated with diminished quality of life and symptom severity (Hazlett-Stevens et al., 2003; Labus et al., 2004, 2007; Jerndal et al., 2010; Reme et al., 2010).”
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Emotional overactivity in patients with irritable bowel syndrome
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“This replicates and extends prior findings on visceral anxiety sensitivity and GI symptom severity in subclinical, undergraduate populations (Hazlett-Stevens et al., 2003).”
BackgroundMethodResultInfluentialRole of neuroticism and perceived stress on quality of life among patients with dry eye disease
Tananuvat, N., Tansanguan, S., Wongpakaran, N., & Wongpakaran, T. (2022) · Scientific Reports · doi:10.1038/s41598-022-11271-z · 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
“[32] Although the association of IBS and psychological problems is well established,[33-38] it seems that there is no consistency among different studies aimed to investigate any potential disparities in psychopathological features between subtypes of IBS.”
BackgroundCañón, M. (2016) · Annals of Gastroenterology · doi:10.20524/aog.2016.0093 · Cited by 22
“9% prevalence (Rome II criteria) in the United States [39] and up to 37% in Canada (Rome I criteria) [40].”
BackgroundInfluentialTreating irritable bowel syndrome through an interdisciplinary approach
Nelkowska, D. D. (2019) · Annals of Gastroenterology · doi:10.20524/aog.2019.0441 · Cited by 21
“, generalized anxiety disorder, panic disorder), sleep disturbances, eating disorders, depression or posttraumatic stress disorder [4,12,16,57,63].”
BackgroundGallas, S., Knaz, H., Methnani, J., Kanzali, M. M., Koukane, A., Bedoui, M. H., & Latiri, I. (2022) · Libyan Journal of Medicine · doi:10.1080/19932820.2022.2082029 · Cited by 21
Development and Validation of the GI-Cognitions Questionnaire
Hunt, M. G., Ertel, E., Coello, J. A., & Rodriguez, L. (2014) · Cognitive Therapy and Research · doi:10.1007/s10608-014-9607-y · Cited by 21
“IBS patients have been shown to be hypervigilant to GI sensations (Posserud et al. 2009) and are high in anxiety about visceral sensations (Hazlett-Stevens et al. 2003; Labus et al. 2004; Labus et al. 2007).”
BackgroundHunt, M. G., Wong, C., Aajmain, S. T., & Dawodu, I. (2018) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2018.07.015 · Cited by 21
Alemany, S., Soler-Artigas, M., Cabana-Domínguez, J., Fakhreddine, D., Llonga, N., Vilar-Ribó, L., Rodríguez-Urrutia, A., Palacio, J., González-Castro, A. M., Lobo, B., et al. (2023) · Journal of Translational Medicine · doi:10.1186/s12967-023-04107-5 · Cited by 20
Toth, M., & Jokić‐Begić, N. (2020) · Health Psychology and Behavioral Medicine · doi:10.1080/21642850.2020.1770093 · Cited by 20
Harding, K. A., Simpson, T. L., & Kearney, D. J. (2018) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2018.0135 · Cited by 20
“19,20 GSA also can include beliefs about inability to control symptoms, which can contribute to reduced quality of life reported in IBS patients.”
Correlation between Gut Microbiota and Six Facets of Neuroticism in Korean Adults
Park, E., Yun, K. E., Kim, M.-H., Kim, J., Chang, Y., Ryu, S., Kim, H., Kim, H., & Jung, S. (2021) · Journal of Personalized Medicine · doi:10.3390/jpm11121246 · Cited by 20
Wang, Y., Jin, F., Chi, B., Duan, S., Zhang, Q., Liu, Y., Hao, W., & Sun, J. (2016) · Psychology Health & Medicine · doi:10.1080/13548506.2016.1144890 · Cited by 18
“(Hazlett-Stevens et al., 2003; Shen et al., 2009).”
McKinnon, A. C., Oudenhove, L. V., Tack, J. F., & Jones, M. (2013) · Journal of Health Psychology · doi:10.1177/1359105313503027 · Cited by 18
“The link between psychosocial factors and presence, severity and long-term outcome of FGIDs has been well established (e.g. Drossman et al., 1997; Goubert et al., 2004; Hartono et al., 2012; Hazlett-Stevens et al., 2003; Hunt et al., 2009; Lackner and Quigley, 2005).”
BackgroundDas, A., Razon, A. H., Ahmad, T., & Paul, D. K. (2022) · JGH Open · doi:10.1002/jgh3.12757 · Cited by 17
Assessment of Psychological and Psycho-physiological Problems Among Visually Impaired Adolescents
Bhuvaneswari, M., Selvaraj, C. I., Selvaraj, B., & Srinivasan, T. (2016) · Iranian Journal of Psychiatry and Behavioral Sciences · doi:10.17795/ijpbs-3895 · Cited by 17
“The above findings were in accordance with earlier reports (27).”
ResultPrevalence and Risk Factors of Irritable Bowel Syndrome in Asia
Lee, O. Y. (2010) · Journal of Neurogastroenterology and Motility · doi:10.5056/jnm.2010.16.1.5 · Cited by 17
“In this study, female gender, younger age, psychological stress, and current smoking were risk factors for IBS.”
MethodInfluentialIto, M., & Muto, T. (2020) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2019.11.009 · Cited by 15
Sugaya, N., Yoshida, E., Yasuda, S., Tochigi, M., Takei, K., Ohtani, T., Otowa, T., Minato, T., Umekage, T., Sakano, Y., et al. (2013) · Psychiatry and Clinical Neurosciences · doi:10.1111/pcn.12069 · Cited by 15
Stein, K., Warne, N., Heron, J., Zucker, N. L., & Bould, H. (2021) · International Journal of Eating Disorders · doi:10.1002/eat.23513 · Cited by 14
“increased sensitivity to GI sensations) is especially important for developing increased pain sensitivity, hypervigilance, and poor coping responses[18] [19].”
BackgroundDoes Using a Mindfulness App Reduce Anxiety and Worry? A Randomized-Controlled Trial
Abbott, D., Lack, C. W., & Anderson, P. L. (2023) · Journal of Cognitive Psychotherapy · doi:10.1891/jcpsy-d-20-00058 · Cited by 15
Role of psychiatric disorders and irritable bowel syndrome in asthma patients
Yılmaz, A. T., Cumurcu, B. E., Taşlıyurt, T., Şahan, A. G., Üstün, Y., & Etikán, Í. (2011) · Clinics · doi:10.1590/s1807-59322011000400012 · Cited by 12
Constructive thinking, rational intelligence and irritable bowel syndrome
Rey, E., Moreno-Ortega, M., Alonso, M. O. G., & Díaz‐Rubio, M. (2009) · World Journal of Gastroenterology · doi:10.3748/wjg.15.3106 · Cited by 14
Drews, A. A., & Hazlett‐Stevens, H. (2008) · DOAJ (DOAJ: Directory of Open Access Journals) · Cited by 12
Self-citationVisceral sensitivity, anxiety, and smoking among treatment-seeking smokers
Zvolensky, M. J., Bakhshaie, J., Norton, P. J., Smits, J. A. J., Buckner, J. D., Garey, L., & Manning, K. F. (2017) · Addictive Behaviors · doi:10.1016/j.addbeh.2017.06.014 · Cited by 11
Pletikosić, S., & Tkalčić, M. (2017) · BioMed Research International · doi:10.1155/2017/2387681 · Cited by 12
“There are findings indicating that GI-specific anxiety is a good predictor of IBS diagnostic status [20], symptom severity [21], and mental QoL in IBS patients [22].”
Background
Metadata
- Authors
- Hazlett-Stevens, H., Craske, M. G., Mayer, E. A., Chang, L., & Naliboff, B. D.
- Affiliations
- University of California, Los Angeles (US)
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2003-12
- Volume
- 55
- Issue
- 6
- Pages
- 501-505
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W2037171358
- Cited by
- 170
- References
- 35
- Citations by year
- 2025: 8 · 2024: 11 · 2023: 8 · 2022: 6 · 2021: 8 · 2020: 6 · 2019: 2 · 2018: 12 · 2017: 8 · 2016: 7 · 2015: 3 · 2014: 15 · 2013: 10 · 2012: 9
- FWCI
- 4.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- irritable bowel syndrome, prevalence, university students, generalized anxiety disorder, chronic worry, neuroticism, anxiety sensitivity, symptom severity
- MeSH terms
- Adolescent, Adult, Anxiety Disorders, Arousal, Attitude to Health, California, Cross-Sectional Studies, Female, Humans, Male, Personality Inventory, Psychophysiologic Disorders, Students, Abdominal Pain, Irritable Bowel Syndrome
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