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Cited by 49Gastrointestinal motility and disordersPsychosomatic Disorders and Their TreatmentsFibromyalgia and Chronic Fatigue Syndrome Research

Somatization an independent psychosocial risk factor for irritable bowel syndrome but not dyspepsia: a population-based study

Koloski, Natasha A., Boyce, Philip M., Talley, Nicholas J.·2006·European Journal of Gastroenterology & Hepatology
DOI 10.1097/01.meg.0000231755.42963.c6
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Abstract

BACKGROUND: A psychosocial conceptualization for irritable bowel syndrome and unexplained dyspepsia has been proposed, but remains untested. We conducted a comprehensive population-based study to determine what psychiatric and psychosocial factors, if any, are important in irritable bowel syndrome and dyspepsia. METHODS: Two hundred and seven participants identified from two previous Australian population surveys who also met Rome I criteria for irritable bowel syndrome (n=156) or unexplained dyspepsia (n=51) were included in the study. Consulters (n=103) were those who had had visited their general practitioner for gastrointestinal symptoms at least once in the prior 12 months. Nonconsulters had not sought medical care for gastrointestinal symptoms in the past year. Controls (n=100) did not report having any abdominal pain in a previous population survey. Psychosocial variables were assessed using structured interviews and validated self-report measures. RESULTS: Psychiatric diagnoses, neuroticism, more highly threatening life event stress, an external locus of control and ineffectual coping styles were significantly associated with having a diagnosis of irritable bowel syndrome and/or dyspepsia. Only somatization (odds ratio=5.28, 95% confidence interval 1.57-17.68), however, was independently associated with irritable bowel syndrome. Psychosocial factors did not discriminate between consulters and nonconsulters. CONCLUSIONS: Somatization is likely play a key role in explaining irritable bowel syndrome but not dyspepsia.

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Crossref · 10.1097/01.meg.0000231755.42963.c6

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  • Koloski et al. reported that psychiatric diagnoses, neuroticism, threatening life event stress, external locus of control, and ineffectual coping styles were significantly associated with IBS and/or dyspepsia, and that somatization was independently associated with IBS in a random population sample from Sydney, Australia.

    “Koloski et al. (19) reported that psychiatric diagnoses, neuroticism, more highly threatening life event stress, an external locus of control, and ineffectual coping styles were significantly associated with having a diagnosis of IBS and/or dyspepsia, and somatization was independently associated with IBS in a random population sample from Sydney, Australia.”

    From Psychosocial Distress and Somatic Symptoms in Community Subjects With Irritable Bowel Syndrome: A Psychological Component Is the Rule (2009) · cites this paper as [19]

  • There is considerable evidence supporting an association between psychological distress, environmental stress, and functional GI disorders, especially IBS.

    “However, there is a considerable body of evidence supporting an association between psychological distress, environmental stress, and functional GI disorders, especially IBS (17–19).”

    From Psychosocial Distress and Somatic Symptoms in Community Subjects With Irritable Bowel Syndrome: A Psychological Component Is the Rule (2009) · cites this paper as [19]

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Authors
Koloski, N. A., Boyce, P. M., & Talley, N. J.
Affiliations
  • The University of Queensland (AU)
  • The University of Sydney (AU)
Corresponding author
Koloski, Natasha A.
ORCID
Venue
European Journal of Gastroenterology & Hepatology
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2006-10
Volume
18
Issue
10
Pages
1101-1109
ISSN
0954-691X (ISSN-L)
DOI
10.1097/01.meg.0000231755.42963.c6
OpenAlex
W2071496134
Cited by
49
References
39
Citations by year
2026: 1 · 2025: 2 · 2024: 1 · 2023: 1 · 2022: 2 · 2021: 5 · 2020: 1 · 2019: 1 · 2018: 3 · 2017: 2 · 2016: 1 · 2015: 4 · 2014: 2 · 2013: 3 · 2012: 6
FWCI
2.76
Type
journal article
Language
en
Open access
closed
Locations
  • European Journal of Gastroenterology & Hepatology (publishedVersion)
  • PubMed (publishedVersion)
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, somatization, psychosocial risk factors, psychiatric diagnosis, neuroticism, life events, locus of control, coping styles, gastrointestinal symptoms, help-seeking
MeSH terms
Adaptation, Psychological, Adult, Mental Disorders, Dyspepsia, Female, Health Surveys, Humans, Internal-External Control, Male, Middle Aged, Neurotic Disorders, Patient Acceptance of Health Care, Risk Factors, Social Support, Somatoform Disorders, Stress, Psychological, Cohort Studies, Irritable Bowel Syndrome

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