Gender differences in irritable bowel syndrome: the interpersonal connection

Thakur, E. R.; Gurtman, M. B.; Keefer, L.; Brenner, D. M.; Lackner, J. M.; Representing the IBS Outcome Study Research Group

doi:10.1111/nmo.12647

Cited by 21Gastrointestinal motility and disordersPsychosomatic Disorders and Their TreatmentsInfant Health and Development

Gender differences in irritable bowel syndrome: the interpersonal connection

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Thakur, E. R., Gurtman, M. B., Keefer, L., Brenner, D. M., Lackner, J. M., Representing the IBS Outcome Study Research Group·2015·Neurogastroenterology & Motility

DOI 10.1111/nmo.12647PMC PMC4584187

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Abstract

Background: While irritable bowel syndrome (IBS) affects women more than men, the reasons are unclear. Research on the female preponderance of IBS has focused on gender differences in sex‐linked biological processes; much less attention has been paid to the role of psychosocial factors. Interpersonal difficulties may be one source of stress that may significantly impact on women with IBS. Because of the importance that women attach to relationships, we suspected they would be more reactive to interpersonal stress. Methods: A total of 283 (M age = 41 years, F = 80%), Rome III‐diagnosed IBS patients completed a test battery that included the IBS Symptom Severity Scale, McGill Pain Questionnaire, Inventory of Interpersonal Problems (IIP), interpersonal support evaluation list (social support), Negative Interactions Scale, Brief Symptom Inventory (distress), Beck Depression Inventory, Anxiety Sensitivity Inventory, and IBS‐Quality of Life as part of baseline assessment of an NIH trial. Key Results: Males scored higher on two IIP scales reflecting a hostile‐dominant interpersonal pattern, and reported less social support. The quality of relationship problems (more interpersonal difficulties, lower support) correlated with IBS symptom severity as measured mainly by gastroenterologists. Conclusions & Inferences: Male, not female, IBS patients reported more interpersonal difficulties. Male patients—a population for whom little is known—are characterized by hostile‐dominant interpersonal problems. This finding has clinical importance, given that relationship problems may influence MD s' estimation of IBS symptom severity and undermine the physician–patient relationship.

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Authors: Thakur, E. R., Gurtman, M. B., Keefer, L., Brenner, D. M., Lackner, J. M., & Representing the IBS Outcome Study Research Group
Affiliations: Baylor College of Medicine (US)
University of Wisconsin–Parkside (US)
Northwestern University (US)
University at Buffalo, State University of New York (US)
Corresponding author: Lackner, J. M.
ORCID: Thakur, E. R.
Keefer, L.
Brenner, D. M.
Lackner, J. M.
Venue: Neurogastroenterology & Motility
Publisher: Wiley
Published: 2015-08-12
Volume: 27
Issue: 10
Pages: 1478-1486
ISSN: 1350-1925 (ISSN-L)
1365-2982
DOI: 10.1111/nmo.12647
PMC: PMC4584187
OpenAlex: W1530845382
Cited by: 21
References: 44
Citations by year: 2023: 2 · 2022: 2 · 2021: 3 · 2020: 4 · 2019: 1 · 2018: 3 · 2017: 3 · 2016: 1 · 2015: 2
FWCI: 3.12
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Neurogastroenterology & Motility (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: NIH (DK77738)
Topics: Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Health Sciences › Health Professions › Pharmacy › Infant Health and Development
Keywords: irritable bowel syndrome, gender differences, interpersonal problems, social support, relationship problems, psychosocial factors, symptom severity, physician-patient relationship, anxiety sensitivity, depression
MeSH terms: Adult, Female, Hostility, Humans, Interpersonal Relations, Male, Middle Aged, Physician-Patient Relations, Severity of Illness Index, Sex Factors, Social Dominance, Social Support, Stress, Psychological, Irritable Bowel Syndrome

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