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Effects of stressful life events on bowel symptoms: subjects with irritable bowel syndrome compared with subjects without bowel dysfunction.
Open accessAbstract
A standardised inventory of stressful life events and a bowel symptom questionnaire were administered at three month intervals for one year to 383 women who were unselected with respect to bowel symptoms. A NEO Personality Inventory was given initially to assess neuroticism. Subjects who satisfied restrictive diagnostic criteria for irritable bowel syndrome were compared with those who complained of abdominal pain plus altered bowel habits but who did not meet restrictive diagnostic criteria (functional bowel disorder) and with controls without bowel dysfunction. The irritable bowel group showed significantly higher levels of stress than the other two groups even when the confounding effects of neuroticism were statistically controlled for. Time lagged correlations showed that stress in one three month interval was significantly correlated with bowel symptoms in the subsequent three month interval for all groups. The slope of the regression line relating stress to bowel symptoms was significantly steeper for the irritable bowel group than for the other two groups at three and six months, suggesting that subjects with irritable bowel syndrome show a greater reactivity to stress. Stress scores were also significantly correlated with the number of disability days and the number of medical clinic visits for bowel symptoms.
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“Recent investigations have found that mindfulness meditation induces changes in the activation of neural circuits implicated in interoception (awareness of stimuli originating inside the body (21)) and emotion regulation (22,23), while improving attentional control (24–27).”
From Mindfulness training reduces the severity of irritable bowel syndrome in women: Results of a randomized controlled trial (2011) · cites this paper as [26]
Experimental — accuracy not yet measuredIn the citing paper
“Early life experiences (e.g., abuse), adult stressors (e.g., divorce or bereavement), lack of social support, and other social learning experiences can affect both an individual’s physiological and psychological responses, and may precipitate abdominal distress, as well as psychiatric disorders (4,7–11).”
From Psychosocial Distress and Somatic Symptoms in Community Subjects With Irritable Bowel Syndrome: A Psychological Component Is the Rule (2009) · cites this paper as [10]
In the citing paper
“Although different types of psychological stressors, including early-life stress and sustained stress, have been recognized as risk factors or promoters of events that result in disease exacerbation in patients with ulcerative colitis2 and IBS,3”
From Principles and clinical implications of the brain-gut-enteric microbiota axis (2009) · cites this paper as [3]
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BackgroundFunctional disorders of the gut
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Patient Perceptions of Treatments for Functional Bowel Disorders
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Metadata
- Authors
- Whitehead, W. E., Crowell, M. D., Robinson, J. C., Heller, B. R., & Schuster, M. M.
- Affiliations
- Johns Hopkins University (US)
- Venue
- Gut
- Publisher
- BMJ
- Published
- 1992-06
- Volume
- 33
- Issue
- 6
- Pages
- 825-830
- ISSN
- 0017-5749 (ISSN-L)
- 1468-3288
- PMC
- PMC1379344
- OpenAlex
- W2091075637
- Cited by
- 432
- References
- 21
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 7 · 2023: 7 · 2022: 9 · 2021: 9 · 2020: 16 · 2019: 13 · 2018: 14 · 2017: 7 · 2016: 16 · 2015: 18 · 2014: 12 · 2013: 14 · 2012: 17
- FWCI
- 6.72
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Gut (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (2k05mh000133-17, 5r01nr001369-03)
- National Institute of Mental Health (KO5 MH00133)
- National Institute of Nursing Research (R01 NR01369)
- 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, life events, bowel symptoms, functional bowel disorders, stress reactivity, neuroticism, abdominal pain, altered bowel habits, disability days, women
- MeSH terms
- Adult, Colonic Diseases, Functional, Constipation, Diarrhea, Female, Humans, Life Change Events, Neurotic Disorders, Personality Inventory, Prospective Studies, Stress, Psychological
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