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V. Stress and irritable bowel syndrome
Abstract
Different types of stress play important roles in the onset and modulation of irritable bowel syndrome (IBS) symptoms. The physiological effects of psychological and physical stressors on gut function and brain-gut interactions are mediated by outputs of the emotional motor system in terms of autonomic, neuroendocrine, attentional, and pain modulatory responses. IBS patients show an enhanced responsiveness of this system manifesting in altered modulation of gastrointestinal motility and secretion and in alterations in the perception of visceral events. Functional brain imaging techniques are beginning to identify brain circuits involved in the perceptual alterations. Animal models have recently been proposed that mimic key features of the human syndrome.
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“Although the cause of the disorder remains essentially unknown, IBS is currently conceptualized as a bio-psychosocial disorder with disturbances of motor function, heightened visceral sensitivity, and possibly central nervous system disturbances (4–6).”
From Psychosocial Distress and Somatic Symptoms in Community Subjects With Irritable Bowel Syndrome: A Psychological Component Is the Rule (2009) · cites this paper as [5]
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Hua, M., Lai, M., Kuo, M., Yao, T., Huang, J., & Chen, S. (2011) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/mpg.0b013e3181fd9816 · Cited by 36
Irritable bowel syndrome: Is it “irritable brain” or “irritable bowel”?
Padhy, S. K., Sahoo, S., Mahajan, S., & Sinha, S. K. (2015) · Journal of Neurosciences in Rural Practice · doi:10.4103/0976-3147.169802 · Cited by 38
Leysen, H., Walter, D., Christiaenssen, B., Vandoren, R., Harputluoğlu, İ., Loon, N. V., & Maudsley, S. R. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms222413387 · Cited by 34
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Traditional Chinese Medicine Based Subgrouping of Irritable Bowel Syndrome Patients
Tan, S., Tillisch, K., Bolus, R. R., Olivas, T. I., Spiegel, B. M. R., Naliboff, B. D., Chang, L., & Mayer, E. A. (2005) · The American Journal of Chinese Medicine · doi:10.1142/s0192415x05002989 · Cited by 33
“…dysregulation of brain-body interactions (Monga et al., 1997; Fass et al., 1998 and 2000; Mayer et al., 1998; Wessely et al., 1999; Henningsen et al., 2003; Spiegel et al., 2004), including alterations in neuroendocrine, autonomic nervous system, and pain modulatory systems (Mayer et al., 2001).”
BackgroundSelf-citationBradesi, S., Martı́nez, V., Lao, L., Larsson, H., & Mayer, E. A. (2008) · American Journal of Physiology-Gastrointestinal and Liver Physiology · doi:10.1152/ajpgi.90557.2008 · Cited by 33
Self-citationGülpınar, M. A., Özbeyli, D., Arbak, S., & Yeğen, B. Ç. (2004) · Life Sciences · doi:10.1016/j.lfs.2003.12.009 · Cited by 33
Anxiety-depressive disorders among irritable bowel syndrome patients in Guilan, Iran
Modabbernia, M.-J., Mansour‐Ghanaei, F., Imani, A., Mirsafa-Moghaddam, S.-A., Rahimabadi, M. S., Mashhour, M. Y., Joukar, F., Roshan, Z. A., & Bidel, S. (2012) · BMC Research Notes · doi:10.1186/1756-0500-5-112 · Cited by 32
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Scuderi, S. A., Casili, G., Lanza, M., Filippone, A., Paterniti, I., Esposito, E., & Campolo, M. (2020) · Biomedicines · doi:10.3390/biomedicines8110519 · Cited by 30
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Rectoanal Sensorimotor Response in Humans During Rectal Distension
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Functional Somatic Syndromes: Emerging Biomedical Models and Traditional Chinese Medicine
Tan, S., Tillisch, K., & Mayer, E. A. (2004) · Evidence-based Complementary and Alternative Medicine · doi:10.1093/ecam/neh016 · Cited by 30
Self-citationBiological, environmental, and psychological stress and the human gut microbiome in healthy adults
Delgadillo, D. R., Borelli, J. L., Mayer, E. A., Labus, J. S., Cross, M. P., & Pressman, S. D. (2025) · Scientific Reports · doi:10.1038/s41598-024-77473-9 · Cited by 31
Self-citationEffect of restraint stress on the population of intestinal intraepithelial lymphocytes in mice
Jarillo‐Luna, A., Rivera‐Aguilar, V., Martínez‐Carrillo, B. E., Barbosa, E., Reyna-Garfias, H., & Campos‐Rodríguez, R. (2007) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2007.08.004 · Cited by 29
“However, the few studies that have examined the effects of stress on mucosal immune responses have focused on inflammatory bowel disease and colitis (Mawdsley and Rampton, 2005; Mayer, 2000; Mayer et al., 2001), and on the secretion of IgA in saliva (Bosch et al.”
BackgroundPlasma Hormones Facilitated the Hypermotility of the Colon in a Chronic Stress Rat Model
Liang, C., Luo, H., Liu, Y., Cao, J., & Xia, H. (2012) · PLoS ONE · doi:10.1371/journal.pone.0031774 · Cited by 29
Water avoidance stress activates colonic myenteric neurons in female rats
Miampamba, M., Million, M., Yuan, P., Larauche, M. H., & Taché, Y. (2007) · Neuroreport · doi:10.1097/wnr.0b013e3280bef7f8 · Cited by 29
Irritable bowel syndrome: How far do you go in the workup?
Drossman, D. A. (2001) · Gastroenterology · doi:10.1053/gast.2001.29782 · Cited by 29
Role of nesfatin-1 in a rat model of visceral hypersensitivity
Jia, F. (2013) · World Journal of Gastroenterology · doi:10.3748/wjg.v19.i22.3487 · Cited by 28
Bian, Z. X., Li, Z., Huang, Z. X., Zhang, M., Chen, H. L., Xu, H., & Sung, J. J. �. (2009) · Journal of Gastroenterology · doi:10.1007/s00535-009-0058-2 · Cited by 28
Metadata
- Authors
- Mayer, E. A., Naliboff, B. D., Chang, L., & Coutinho, S. V.
- Affiliations
- University of California, Los Angeles (US)
- Venue
- American Journal of Physiology-Gastrointestinal and Liver Physiology
- Publisher
- American Physiological Society
- Published
- 2001-04-01
- Volume
- 280
- Issue
- 4
- Pages
- G519-G524
- ISSN
- 0193-1857 (ISSN-L)
- 1522-1547
- OpenAlex
- W1869460907
- Cited by
- 413
- References
- 41
- Citations by year
- 2026: 8 · 2025: 5 · 2024: 8 · 2023: 18 · 2022: 10 · 2021: 20 · 2020: 13 · 2019: 8 · 2018: 20 · 2017: 14 · 2016: 21 · 2015: 27 · 2014: 13 · 2013: 15 · 2012: 20
- FWCI
- 14.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Physiology-Gastrointestinal and Liver Physiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (7r01nr004881-03)
- National Institute of Nursing Research (NR-04881)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK-48351, R01DK048351)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (AR-46122, R01AR046122)
- 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, psychological stress, physical stress, gut-brain axis, autonomic nervous system, neuroendocrine response, visceral pain perception, gastrointestinal motility, gastrointestinal secretion, brain circuits
- MeSH terms
- Animals, Colonic Diseases, Functional, Digestive System, Humans, Stress, Psychological
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