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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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McKernan, L. C., Nash, M., & Carr, E. R. (2016) · Journal of Psychotherapy Integration · doi:10.1037/a0040050 · Cited by 8
Glutamate and CO2 production from glutamine in incubated enterocytes of adult and very old rats
Meynial‐Denis, D., Biélicki, G., Beaufrére, A. M., Mignon, M., Mirand, P. P., & Renou, J.-P. (2012) · The Journal of Nutritional Biochemistry · doi:10.1016/j.jnutbio.2012.03.019 · Cited by 8
Effect of repetitive transcranial magnetic stimulation on rectal function and emotion in humans
Aizawa, Y., Morishita, J., Kano, M., Mori, T., Izumi, S.-I., Tsutsui, K., Iijima, T., Kanazawa, M., & Fukudo, S. (2011) · Journal of Gastroenterology · doi:10.1007/s00535-011-0423-9 · Cited by 8
“The pathophysiology of IBS is thought to involve brain–gut interactions [11, 12], comprising stress-induced exacerbation of gastrointestinal motility [11, 13], visceral hypersensitivity [12, 14], and psychological abnormalities [1, 9].”
BackgroundMulak, A., Larauche, M. H., & Taché, Y. (2012) · Frontiers of gastrointestinal research · doi:10.1159/000338417 · Cited by 8
Impact of Early Life Events on Pediatric Functional Gastrointestinal Disorders
Lorenzo, C. D. (2013) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/01.mpg.0000441928.28554.cc · Cited by 8
“There is evidence that stress plays a significant role in symptom onset and exacerbation in adults with IBS (4) and that childhood trauma is associated with increased stress response in patients with IBS (5).”
BackgroundQin, L., Qin, J., Yang, Q., Lv, X., & Huang, L. (2019) · Medicine · doi:10.1097/md.0000000000014064 · Cited by 9
The role of serotonin and its pathways in gastrointestinal disorders
Bellini, M., Fornai, M., Usai–Satta, P., Bronzini, F., Bassotti, G., Blandizzi, C., & Colucci, R. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-821927-0.00009-7 · Cited by 7
Papaefthymiou, A., Doulberis, M., Kountouras, J., Kolokytha, C., Galanopoulos, M., Liatsos, C. N., Kyriakos, N., Giakoumis, M., Papadomichelakis, M., Pοlyzos, S. A., et al. (2019) · European Journal of Gastroenterology & Hepatology · doi:10.1097/meg.0000000000001439 · Cited by 7
Approach to the Patient with Abdominal Pain
Pasricha, P. J. (2008) · doi:10.1002/9781444300758.ch14 · Cited by 7
Adibi, P., Abdoli, M., Daghaghzadeh, H., Keshteli, A. H., Afshar, H., Roohafza, H., Esmaillzadeh, A., & Feizi, A. (2021) · Research Square · doi:10.21203/rs.3.rs-786407/v1 · Cited by 7
“In functional GI disorders, such as IBS, functional dyspepsia, and chronic constipation or diarrhea, dysfunction of the autonomic nervous system, which acts directly on CRF, may play a role in alteration in bowel habits and gastric emptying (37).”
BackgroundDeng, Z., Zeng, X., Wang, H., Bi, W., Huang, Y., & Fu, H. (2024) · BMC Gastroenterology · doi:10.1186/s12876-024-03526-y · Cited by 9
Glucocorticoids and the Intestinal Environment
Ünsal, H., & Balkay, M. (2012) · InTech eBooks · doi:10.5772/51977 · Cited by 6
“These stress responses have been also described in IBD patients and involve dysregulation of HPA axis [12,15,17].”
BackgroundRagavan, N. D., Govind, S. K., Chye, T. T., & Mahadeva, S. (2015) · Parasitology Research · doi:10.1007/s00436-015-4502-3 · Cited by 6
Holschneider, D. P., Wang, Z., Guo, Y., Sanford, M. T., Yeh, J., Mao, J. J., Zhang, R., & Rodríguez, L. V. (2019) · Physiology & Behavior · doi:10.1016/j.physbeh.2019.112796 · Cited by 7
Guzylack‐Piriou, L., & Ménard, S. (2021) · Biomolecules · doi:10.3390/biom11050687 · Cited by 6
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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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