The relationship between psychological distress and gastrointestinal symptoms in women with irritable bowel syndrome.

作者: Monica Jarrett , Margaret Heitkemper , Kevin C. Cain , Marlys Tuftin , Edward A. Walker

DOI: 10.1097/00006199-199805000-00006

关键词:

摘要: BACKGROUND: Individuals with irritable bowel syndrome (IBS) are reported to experience more symptoms compatible psychopathologic disorders, abnormal personality traits, and psychological distress. Conversely, individuals psychiatric disorders report higher levels of gastrointestinal (GI) IBS. Thus, distress may contribute GI in OBJECTIVES: To examine women IBS, similar but not diagnosed (IBS nonpatients, IBS-NP), asymptomatic Control women. METHODS: The (N=97) were interviewed, completed questionnaires, maintained daily diaries for 2 months. Across-women within-woman analyses used calculate the results. RESULTS: IBS IBS-NP groups had a percentage lifetime psychopathology recalled At least 40% positive relationships between symptoms. CONCLUSIONS: Psychological is an important component symptom should be considered when treatment strategies designed.

参考文章(41)
Margaret M. Heitkemper, Monica Jarrett, Pattern of gastrointestinal and somatic symptoms across the menstrual cycle Gastroenterology. ,vol. 102, pp. 505- 513 ,(1992) , 10.1016/0016-5085(92)90097-I
Lydiard Rb, Fossey, Anxiety and the gastrointestinal system. Psychiatric medicine. ,vol. 8, pp. 175- ,(1990)
William E. Whitehead, Lawrence J. Cheskin, Barbara R. Heller, J.Courtland Robinson, Michael D. Crowell, Carol Benjamin, Marvin M. Schuster, Evidence for exacerbation of irritable bowel syndrome during menses Gastroenterology. ,vol. 98, pp. 1485- 1489 ,(1990) , 10.1016/0016-5085(90)91079-L
W.Grant Thompson, Kenneth W. Heaton, Functional Bowel Disorders in Apparently Healthy People Gastroenterology. ,vol. 79, pp. 283- 288 ,(1980) , 10.1016/0016-5085(80)90142-0
Carolyn E. Ainscough, Premenstrual emotional changes a prospective study of symptomatology in normal women Journal of Psychosomatic Research. ,vol. 34, pp. 35- 45 ,(1990) , 10.1016/0022-3999(90)90006-P
S Bellentani, P Baldoni, S Petrella, C Tata, C Armocida, P Marchegiano, G Saccoccio, F Manenti, Local IBS Study Group, A Simple Score for the Identification of Patients at High Risk of Organic Diseases of the Colon in the Family Doctor Consulting Room Family Practice. ,vol. 7, pp. 307- 312 ,(1990) , 10.1093/FAMPRA/7.4.307
Alison Richardson, The health diary: an examination of its use as a data collection method Journal of Advanced Nursing. ,vol. 19, pp. 782- 791 ,(1994) , 10.1111/J.1365-2648.1994.TB01151.X
Leonard R. Derogatis, Patricia A. Cleary, Confirmation of the dimensional structure of the scl-90: A study in construct validation Journal of Clinical Psychology. ,vol. 33, pp. 981- 989 ,(1977) , 10.1002/1097-4679(197710)33:4<981::AID-JCLP2270330412>3.0.CO;2-0
Cyrus R. Mehta, Nitin R. Patel, A Network Algorithm for Performing Fisher's Exact Test in r × c Contingency Tables Journal of the American Statistical Association. ,vol. 78, pp. 427- 434 ,(1983) , 10.1080/01621459.1983.10477989
Gary Tollefson, Sherrie Tollefson, Melissa Pederson, Michael Luxenberg, Gayle Dunsmore, Comorbid Irritable Bowel Syndrome in Patients with Generalized Anxiety and Major Depression Annals of Clinical Psychiatry. ,vol. 3, pp. 215- 220 ,(1991) , 10.3109/10401239109147994