Irritable bowel syndrome: The influence of psychological factors on the symptom complex
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A single session of reassurance can acutely improve the self-perception of impairment in patients with IBS
2006, Journal of Psychosomatic ResearchPersonality and affect as determinants of medically unexplained symptoms in primary care: A follow-up study
2004, Journal of Psychosomatic ResearchAGA technical review on irritable bowel syndrome
2002, GastroenterologyCitation Excerpt :Psychological and sociocultural factors, when present in patients with IBS, will also influence the illness experience and treatment outcome. Psychosocial factors that adversely affect health status and clinical outcome include: (1) a history of emotional, sexual, or physical abuse109,118–121; (2) stressful life events104,110; (3) chronic social stress122 or anxiety disorder123,124; and (4) maladaptive coping style.119 Some of these psychosocial influences may occur early in life.
Psychologic and psychiatric aspects of gastrointestinal disease
2000, Medical Clinics of North AmericaCitation Excerpt :The presence of stress or a diagnosable psychiatric disorder can influence prognosis and health care seeking in patients with IBS. Fowlie et al32 found that patients with IBS who had elevated anxiety scores as measured by the Middlesex Hospital Questionnaire (MHQ) were not as likely to experience improvement of their gastrointestinal symptoms compared with patients who did not score in the pathologic range for anxiety when followed over a 5-year period. Similarly, Talley et al72 found that patients with IBS surveyed from a community sample were more likely to report seasonal changes in their patterns of pain and disturbed defecation when they concomitantly suffered from somatization disorder.
The relationship between psychosocial parameters and outcome in irritable bowel syndrome
1999, American Journal of MedicineIrritable bowel syndrome: Definition, diagnosis and epidemiology
1999, Bailliere's Best Practice in Clinical Gastroenterology