Elsevier

The Lancet

Volume 347, Issue 8995, 20 January 1996, Pages 150-153
The Lancet

Psychometric scores and persistence of irritable bowel after infectious diarrhoea

https://doi.org/10.1016/S0140-6736(96)90341-4Get rights and content

Abstract

Summary

Background Although previous studies have shown that psychological disturbances are frequently associated with the irritable bowel syndrome (IBS), the relation was not necessarily cause and effect. The development of chronic bowel symptoms resembling IBS after an episode of acute gastroenteritis has allowed us to examine prospectively the role of psychological factors.

Methods 75 patients with acute gastroenteritis completed a series of psychometric tests soon after admission to hospital. Of these, 22 had persistent symptoms compatible with IBS after the acute illness, and in 20 of these the symptoms were still present at six months.

Findings At the time of their initial illness, patients who subsequently developed IBS symptoms had higher scores for anxiety, depression, somatisation, and neurotic trait than those who returned to normal bowel function. The psychometric scores had not changed when remeasured three months after the acute illness. Lactose malabsorption was not an important factor.

Interpretation These results support the hypothesis that psychological factors are important in IBS.

References (29)

  • Aj McDonald et al.

    Non-organic gastrointestinal illness: a medical and psychiatric study

    Br J Psychiatry

    (1980)
  • Rl Palmer et al.

    Psychological characteristics of patients with the irritable bowel syndrome

    Postgrad Med J

    (1974)
  • Md Esler et al.

    Levels of anxiety in colonic disorders

    N Engl J Med

    (1973)
  • F. Creed

    Life events and appendicectomy

    Lancet

    (1981)
  • Tkj Craig et al.

    Goal frustration and life events in the aetiology of painful gastrointestinal disorder

    J Psychosom Res

    (1984)
  • E. Guthrie et al.

    A controlled trial of psychological treatment of the irritable bowel syndrome

    Gastroenterology

    (1991)
  • Gt Stewart

    Post-dysenteric colitis

    BMJ

    (1950)
  • Na Chaudhary et al.

    The irritable colon

    Q J Med

    (1962)
  • W. McKendrick et al.

    Irritable bowel syndrome-post salmonella infection

    J Infection

    (1994)
  • Wg Thomson et al.

    Functional bowel disease and functional abdominal pain

    Gastroenterol Int

    (1992)
  • As Zigmond et al.

    The Hospital Anxiety and Depression Scale

    Acta Psychiatr Scand

    (1983)
  • Hj Eysenck et al.

    Manual of the Eysenck Personality Inventory

    (1964)
  • G. Metz et al.

    Breath hydrogen as a diagnostic method for hypolactasia

    Lancet

    (1975)
  • B. Efron et al.

    An introduction to the bootstrap

    (1993)
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