Psychological distress in irritable bowel syndrome.

2001 ◽  
pp. 59-72
Author(s):  
Edward B. Blanchard
Keyword(s):  
Irritable Bowel Syndrome ◽  
Psychological Distress ◽  
Irritable Bowel

The association of irritable bowel syndrome complaints and psychological distress

2019 ◽  
Vol 29 ◽  
pp. S520
Author(s):  
S. Balikji ◽  
M. Mackus ◽  
A.D. Kraneveld ◽  
J. Garssen ◽  
J.C. Verster
Keyword(s):  
Irritable Bowel Syndrome ◽  
Psychological Distress ◽  
Irritable Bowel

143 Cytokine Activation Is Associated With Psychological Distress, Motility and Visceral Hypersensitivity in Irritable Bowel Syndrome (IBS)

2015 ◽  
Vol 148 (4) ◽  
pp. S-38
Author(s):  
Miranda A. van Tilburg ◽  
Olafur S. Palsson ◽  
Motoyori Kanazawa ◽  
David A. Barrow ◽  
William E. Whitehead
Keyword(s):  
Irritable Bowel Syndrome ◽  
Psychological Distress ◽  
Visceral Hypersensitivity ◽  
Cytokine Activation ◽  
Irritable Bowel

Psychological distress and GI symptoms are related to severity of bloating in women with irritable bowel syndrome

2008 ◽  
Vol 31 (2) ◽  
pp. 98-107 ◽  
Author(s):  
Hyo Jung Park ◽  
Monica Jarrett ◽  
Kevin Cain ◽  
Margaret Heitkemper
Keyword(s):  
Irritable Bowel Syndrome ◽  
Psychological Distress ◽  
Gi Symptoms ◽  
Irritable Bowel

Gender differences in psychological distress among patients with irritable bowel syndrome

2001 ◽  
Vol 50 (5) ◽  
pp. 271-275 ◽  
Author(s):  
Edward B Blanchard ◽  
Laurie Keefer ◽  
Tara E Galovski ◽  
Ann E Taylor ◽  
Shannon M Turner
Keyword(s):  
Gender Differences ◽  
Irritable Bowel Syndrome ◽  
Psychological Distress ◽  
Irritable Bowel

Predictors of Outcome in Cognitive and Behavioural Interventions for Irritable Bowel Syndrome. A Meta-Analysis

2018 ◽  
Vol 27 (3) ◽  
pp. 257-263 ◽  
Author(s):  
Mădălina Radu ◽  
Ramona Moldovan ◽  
Sebastian Pintea ◽  
Adriana Băban ◽  
Dan Dumitrașcu
Keyword(s):  
Irritable Bowel Syndrome ◽  
Psychological Distress ◽  
Mediation Analysis ◽  
Symptom Severity ◽  
Meta Analysis ◽  
Behavioural Therapy ◽  
Psychosocial Distress ◽  
Total Effect ◽  
Irritable Bowel ◽  
The Impact

Background & Aims: Cognitive behavioural therapy (CBT) has small to medium effects in alleviating emotional distress and psychosomatic symptoms in irritable bowel syndrome (IBS). However, the mechanism through which CBT exerts its effects is less studied. Mediation analysis examines the extent to which intermediate variables explain the effect of the intervention on outcomes. The meta-analysis aims to identify and assess the impact of CBT mediators identified in previous research on IBS. Methods: An extensive search of studies investigating the effects of CBT for IBS published before January 2018 was conducted. A total of 699 studies were identified through database search and 6 studies including data from 638 patients were analysed. The selected studies had to clearly define the CBT intervention, include IBS patients, report sufficient data to allow calculation of effect sizes and provide a clear mediation analysis of one or several variables on the outcome. Results: The total effect of CBT was significant for both categories of outcomes (i.e. IBS symptom severity and psychosocial distress), with a low-to-moderate effect on psychosocial distress (r=0.222) and a medium-to-large effect on IBS symptom severity (r=0.413). In fact, the total effect of CBT on IBS symptom severity is significantly higher than the total effect on psychosocial distress Q(1)= 5.06, p= 0.024. Both behaviours and emotions (r=0.158) as well as cognitions (r=0.141) generated significant mediated effects on psychosocial distress, with no significant differences between them (Q(1)= 0.05, p=0.825). Behaviours and emotions mediated 71.1% of the total effect of CBT on psychosocial distress and cognitions mediated 63.5% of the total effect. Conclusion: Although significant for both outcomes, the statistical analysis revealed CBT interventions have a greater effect on alleviating IBS symptoms severity rather than on reducing psychological distress. Of the mediators investigated, behaviours, emotions and cognitions seem to have a small to moderating effect in reducing IBS symptom and psychological distress.

scholarly journals Effect of Self-Management Intervention on Cortisol and Daily Stress Levels in Irritable Bowel Syndrome

2011 ◽  
Vol 15 (1) ◽  
pp. 26-36 ◽  
Author(s):  
Wimon Deechakawan ◽  
Kevin C. Cain ◽  
Monica E. Jarrett ◽  
Robert L. Burr ◽  
Margaret M. Heitkemper
Keyword(s):  
Irritable Bowel Syndrome ◽  
Psychological Distress ◽  
Self Management ◽  
Omnibus Test ◽  
Daily Stress ◽  
Gi Symptoms ◽  
Stress Levels ◽  
Urine Cortisol ◽  
Cortisol Levels ◽  
Irritable Bowel

Self-management programs that include cognitive behavioral strategies have been shown to improve gastrointestinal (GI) symptoms, psychological distress, and quality of life (QoL) in persons with irritable bowel syndrome (IBS). However, less is known about the physiological impact of such a change. As part of a randomized controlled trial using a comprehensive self-management (CSM) intervention ( n = 126) compared to usual care (UC; n = 62), cortisol levels were measured in 4 weekly first morning urine samples at baseline and at 3-, 6-, and 12-month follow-up. In addition, diary (28 days) ratings of stress were recorded at baseline, 3, 6, and 12 months. The omnibus test of all three outcome times showed no differences in urine cortisol levels between the CSM and UC groups ( p = .400); however, at 3 months the CSM group had significantly higher cortisol levels than the UC group ( p = .012). The CSM group reported lower daily stress levels ( p = .046 from the omnibus test of all 3 time points) than the UC group, with the effect getting stronger over time. Despite marked improvements in reported stress and previously reported GI and psychological distress symptoms at later follow-ups, the CSM program did not reduce urine cortisol levels in adults with IBS. These results suggest that the first-void urine cortisol levels are not reflective of self-reported daily stress in this patient population.

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