Physical and Psychiatric Comorbidities and Health Care Use in Veterans With Irritable Bowel Syndrome

2012 ◽  
Author(s):  
Erica A. Abel ◽  
Joseph P. Kirlin ◽  
Kathryn A. Sanders ◽  
Jeffrey M. Lackner
Keyword(s):  
Health Care ◽  
Irritable Bowel Syndrome ◽  
Health Care Use ◽  
Psychiatric Comorbidities ◽  
Irritable Bowel

scholarly journals An Update on Irritable Bowel Syndrome

1970 ◽  
Vol 18 (1) ◽  
pp. 66-71
Author(s):  
Md Abdul Ahad ◽  
Quazi Tarikul Islam
Keyword(s):  
Health Care ◽  
General Practice ◽  
Irritable Bowel Syndrome ◽  
Indirect Costs ◽  
Health Care Use ◽  
Sensory Function ◽  
Therapeutic Trial ◽  
Organic Disease ◽  
Symptom Complex ◽  
Irritable Bowel

Irritable bowel syndrome (IBS) is the most common disorder diagnosed by gastroenterologists and one of the more common ones encountered in general practice. The illness has a large economic impact on health care use and indirect costs, chiefly through absenteeism. IBS is a bio-psychosocial disorder in which three major mechanisms interact: Psychosocial factors, altered motility, and/or heightened sensory function of the intestine. Treatment of patients is based on positive diagnosis of the symptom complex, limited exclusion of underlying organic disease and institution of a therapeutic trial.   doi: 10.3329/taj.v18i1.3310 TAJ 2005; 18(1): 66-71

scholarly journals Illness perception and health care use in individuals with irritable bowel syndrome: results from an online survey

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Juliane Schwille-Kiuntke ◽  
Solveig Lu Rüdlin ◽  
Florian Junne ◽  
Paul Enck ◽  
Katja Brenk-Franz ◽  
...  
Keyword(s):  
Health Care ◽  
Irritable Bowel Syndrome ◽  
Daily Life ◽  
Illness Perception ◽  
Personal Control ◽  
Health Care Use ◽  
Effect Sizes ◽  
Treatment Approaches ◽  
Weak Evidence ◽  
Irritable Bowel

Abstract Background Individual illness perception is known to influence a range of outcome variables. However, little is known regarding illness perception in irritable bowel syndrome (IBS) and its relation to the use of the health care system. This study hypothesised a relationship between illness perception and inappropriate health care use (under-, over- and misuse). Methods An internet-based, cross-sectional study in participants affected by IBS symptoms was carried out (April – October 2019) using open questions as well as validated standardized instruments, e.g. the illness perception questionnaire revised (IPQ-R) and its subscales. Sub-group comparisons were done non-parametrically and effect sizes were reported. Potential predictors of (1) conventional health care utilisation and (2) utilisation of treatment approaches with lacking or weak evidence regarding effectiveness in IBS were examined with logistic regression analyses and reported as odds ratio (OR) and 95% confidence interval. Results Data from 513 individuals were available. More than one-third (35.7%) of participants were classified as high utilisers (> 5 doctor visits during the last year). Several indicators of inappropriate health care use were detected, such as a low proportion of state-of-the-art gynaecological evaluation of symptoms (35.0% of women) and a high proportion of individuals taking ineffective and not recommended non-steroidal antirheumatic drugs for IBS (29.4%). A majority (57.7%) used treatment approaches with lacking or weak evidence regarding the effectiveness in IBS (e.g. homeopathy). Being a high utiliser as defined above was predicted by the perceived daily life consequences of IBS (IPQ-R subscale “consequences”, OR = 1.189 [1.100–1.284], p ≤ 0.001) and age (OR = 0.980 [0.962–0.998], p = 0.027). The use of treatment approaches with lacking or weak evidence was forecasted by the perceived daily life consequences (OR = 1.155 [1.091–1.223], p ≤ 0.001) and gender (reference category male: OR = 0.537 [0.327–0.881], p = 0.014), however effect sizes were small. Conclusions Daily life consequences, perceived cure and personal control as aspects of individual disease perception seem to be related to individuals’ health care use. These aspects should be a standard part of the medical interview and actively explored. To face inappropriate health care use patients and professionals need to be trained. Interdisciplinary collaborative care may contribute to enhanced quality of medical supply in IBS.

Effects of Psychology and Extragastrointestinal Symptoms on Health Care Use by Subjects With and Without Irritable Bowel Syndrome

2020 ◽  
Vol 18 (4) ◽  
pp. 847-854.e1 ◽  
Author(s):  
David T. McNaughton ◽  
Anna Andreasson ◽  
Brjánn Ljótsson ◽  
Alissa P. Beath ◽  
Julia M. Hush ◽  
...  
Keyword(s):  
Health Care ◽  
Irritable Bowel Syndrome ◽  
Health Care Use ◽  
Irritable Bowel

Irritable Bowel Syndrome, Health Care Use, and Costs: A U.S. Managed Care Perspective

2003 ◽  
Vol 98 (3) ◽  
pp. 600-607 ◽  
Author(s):  
George F. Longstreth ◽  
Alisa Wilson ◽  
Kevin Knight ◽  
John Wong ◽  
Chiun-Fang Chiou ◽  
...  
Keyword(s):  
Health Care ◽  
Irritable Bowel Syndrome ◽  
Managed Care ◽  
Health Care Use ◽  
Irritable Bowel

scholarly journals Predictors of medical and mental health care use in patients with irritable bowel syndrome in the United States

2017 ◽  
Vol 88 ◽  
pp. 65-75 ◽  
Author(s):  
Gregory D. Gudleski ◽  
Nikhil Satchidanand ◽  
Laura J. Dunlap ◽  
Varnita Tahiliani ◽  
Xiaohua Li ◽  
...  
Keyword(s):  
Mental Health ◽  
United States ◽  
Health Care ◽  
Irritable Bowel Syndrome ◽  
Mental Health Care ◽  
The United States ◽  
Health Care Use ◽  
Mental Health Care Use ◽  
Irritable Bowel

scholarly journals Of bowels, brain and behavior: A role for the gut microbiota in psychiatric comorbidities in irritable bowel syndrome

2021 ◽  
Vol 33 (3) ◽  
Author(s):  
Lars Wilmes ◽  
James M. Collins ◽  
Kenneth J. O'Riordan ◽  
Siobhain M. O’Mahony ◽  
John F. Cryan ◽  
...  
Keyword(s):  
Irritable Bowel Syndrome ◽  
Gut Microbiota ◽  
Psychiatric Comorbidities ◽  
Brain And Behavior ◽  
Irritable Bowel ◽  
And Behavior
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