Does psychological distress modulate functional gastrointestinal symptoms and health care seeking? A prospective, community cohort study

Koloski, Natasha A.; Talley, Nicholas J.; Boyce, Philip M.
April 2003
American Journal of Gastroenterology;Apr2003, Vol. 98 Issue 4, p789
Academic Journal
: ObjectiveLittle is known about the natural history of functional GI symptoms, including what factors influence GI symptom patterns and health care seeking for them over the long term. We aimed to determine whether psychological factors play a role in the development and long-term course of these symptoms.: MethodsA random sample of community subjects (n = 361) who reported having unexplained abdominal pain for ≥1 month in a previous population survey were included in the study. Controls (n = 120) were defined as not having abdominal pain for ≥1 month from this initial survey. Subjects were prospectively followed up via a questionnaire every 4 months over a 12-month period. The questionnaire asked about the presence of GI symptoms over the past week and psychological distress over the past 3 wk (psychological caseness being defined as a score of ≥2 of 12 on the General Health Questionnaire). The number of visits made to a physician or medical specialist over the past 4 months was evaluated.: ResultsGI symptoms were common among community controls and subjects with abdominal pain. Similar onset and disappearance rates were observed for the majority of GI symptom categories, accounting for the stability of the prevalence rates over a 1-yr period. Changes in a state measure of psychological distress were not significantly associated with changes in GI symptom status between the 4- and 8-month (r = 0.14, p = 0.08) and 8- and 12-month (r = 0.02, p = 0.77) follow-ups. Baseline psychological distress, however, was an independent predictor of having persistent GI symptoms, including abdominal pain, bloating, and constipation, and frequently seeking health care for GI symptoms over 1 yr.: ConclusionsPsychological distress levels do not seem to be important in explaining GI symptom change over a 1-yr period. Psychological distress, however, is linked to having persistent GI symptoms and frequently seeking health care for them over time. Clinicians should consider psychological factors in the treatment of this subset of irritable bowel syndrome patients.


Related Articles

  • Poor glycemic control associated with GI symptoms in diabetics.  // Geriatrics;Nov2001, Vol. 56 Issue 11, p58 

    Presents an abstract of the study 'Prevalence of Gastrointestinal Symptoms Associated With Diabetes Mellitus. A Population-Based Survey of 15,000 Adults,' by P. Bytzer, N.J. Talley, M. Leemon, L.J. Young, M.P. Jones and M. Horowitz.

  • Gastric and Small Intestinal Myoelectric Dysrhythmia Associated with Chronic Intractable Nausea and Vomiting. You, Chul H.; Chey, William Y.; Lee, Kae Y.; Menguy, Rene; Bortoff, Alex // Annals of Internal Medicine;Oct81, Vol. 95 Issue 4, p449 

    Describes a patient with gastric and small intestinal myoelectric dysrhythmia associated with chronic intractable nausea and vomiting. Association of nausea and vomiting with digestive disorders; Case report of the patient; Methodology of the clinical study.

  • Papel actual de la serie esofagogastroduodenal (SEGD) con técnica de doble contraste en la evaluación de la sintomatología sugerente de enfermedad ácido-péptica. Motta-Ramírez, Gaspar Alberto; González-Burgos, Olivia Margarita; Torres, Verónica // Revista de Sanidad Militar;may/jun2007, Vol. 61 Issue 3, p177 

    Due science and technology advanced doctors have seen their work easier, since laboratory and image studies give a greater ability to identify the diseases, but in the case of the acid-peptic disease, doctor faces the difficult task to correlate both diagnosis supports, as they are; panendoscopy...

  • Strongyloidiasis in a Patient with HTLV-1 Infection. Mileno, Maria D.; Ackerman, Peter // Infectious Disease Alert;Oct2011, Vol. 31 Issue 1, p8 

    A 58-year-old Liberian-born woman was in excellent general health, living and working in a large academic medical center in Rhode Island for more than 20 years, when she developed nonspecific gastrointestinal symptoms and underwent endoscopy, which revealed Strongyloides stercoralis larvae on a...

  • Abnormal gastric myoelectrical activity in postural tachycardia syndrome. Seligman, William; Low, David; Asahina, Masato; Mathias, Christopher // Clinical Autonomic Research;Apr2013, Vol. 23 Issue 2, p73 

    Objective: Postural tachycardia syndrome (PoTS) is an important cause of orthostatic intolerance resulting from cardiovascular autonomic dysfunction. In addition to postural symptoms, PoTS patients may have allied features, including gastrointestinal (GI) symptoms, which have not yet been...

  • Gastrointestinal Effects Associated with Soluble and Insoluble Copper in Drinking Water. Pizarro, Fernando; Olivares, Manuel; Araya, Magdalena; Gidi, Virginia; Uauy, Ricardo // Environmental Health Perspectives;Sep2001, Vol. 109 Issue 9, p949 

    The aim of this study was to determine whether total copper or soluble copper concentration is associated with gastrointestinal signs and symptoms. Forty-five healthy adult women (18-55 years of age), living in Santiago, Chile, ingested tap water with 5 mg/L of copper containing different ratios...

  • The Diagnostic Pursuit of Gastrointestinal Symptoms. Sonnenberg, Amnon // American Journal of Gastroenterology;Feb2001, Vol. 96 Issue 2, p298 

    The present article attempts to model the reasoning underlying the process of diagnostic workup in a patient with GI symptoms. Diagnostic reasoning consists of two consecutive and repetitive steps. Test procedures help to contract a list of multiple competing diagnoses to one focal diagnosis. In...

  • Cyclosporiasis: Clinical and Histopathologic Correlates. Connor, Bradley A.; Reidy, Jason; Soave, Rosemary // Clinical Infectious Diseases;6/1/1999, Vol. 28 Issue 6, p1216 

    Reports on a clinical investigation of disease characteristics and histopathologic findings in immunocompetent patients with symptomatic cyclospora cayatanensis infection. Presence of varying degrees of gross and microscopic gastrointestinal inflammation; Comparison of the amount of...

  • Colitis eosinofílica perforada. Javier Serrano, Oscar; Bonilla Garnica, Rómulo Arturo // Revista Médicas UIS;2010, Vol. 23 Issue 3, p224 

    This is the presentation of a perforated eosinophilic colitis's case which required surgical handle and was confirmed the diagnosis with biopsy and had a satisfactory evolution. Eosinophilic enteritis is a disorder that involves the gastrointestinal tract secondary to eosinophils infiltration of...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics