Digestive Diseases and Sciences

, Volume 38, Issue 9, pp 1581–1589

Irritable bowel-type symptoms in HMO examinees

Prevalence, demographics, and clinical correlates
  • George F. Longstreth
  • Girma Wolde-Tsadik
Original Articles

DOI: 10.1007/BF01303163

Cite this article as:
Longstreth, G.F. & Wolde-Tsadik, G. Digest Dis Sci (1993) 38: 1581. doi:10.1007/BF01303163

Abstract

A study of irritable bowel-type symptoms in 1264 health examinees using a selfadministered questionnaire and psychological tests revealed they are common throughout adulthood. Of affected subjects 68% were female, and those with the more severe type (≥3 Manning criteria) were-predominantly female (80%). Fewer Asians than other racial/ethnic groups had these symptoms. Nongastrointestinal symptoms, physician visits, incontinence, laxative use, a stress effect on bowel pattern and abdominal pain, abdominal surgery, hysterectomy, childhood abuse, use of mind-altering drugs, depression, and anxiety were correlated with irritable bowel-type symptoms. Regression analysis found some of the clinical correlates were independent markers for irritable bowel-type symptoms and that sexual abuse was related to nongastrointestinal symptoms and abdominal surgery independent of irritable bowel-type symptoms. More severe irritable bowel-type symptoms were especially associated with nongastrointestinal symptoms, stress effects, sexual abuse, use of sedatives and oral narcotics, and a past alcohol problem. There are important demographic and clinical correlates with irritable bowel-type symptoms.

Key Words

irritable bowel syndromesexual abusedepressionanxietydrug usealcohol

Copyright information

© Plenum Publishing Corporation 1993

Authors and Affiliations

  • George F. Longstreth
    • 1
    • 2
  • Girma Wolde-Tsadik
    • 1
    • 2
  1. 1.Department of MedicineSouthern California Permanente Medical GroupSan Diego
  2. 2.Department of Research and EvaluationSouthern California Permanente Medical GroupPasadena