Abstract
This study compared daily gastrointestinal symptoms and stool characteristics across two menstrual cycles, and recalled bowel symptoms and psychological distress in women with irritable bowel syndrome (IBS,N=22), IBS nonpatients (IBS-NP,N=22), and controls (N =25). Daily reports of abdominal pain, bloating, intestinal gas, constipation, and diarrhea did not differ significantly between the IBS and IBS-NP groups but both groups reported significantly higher symptoms than the control group. Stool consistencies was significantly looser in the IBS group relative to the control group. Menstrual cycle effects on symptoms were noted in all the groups. There were no significant differences in psychological distress between women with IBS, and IBS-NP, but both groups reported significantly higher global distress than the control group. The lack of difference between the IBS and IBS-NP groups in contrast to the results of others, can be understood in terms of differences in recruitment strategies.
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References
Everhart JE, Renault PF: Irritable bowel syndrome in office-based practice in the United States. Gastroenterology 100:998–1005, 1991
Sandler RS, Drossman DA, Nathan HP, McGee DC: Symptom complaints and health care seeking behavior in subjects with bowel dysfunction. Gastroenterology 87:314–318, 1984
Drossman DA, Li Z, Andruzzi E, Temple RD, Talley NJ, Thompson WG, Whitehead WE, Janssens J, Funch-Jensen P, Corazziari E, Richter JE, Koch GG: US householder survey of functional gastrointestinal disorders: Prevalence, sociodemography, and health impact. Dig Dis Sci 38:1569–1580, 1993
Talley NJ, Zinsmeister AR, Van Dyke C, Melton LJ 3d: Epidemiology of colonic symptoms and the irritable bowel syndrome. Gastroenterology 101:927–934, 1991
Drossman DA, McKee DC, Sandler RS, Mitchell CM, Cramer EM, Lowman BC, Burger AL: Psychosocial factors in the irritable bowel syndrome. Gastroenterology 95:701–708, 1988
Heitkemper MM, Shaver JF, Mitchell E: Gastrointestinal symptoms and bowel patterns across the menstrual cycle in dysmenorrhea. Nurs Res 37:108–113, 1988
Heaton KW, Ghosh S, Braddon FE: How bad are the symptoms and bowel dysfunction of patients with the irritable bowel syndrome? A prospective, controlled study with emphasis on stool form. Gut 32:73–79, 1991.
Heitkemper MM, Jarrett M: Pattern of gastrointestinal and somatic symptoms across the menstrual cycle. Gastroenterology 102:505–513, 1992
Whitehead WE, Crowell MD, Bosmajian L, Zonderman A, Costa PT Jr, Benjamin C, Robinson JC, Heller BR, Schuster MM: Existence of irritable bowel syndrome supported by factor analysis of symptoms in two community samples. Gastroenterology 98:336–340, 1990
Whitehead WE, Bosmajian L, Zonderman A, Costa PT Jr, Schuster MM: Symptoms of psychologic distress associated with irritable bowel syndrome. Gastroenterology 95:709–714, 1988
Talley NJ, Phillips SF, Melton J 3d, Wiltgen C, Zinsmeister AR: A patient questionnaire to identify bowel disease. Ann Intern Med 111:671–674, 1989
Drossman DA, Leserman J, Nachman G, Li ZM, Gluck H, Toomey TC, Mitchell CM: Sexual and physical abuse in women with functional or organic gastrointestinal disorders. Ann Intern Med 113:828–833, 1990
Derogatis LR, Cleary PA: Conformation of dimensional structure of the SCL-90: A study in construct validation. J Clin Psychol 33:981–989, 1977
Derogatis L: Administrative Scoring and Procedures Manual II, 2nd ed., Baltimore, Clinical Psychometric Research, 1977
Robins LN, Helzer JE, Orvaschel H, Anthony JC, Blazer DG, Burman A, Burke JD: Diagnostic Interview Schedule.In Epidemiologic Field Methods in Psychiatry. WW Eaton, LG Kessler (eds.), Orlando, Academic Press, 1985, pp 143–168
Talley NJ, Phillips SF, Wiltgen CM, Zinsmeister AR, Melton LJ 3d: Assessment of functional gastrointestinal disease: The bowel disease questionnaire. Mayo Clin Proc 65:1456–1479, 1990
Hansen BC: Stool consistency assessment.In Reducing Diarrhea in Tube-fed Patients. JA Horsley, J Crane and KB Haller (eds.) New York, Grune and Stratton, 1981, p 23
Whitehead WE, Cheskin LJ, Heller BR, Robinson C, Crowell MD, Benjamin C, Schuster MM: Evidence for exacerbation of irritable bowel syndrome during menses. Gastroenterology 98:1485–1489, 1990
Walker EA, Roy-Byrne PP, Katon WJ: Irritable bowel syndrome and psychiatric illness. Am J Psychiatry 147:565–572, 1990
Lydiard RB, Fossey MD, Marsh W, Ballenger JC: Prevalence of psychiatric disorders in patients with irritable bowel syndrome. Psychosomatics 34:229–234, 1993
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This work was supported by the National Institute for Nursing Research, NIH, grant NR01094.
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Heitkemper, M.M., Jarrett, M., Cain, K.C. et al. Daily gastrointestinal symptoms in women with and without a diagnosis of IBS. Digest Dis Sci 40, 1511–1519 (1995). https://doi.org/10.1007/BF02285200
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DOI: https://doi.org/10.1007/BF02285200