AccessMyLibrary provides FREE access to over 30 million articles from top publications available through your library.
Create a link to this page
Copy and paste this link tag into your Web page or blog:
MONTREAL -- Comorbid psychosocial disorders are an important consideration in patients presenting with severe symptoms of irritable bowel syndrome, Douglas A. Drossman, M.D., said at the 13th World Congress of Gastroenterology.
Such factors "should be looked at in the first visit because in some cases it might prevent you from doing unnecessary tests" in patients with IBS, he said in an interview. "Even more important than that, it gives you the whole package of what's going on, both physically and psychologically. That can affect your diagnostic and treatment approach."
In a study of 211 patients with moderate and severe functional bowel syndrome, Dr. Drossman found that major depression was more pronounced in patients with severe symptoms than in those with moderate symptoms (12.5 versus 9.3 on the Beck Depression Inventory). Poor coping responses like "catastrophizing" were more common in patients with severe symptoms, compared with patients with moderate symptoms (12.9 versus 8.2 on the Coping Strategies Questionnaire) (Am. J. Gastroenterol. 2000;95:974-80).
The study also showed that compared with patients with milder symptoms, those with more severe symptoms felt that they had less control of their ...
Source: HighBeam Research, Severe IBS symptoms tied to psychosocial problems.(Clinical Rounds)