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Severe IBS symptoms tied to psychosocial problems.(Clinical Rounds)

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| December 01, 2005 | Babinski, Bob | COPYRIGHT 2005 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

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 ...

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