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Submissive style linked to more severe IBS: interpersonal stress.(Clinical Rounds)

OB GYN News

| October 01, 2003 | McNamara, Damian | COPYRIGHT 2003 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

ORLANDO, FLA. -- Identification of irritable bowel syndrome patients who have certain interpersonal problems could help clinicians target those at higher risk of more severe disease, according to a presentation at the annual Digestive Disease Week.

"Most people who have IBS have a kind of submissive, nonassertive style; difficulty making their needs known to others; and difficulty being firm with others," said Jeffrey M. Lackner, Psy.D., of the University of Buffalo (N.Y.) School of Medicine.

IBS is a common gastrointestinal disorder with no physical cause per se, Dr. Lackner said. It is aggravated by psychological factors, especially stress, which can alter gut function and change perception of pain. Recent research suggests that interpersonal stress, in particular, is associated with IBS (Am. J. Gastroenterol. 95[4]:974-80, 2000). "Most previous research looked at one particular stressor. Our study looked at broad range of interpersonal problems," he said.

Dr. Lackner and colleague Michael B. Gurtman, Ph.D., assessed interpersonal problems in 109 consecutively referred patients. All patients previously participated in an National Institutes of Health-funded study for moderate to severe IBS. Enrollees in the current study were 17% male, 83% female, and met Rome II ...

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