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Psychiatric diagnoses, sexual and physical victimization, and disability in patients with irritable bowel syndrome or inflammatory bowel disease

  • E. A. Walker (a1), A. N. Gelfand (a1), M. D. Gelfand (a1) and W. J. Katon (a1)

Synopsis

We compared 71 patients with irritable bowel syndrome (IBS) and 40 patients with inflammatory bowel disease (IBD) using structured interviews for psychiatric, gastrointestinal and sexual/physical victimization histories, as well as self-reported measures of personality, functional disability and dissociation. IBS patients had significantly higher lifetime prevalence rates of major depression, current panic disorder, and childhood sexual abuse. Despite the absence of organic pathology, IBS patients had significantly higher numbers of medically unexplained physical symptoms and disability ratings equal to, or greater than, those of patients with severe organic gastrointestinal disease.

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Corresponding author

1Address for correspondence: Dr Edward A. Walker, Department of Psychiatry and Behavioral Sciences, Division of Consultation-Liaison, RP-10, University of Washington, Seattle, Washington 98195, USA.

References

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Andrews, H., Barczak, P. & Allan, R. N. (1987). Psychiatric illness in patients with inflammatory bowel disease. Gut 28, 16001604.
Bernstein, E. M. & Putnam, F. W. (1986). Development, reliability and validity of a dissociation scale. Journal of Nervous and Mental Disease 174, 727735.
Blanchard, E. B., Scharff, L., Schwarz, S. P., Suls, J. M. & Barlow, D. H. (1990). The role of anxiety and depression in the irritable bowel syndrome. Behavioral Research and Therapy 28, 401405.
Briere, J. (1992 a). Methodological issues in the study of sexual abuse effects. Journal of Clinical and Consulting Psychology 60, 196203.
Briere, J. (1992 b). Child Abuse Trauma. Sage Publications: Newbury Park.
Cloninger, C. R. (1987). A systematic method for clinical description and classification of personality variants. Archives of General Psychiatry 44, 573588.
Drossman, D. A., Leserman, J., Nachman, G., Li, Z. M., Gluck, H., Toomey, T. C. & Mitchell, C. M. (1990). Sexual and physical abuse in women with functional or organic gastrointestinal disorders. Annals of Internal Medicine 113, 828833.
Drossman, D. A., Li, Z., Andruzzi, E., Temple, R. D., Talley, N. J., Thompson, W. G., Whitehead, W. E., Janssens, J., Funch-Jensen, P., Corazziari, E., Richter, J. E. & Kock, G. G. (1993). US Householder survey of functional gastrointestinal disorders: prevalence, sociodemography and health impact. Digestive Diseases and Sciences 9, 15691580.
Fava, G. A. & Pavan, L. (1976). Large bowel disorders. II. Psychopathology and alexithymia. Psychotherapy and Psychosomatics 27, 100105.
Felitti, V. J. (1991). Long-term medical consequences of incest, rape and molestation. Southern Medical Journal 84, 328331.
Ford, M. J., Miller, P. M., Eastwood, J. & Eastwood, M. A. (1987). Life events, psychiatric illness and the irritable bowel syndrome. Gut 28, 160165.
Helzer, J. E., Stillings, W. A., Chammas, S., Norland, C. C. & Alpers, D. H. (1982). A controlled study of the association between ulcerative colitis and psychiatric diagnosis. Digestive Diseases and Sciences 27, 513518.
Helzer, J. E., Chammas, S., Norland, C., Stillings, W. A. & Alpers, D. H. (1984). A study of the association between Crohn's disease and psychiatric illness. Gastroenterology 86, 324330.
Hislop, I. G. (1971). Psychological significance of the irritable colon syndrome. Gut 12, 452457.
Kessler, R. C., McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshleman, S., Wittchen, H. U. & Kendler, K. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Archives of General Psychiatry 51, 819.
Latimer, P., Sarna, S., Campbell, D., Latimer, M., Waterfall, W. & Daniel, E. E. (1981). Colonic motor and myoelectrical activity: a comparative study of normal subjects, psychoneurotic patients and patients with irritable bowel syndrome. Gastroenterology 80, 893901.
Liss, J. L., Alpers, D. & Woodruff, R. A. (1973). The irritable colon syndrome and psychiatric illness. Diseases of the Nervous System 34, 151157.
Longstreth, G. F. & Wolde-Tsadik, G. (1993). Irritable bowel-type symptoms in HMO examinees: prevalence, demographics and clinical correlates. Digestive Diseases and Sciences 38, 15811589.
Lydiard, R. B., Fossey, M. D., Marsh, W. & Ballenger, J. C. (1993). Prevalence of psychiatric disorders in irritable bowel syndrome. Psychosomatics 34, 229234.
North, C. S., Clouse, R. E., Spitznagel, E. L. & Alpers, D. H. (1990). The relation of ulcerative colitis to psychiatric factors: a review of findings and methods. American Journal of Psychiatry 147, 974981.
Robins, L. N., Helzer, J. E., Croughan, J. & Ratcliff, K. S. (1981). National Institute of Health Diagnostic Interview Schedule. Archives of General Psychiatry 38, 381389.
Russo, J., Katon, W. J., Sullivan, M., Clark, M. & Buchwald, D. (1994). Severity of somatization and its relationship to psychiatric disorders and personality. Psychosomatics 35, 546556.
Simon, G. E., & Von Korff, M. (1991). Somatization and psychiatric disorder in the NIMH Epidemiologic Catchment Area study. American Journal of Psychiatry 148, 14941500.
Stewart, A. L., Hays, R. D. & Ware, J. E. (1988). The MOS short-form general health survey. Medical Care 26, 724735.
Tarter, R. E., Switala, J., Carra, J. & Edwards, K. (1987). Inflammatory bowel disease: psychiatric status of patients before and after disease onset. International Journal of Psychiatry in Medicine 17, 173181.
Thompson, W. G., Dotevall, G., Drossman, D. A., Heaton, K. W. & Kruis, W. (1989). Irritable bowel syndrome: guidelines for the diagnosis. Gastroenterology International 2, 9295.
Von Korff, M. & Anthony, J. C. (1982). The NIMH diagnostic interview schedule modified to record current mental status. Journal of Affective Disorders 4, 365371.
Walker, E. A., Roy-Byrne, P. P. & Katon, W. J. (1990 a). Irritable bowel syndrome and psychiatric illness. American Journal of Psychiatry 147, 565572.
Walker, E. A., Roy-Byrne, P. P., Katon, W. J., Li, L., Amos, D. & Jiranek, G. (1990 b). Psychiatric illness and irritable bowel syndrome: a comparison with inflammatory bowel disease. American Journal of Psychiatry 147, 16561661.
Walker, E. A., Katon, W. J., Roy-Byrne, P. P. & Jemelka, R. P. (1993). Histories of sexual victimization in patients with irritable bowel syndrome or inflammatory bowel disease. American Journal of Psychiatry 150, 15021506.
Walker, E. A., Gelfand, M. D., Gelfand, A. N., Creed, F. W. & Katon, W. J. (1995). Gastrointestinal symptoms, functional disability and distress in patients with inflammatory bowel disease. General Hospital Psychiatry (submitted).
Wells, K. B., Stewart, A., Hays, R. D., Burnam, M. A., Rogers, W., Daniels, M., Berry, S., Greenfield, S. & Ware, J. (1988). The functioning and well-being of depressed patients: results from the Medical Outcomes Study. Journal of the American Medical Association 262, 914919.
Wender, P. H. & Kalm, M. (1983). Prevalence of attention deficit disorder, residual type, and other psychiatric disorders in patients with irritable colon syndrome. American Journal of Psychiatry 140, 15791582.
Young, S. J., Alpers, D. H., Norland, C. C. & Woodruff, R. A. (1976). Psychiatric illness and the irritable bowel syndrome. Gastroenterology 70, 162166.
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Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
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