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[Psychological symptoms in IBS].

Yuka Endo1

  • 1Department of Psychosomatic Medicine, Tohoku University Hospital.

Nihon Rinsho. Japanese Journal of Clinical Medicine
|August 11, 2006
PubMed
Summary

Irritable bowel syndrome (IBS) patients frequently experience anxiety and depression, with 27% having co-occurring panic disorder. These conditions worsen IBS symptoms and impact quality of life, suggesting psychological therapies may help.

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Area of Science:

  • Gastroenterology
  • Psychiatry

Context:

  • Irritable bowel syndrome (IBS) is characterized by chronic abdominal symptoms.
  • Patients with IBS often exhibit impaired health perceptions.
  • The etiology of IBS symptoms is frequently unexplained by standard medical examinations.

Purpose:

  • To explore the psychological comorbidities in IBS patients.
  • To investigate the impact of these comorbidities on symptom exacerbation and quality of life.
  • To highlight the potential role of psychological interventions in managing IBS.

Summary:

  • IBS patients commonly present with psychological distress, including anxiety and depression.
  • A significant comorbidity exists between IBS and anxiety disorders such as panic disorder, depressive disorder, and PTSD.
  • Our findings indicate that 27% of IBS patients have co-occurring panic disorder, with mutual exacerbation of symptoms.

Impact:

  • The co-occurrence of IBS and psychological disorders significantly impairs health-related quality of life.
  • Psychological and behavioral therapies show promise for symptomatic relief in IBS patients.
  • This underscores the critical role of psychological factors in the pathophysiology and management of IBS.

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