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Irritable bowel syndrome and psychiatric illness
E A Walker1, P P Roy-Byrne, W J Katon
1Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle 98195.
The American Journal of Psychiatry
|May 1, 1990
Summary
Irritable bowel syndrome (IBS) shares features with psychiatric disorders. Integrating biological and psychosocial factors, along with psychiatric evaluation, improves IBS diagnosis and treatment.
Area of Science:
- Gastroenterology
- Psychiatry
- Psychosomatic Medicine
Background:
- Irritable bowel syndrome (IBS) exhibits significant overlap with mood, anxiety, and somatization disorders.
- Understanding the complex relationship between gastrointestinal and psychiatric conditions is crucial.
Purpose of the Study:
- To review recent advancements in defining IBS and its psychiatric connections.
- To explore the diagnostic validity of IBS from multiple viewpoints.
- To propose a pathophysiological model integrating biological and psychosocial findings in IBS.
Main Methods:
- Literature review of recent developments in IBS definition and psychiatric associations.
- Analysis of diagnostic validity from various perspectives.
- Synthesis of biological and psychosocial findings into a cohesive model.
Main Results:
- IBS shares commonalities with several psychiatric illnesses.
- The diagnostic validity of IBS is supported by multiple lines of evidence.
- A novel pathophysiological model for IBS is presented, incorporating diverse findings.
Conclusions:
- Psychiatric evaluation is integral to the diagnosis and management of IBS patients.
- An integrated approach considering biological and psychosocial factors is essential for understanding IBS.
- Further research into the mind-gut connection in IBS is warranted.
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