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Related Concept Videos

Irritable Bowel Syndrome I: Introduction01:17

Irritable Bowel Syndrome I: Introduction

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Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
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Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation01:30

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Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
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Irritable Bowel Syndrome III: Medical and Nursing Management01:30

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Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
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Cognition and Behavior01:23

Cognition and Behavior

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Social psychology examines the complex interplay between individual mental processes and social interactions. Historically, the field was divided into two domains: social behavior and social cognition. Researchers focusing on social behavior analyzed actions within social contexts, such as conformity, aggression, or cooperation. Meanwhile, social cognition researchers investigated how people perceive, interpret, and mentally represent their social environments. However, modern perspectives no...
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Cognitive processes affect social behavior by guiding how individuals perceive, interpret, and respond to social stimuli. These mental processes enable individuals to assess others' behaviors, attribute causes to their actions, and form expectations based on past experiences.Causes of Behavior and Social JudgmentsIndividuals determine the causes of others' behaviors by distinguishing between personal traits and external circumstances. For example, if a friend frequently arrives late, an...
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Cognitive Dissonance01:38

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Social psychologists have documented that feeling good about ourselves and maintaining positive self-esteem is a powerful motivator of human behavior (Tavris & Aronson, 2008). In the United States, members of the predominant culture typically think very highly of themselves and view themselves as good people who are above average on many desirable traits (Ehrlinger, Gilovich, & Ross, 2005). Often, our behavior, attitudes, and beliefs are affected when we experience a threat to our...
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Related Experiment Video

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Perturbations of Circulating miRNAs in Irritable Bowel Syndrome Detected Using a Multiplexed High-throughput Gene Expression Platform
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Cognitive and Behavioral Differences Between Subtypes in Refractory Irritable Bowel Syndrome.

Sula Windgassen1, Rona Moss-Morris1, Hazel Everitt2

  • 1King's College London.

Behavior Therapy
|April 30, 2019
PubMed
Summary

Psychological factors like avoidance and unhelpful cognitions are linked to specific irritable bowel syndrome (IBS) subtypes. Tailoring cognitive behavioral therapy to these IBS subtypes may improve treatment outcomes.

Keywords:
IBSbehaviorssubtypesunhelpful cognitions

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Area of Science:

  • Gastroenterology
  • Psychology
  • Behavioral Science

Background:

  • Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder with distinct subtypes: diarrhea-predominant (IBS-D), constipation-predominant (IBS-C), and alternating (IBS-A).
  • The cognitive behavioral model suggests psychological factors influence IBS symptom presentation and severity.

Purpose of the Study:

  • To investigate if psychological factors are differentially associated with IBS subtypes.
  • To examine differences in symptom severity and psychosocial adjustment across IBS subtypes.

Main Methods:

  • Analysis of baseline data from 557 individuals with refractory IBS in the ACTIB trial.
  • Correlations and hierarchical regressions assessed associations between psychological factors, stool patterns, symptom severity, and adjustment.
  • One-way ANOVAs compared cognitive, behavioral, affective, symptom severity, and adjustment measures across IBS subtypes (IBS-A, IBS-D, IBS-C).

Main Results:

  • Psychological factors significantly correlated with symptom severity and work/social adjustment.
  • Increased avoidance behavior and unhelpful GI cognitions were linked to more loose/watery stools (IBS-D).
  • Increased control behaviors were associated with more hard/lumpy stools (IBS-C).
  • Significant cognitive and behavioral differences were observed across IBS subtypes, but not in anxiety, depression, overall symptom severity, or adjustment.

Conclusions:

  • Cognitive and behavioral factors show distinct associations with IBS subtypes.
  • Findings support tailoring cognitive behavioral treatments to specific IBS subtypes for potentially improved efficacy.