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

Published online by Cambridge University Press:  09 July 2009

E. A. Walker ,
A. N. Gelfand ,
M. D. Gelfand  and
W. J. Katon
E. A. Walker*
Affiliation:
Department of Psychiatry and Behavioral Sciences, Division of Consultation-Liaison, University of Washington and the Division of Gastroenterology, Virginia Mason Medical Center, Seattle, Washington, USA
A. N. Gelfand
Affiliation:
Department of Psychiatry and Behavioral Sciences, Division of Consultation-Liaison, University of Washington and the Division of Gastroenterology, Virginia Mason Medical Center, Seattle, Washington, USA
M. D. Gelfand
Affiliation:
Department of Psychiatry and Behavioral Sciences, Division of Consultation-Liaison, University of Washington and the Division of Gastroenterology, Virginia Mason Medical Center, Seattle, Washington, USA
W. J. Katon
Affiliation:
Department of Psychiatry and Behavioral Sciences, Division of Consultation-Liaison, University of Washington and the Division of Gastroenterology, Virginia Mason Medical Center, Seattle, Washington, USA
*
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.
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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.

Type
Original Articles
Information
Psychological Medicine , Volume 25 , Issue 6 , November 1995 , pp. 1259 - 1267
Copyright
Copyright © Cambridge University Press 1995

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References

REFERENCES

Andrews, H., Barczak, P. & Allan, R. N. (1987). Psychiatric illness in patients with inflammatory bowel disease. Gut 28, 1600–1604.CrossRefGoogle ScholarPubMed
Bernstein, E. M. & Putnam, F. W. (1986). Development, reliability and validity of a dissociation scale. Journal of Nervous and Mental Disease 174, 727–735.CrossRefGoogle ScholarPubMed
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, 401–405.CrossRefGoogle ScholarPubMed
Briere, J. (1992 a). Methodological issues in the study of sexual abuse effects. Journal of Clinical and Consulting Psychology 60, 196–203.CrossRefGoogle Scholar
Briere, J. (1992 b). Child Abuse Trauma. Sage Publications: Newbury Park.Google Scholar
Cloninger, C. R. (1987). A systematic method for clinical description and classification of personality variants. Archives of General Psychiatry 44, 573–588.CrossRefGoogle ScholarPubMed
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, 828–833.CrossRefGoogle ScholarPubMed
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, 1569–1580.CrossRefGoogle Scholar
Fava, G. A. & Pavan, L. (1976). Large bowel disorders. II. Psychopathology and alexithymia. Psychotherapy and Psychosomatics 27, 100–105.CrossRefGoogle ScholarPubMed
Felitti, V. J. (1991). Long-term medical consequences of incest, rape and molestation. Southern Medical Journal 84, 328–331.CrossRefGoogle ScholarPubMed
Ford, M. J., Miller, P. M., Eastwood, J. & Eastwood, M. A. (1987). Life events, psychiatric illness and the irritable bowel syndrome. Gut 28, 160–165.CrossRefGoogle ScholarPubMed
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, 513–518.CrossRefGoogle Scholar
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, 324–330.CrossRefGoogle ScholarPubMed
Hislop, I. G. (1971). Psychological significance of the irritable colon syndrome. Gut 12, 452–457.CrossRefGoogle ScholarPubMed
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, 8–19.CrossRefGoogle ScholarPubMed
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, 893–901.CrossRefGoogle ScholarPubMed
Liss, J. L., Alpers, D. & Woodruff, R. A. (1973). The irritable colon syndrome and psychiatric illness. Diseases of the Nervous System 34, 151–157.Google ScholarPubMed
Longstreth, G. F. & Wolde-Tsadik, G. (1993). Irritable bowel-type symptoms in HMO examinees: prevalence, demographics and clinical correlates. Digestive Diseases and Sciences 38, 1581–1589.CrossRefGoogle ScholarPubMed
Lydiard, R. B., Fossey, M. D., Marsh, W. & Ballenger, J. C. (1993). Prevalence of psychiatric disorders in irritable bowel syndrome. Psychosomatics 34, 229–234.CrossRefGoogle ScholarPubMed
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, 974–981.Google ScholarPubMed
Robins, L. N., Helzer, J. E., Croughan, J. & Ratcliff, K. S. (1981). National Institute of Health Diagnostic Interview Schedule. Archives of General Psychiatry 38, 381–389.CrossRefGoogle ScholarPubMed
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, 546–556.CrossRefGoogle Scholar
Simon, G. E., & Von Korff, M. (1991). Somatization and psychiatric disorder in the NIMH Epidemiologic Catchment Area study. American Journal of Psychiatry 148, 1494–1500.Google ScholarPubMed
Stewart, A. L., Hays, R. D. & Ware, J. E. (1988). The MOS short-form general health survey. Medical Care 26, 724–735.CrossRefGoogle ScholarPubMed
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, 173–181.CrossRefGoogle ScholarPubMed
Thompson, W. G., Dotevall, G., Drossman, D. A., Heaton, K. W. & Kruis, W. (1989). Irritable bowel syndrome: guidelines for the diagnosis. Gastroenterology International 2, 92–95.Google Scholar
Von Korff, M. & Anthony, J. C. (1982). The NIMH diagnostic interview schedule modified to record current mental status. Journal of Affective Disorders 4, 365–371.CrossRefGoogle ScholarPubMed
Walker, E. A., Roy-Byrne, P. P. & Katon, W. J. (1990 a). Irritable bowel syndrome and psychiatric illness. American Journal of Psychiatry 147, 565–572.Google ScholarPubMed
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, 1656–1661.Google ScholarPubMed
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, 1502–1506.Google ScholarPubMed
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).Google Scholar
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, 914–919.CrossRefGoogle Scholar
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, 1579–1582.Google ScholarPubMed
Young, S. J., Alpers, D. H., Norland, C. C. & Woodruff, R. A. (1976). Psychiatric illness and the irritable bowel syndrome. Gastroenterology 70, 162–166.CrossRefGoogle ScholarPubMed