Large Bowel Disorders

Fava, Giovanni A.; Pavan, Luigi

doi:10.1159/000287001

Cited by 52 publications

(3 citation statements)

References 12 publications

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“…Stress is a well-known factor to play a major role in the development of symptoms in functional GI disorders like IBS 31-33. Stress may affect both gastric and colonic motor functions in IBS patients, which suggests that abnormal gastric motility such as delayed gastric emptying might occur in IBS patients.…”

Section: Stomachmentioning

confidence: 99%

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Asian Motility Studies in Irritable Bowel Syndrome

Lee¹

2010

J Neurogastroenterol Motil

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Altered motility remains one of the important pathophysiologic factors in patients with irritable bowel syndrome (IBS) who commonly complain of abdominal pain and stool changes such as diarrhea and constipation. The prevalence of IBS has increased among Asian populations these days. Gastrointestinal (GI) physiology may vary between Asian and Western populations because of differences in diets, socio-cultural backgrounds, and genetic factors. The characteristics and differences of GI dysmotility in Asian IBS patients were reviewed. MEDLINE search work was performed including following terms, 'IBS,' 'motility,' 'transit time,' 'esophageal motility,' 'gastric motility,' 'small intestinal motility,' 'colonic motility,' 'anorectal function,' and 'gallbladder motility' and over 100 articles were categorized under 'esophagus,' 'stomach,' 'small intestine,' 'colon,' 'anorectum,' 'gallbladder,' 'transit,' 'motor pattern,' and 'effect of stressors.' Delayed gastric emptying, slow tansit in constipation predominant IBS patients, rapid transit in diarrhea predominant IBS patients, accelerated motility responses to various stressors such as meals, mental stress, or corticotrophin releasing hormones, and altered rectal compliance and altered rectal accomodation were reported in many Asian studies regarding IBS. Many conflicting results were found among these studies and there are still controversies to conclude these as unique features of Asian IBS patients. Multinational and multicenter studies are needed to be performed vigorously in order to elaborate characteristics as well as differences of altered motililty in Asian patients with IBS.

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Section: Stomachmentioning

confidence: 99%

“…Daily stressful events are more commonly reported in IBS patients than non-IBS patients and healthy controls 31-33,82-84. According to many Asian studies IBS subjects have noted higher anxiety and depression scores compared to controls 24,26,85-89.…”

Section: Colonmentioning

confidence: 99%

Asian Motility Studies in Irritable Bowel Syndrome

Lee¹

2010

J Neurogastroenterol Motil

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“…A further bias has been introduced by an emphasis in retrospective studies on events occurring shortly before the onset of disease rather than earlier traumatic experiences [11]. In the few prospective studies of major life events in IBD which have been reported, a contribution of stressful life events to worsening of IBD has generally not been supported [12, 13], although Duffy et al [14]found a relationship of health-related stressors to IBD activity and found that major stress events made the largest contribution to the variance in disease activity (greater than baseline disease activity or vaso-active intestinal protein as a biological marker).…”

Section: Concerns and Stressors In Ibdmentioning

confidence: 99%

Facilitating Adjustment to Inflammatory Bowel Disease: A Model of Psychosocial Intervention in Non-Psychiatric Patients

Maunder

Esplen²

1999

Psychother Psychosom

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Background: There is no consensus about the most appropriate psychosocial interventions for people with inflammatory bowel disease (IBD) or the most appropriate criteria by which to select which patients might benefit from the available interventions. Nonetheless the perception that stress and other subjective factors contribute to suffering in IBD is persistent and professionals are often called upon to offer appropriate support. A model of normal psychosocial adjustment to IBD and the interventions which can improve difficulties with adjustment will facilitate rational therapeutic intervention and needed research in this area. Methods: A model of normal adjustment to IBD is developed from a synthesis of the empirical literature and clinical experience in a tertiary care medical/surgical IBD centre and is used to identify potential points of psychosocial intervention. Results: Normal adjustment to IBD can be understood as a process involving the interaction of a triad of adaptive challenges: illness uncertainty, loss and change, and suffering. Each of these challenges requires different criteria of psychosocial assessment and may lead to different interventions. Conclusions: Although the interventions available for improving adjustment to IBD have not been exhaustively investigated, the existing data support the value of further study. The model of psychosocial adjustment presented here provides a synthesis of the existing data and a starting point for further research.

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Personality, environmental stressors, and diarrhea in Rhesus macaques: An interactionist perspective

Gottlieb

Rosso

Sheikhi

et al. 2018

American J Primatol

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Previous research has repeatedly shown both personality and psychological stress to predict gastrointestinal disorders and chronic diarrhea in humans. The goal of the present research was to evaluate the role of personality, as well as psychological stressors (i.e., housing relocations and rearing environment), in predicting chronic diarrhea in captive Rhesus macaques, with particular attention to how personality regulated the impact of such stressors. Subjects were 1,930 R. macaques at the California National Primate Research Center reared in a variety of environments. All subjects took part in an extensive personality evaluation at approximately 90-120 days of age. Data were analyzed using generalized linear models to determine how personality, rearing condition, housing relocations, and personality by environment interactions, predicted both diarrhea risk (an animal's risk for having diarrhea at least once) and chronic diarrhea (how many repeated bouts of diarrhea an animal had after their initial bout). Much like the human literature, we found that certain personality types (i.e., nervous, gentle, vigilant, and not confident) were more likely to have chronic diarrhea, and that certain stressful environments (i.e., repeated housing relocations) increased diarrhea risk. We further found multiple interactions between personality and environment, supporting the "interactionist" perspective on personality and health. We conclude that while certain stressful environments increase risk for chronic diarrhea, the relative impact of these stressors is highly dependent on an animal's personality.

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Large Bowel Disorders

Cited by 52 publications

References 12 publications

Asian Motility Studies in Irritable Bowel Syndrome

Asian Motility Studies in Irritable Bowel Syndrome

Facilitating Adjustment to Inflammatory Bowel Disease: A Model of Psychosocial Intervention in Non-Psychiatric Patients

Personality, environmental stressors, and diarrhea in Rhesus macaques: An interactionist perspective

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