Systematic review: instruments to assess abdominal pain in irritable bowel syndrome

Mujagic, Zlatan; Keszthelyi, Dániel; Aziz, Qasim; Reinisch, Walter; Quetglas, Emilio García; Leonardis, Francesco De; Segerdahl, Märta; Masclee, Ad

doi:10.1111/apt.13378

Cited by 48 publications

(51 citation statements)

References 150 publications

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“…Abdominal pain was measured by a 0‐100 mm visual analog scale in all participants. The VAS is a simple, fast, and patient‐friendly method to measure the intensity of abdominal pain by a 100 mm horizontal line that is fixed between 0 mm indicating “no pain at all” and 100 mm indicating “worst pain tolerable” . We asked all participants only about current abdominal pain in order to avoid any recall bias, as it is known that longer reference periods are associated with higher recall bias.…”

Section: Methodsmentioning

confidence: 99%

Anhedonia in irritable bowel syndrome and in inflammatory bowel diseases and its relationship with abdominal pain

Carpinelli

Bucci

Santonicola

et al. 2019

Neurogastroenterology Motil

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Background Anhedonia is the lowered ability to experience pleasure from rewarding or enjoyable activities and is considered a symptom of depression. Inflammatory bowel disease (IBD) and irritable bowel syndrome (IBS) are frequently accompanied by psychiatric disorders such as depression. However, to our knowledge, studies have yet to investigate the anhedonia in these patients. Our aim was to study the level of anhedonia in patients with IBD and IBS in comparison with healthy controls (HC), and to relate anhedonia levels with the severity of abdominal pain. Methods We consecutively recruited IBD and IBS patients. All patients fulfilled the Snaith‐Hamilton Pleasure Scale (SHAPS), a self‐rating scale consisting of 14 items that cover the domains of social interaction, food, and drink, sensory experiences, achievement and pastimes, and the Beck Depression Inventory‐II (BDI‐II) to screen for depression. Moreover, we calculated abdominal pain on a (0‐100) Visual Analog Scale (VAS) in all patients. Key Results We enrolled 120 patients (64 IBD and 56 IBS) and 81 HC. Among IBD patients, 34 had Crohn's disease and 30 ulcerative colitis. All patients as a whole had significantly higher SHAPS and BDI‐II scores than HC (1.3 ± 1.5 vs 0.8 ± 0.1; P = 0.01 and 10.4 ± 7.5 vs 5.9 ± 4.9; P < 0.001, respectively), while no significant differences were found among groups. SHAPS score showed a significant correlation in only a few statements of BDI‐II. In our cohort, a multivariate regression analysis showed that SHAPS score was significantly related to current abdominal pain (0‐100 VAS) (P = 0.03) independent of gender and age. Conclusions and Inferences The level of anhedonia was higher in all patients compared to healthy controls. The more the subject is anhedonic, the higher the VAS scale for abdominal pain. This study suggests that anhedonia would need to be very carefully weighed in IBD and IBS patients.

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Section: Methodsmentioning

confidence: 99%

Anhedonia in irritable bowel syndrome and in inflammatory bowel diseases and its relationship with abdominal pain

Carpinelli

Bucci

Santonicola

et al. 2019

Neurogastroenterology Motil

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“…A systematic review of instruments to assess abdominal pain in IBS can be found elsewhere 27 . Perhaps the simplest method is the 10-point Numeric Rating Scale (NRS), in which patients rate their abdominal pain severity from 1 (no pain) to 10 (the worst pain imaginable).…”

Section: Abdominal Painmentioning

confidence: 99%

Screening for psychosocial factors in patients with irritable bowel syndrome

Laird¹,

Lackner²

2022

NGL

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Psychosocial factors play a prominent role in both the onset and expression of irritable bowel syndrome (IBS) symptoms -particularly among those individuals who consult gastroenterologists. Although many patients with IBS respond to conventional medical or dietary treatment, outcomes are less positive for patients with severe gastrointestinal (GI) symptoms and/or significant psychosocial problems. Routine screening of IBS patients attending a GI outpatient clinic can be helpful for identifying those individuals who are less likely to respond to conventional therapy. Practical recommendations for screening procedures and referrals to mental health professionals are discussed.

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“…About 40–50% of adults abdominal pain is thought to be of functional origin, and in children this increases to 80–90% 2 5. Only 1.6% of children with a diagnosis of NSAP were later found to have an identifiable organic cause.…”

Section: Commentarymentioning

confidence: 99%

Childhood non-specific abdominal pain may predict adulthood organic and functional abdominal disease in a small number of patients

Paajanen

2016

Evid Based Med

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Systematic review: instruments to assess abdominal pain in irritable bowel syndrome

Abstract: SUMMARY BackgroundConsensus on standard methods to assess chronic abdominal pain in patients with irritable bowel syndrome (IBS) is currently lacking.

Cited by 48 publications

References 150 publications

Anhedonia in irritable bowel syndrome and in inflammatory bowel diseases and its relationship with abdominal pain

Anhedonia in irritable bowel syndrome and in inflammatory bowel diseases and its relationship with abdominal pain

Screening for psychosocial factors in patients with irritable bowel syndrome

Childhood non-specific abdominal pain may predict adulthood organic and functional abdominal disease in a small number of patients

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