Journal ArticleDOI
Illness experience and life stresses in patients with irritable colon and with ulcerative colitis. An epidemiologic study of ulcerative colitis and regional enteritis in Baltimore, 1960-1964.
TLDR
An epidemiologic study in Baltimore from 1960–1964 identified hospitalized patients with inflammatory bowel disease and various control groups.Abstract:
An epidemiologic study in Baltimore from 1960–1964 identified hospitalized patients with inflammatory bowel disease and various control groups. Structured interviews were carried out with 102 subjects with irritable colon, 158 subjects with ulcerative colitis, and 735 subjects in the general population who were not hospitalized. Subjects with irritable colon had consistently higher scores for various social-cultural factors thought to represent life stresses than either the patients with ulcerative colitis or the general population. The group with ulcerative colitis resembled the general population in this respect, except for being significantly more Jewish. Past history of major illness was much more striking in the population with irritable colon than in either the group with ulcerative colitis or the general population. The occurrence of specific events preceding one of these disorders has not been established; this and other studies fail to support the thesis that ulcerative colitis is a para...read more
Citations
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Journal ArticleDOI
AGA technical review on irritable bowel syndrome
TL;DR: Psychosocial factors, although not part of IBS per se, have an important role in modulating the illness experience and its clinical outcome.
Journal ArticleDOI
Functional Somatic Syndromes
TL;DR: A six-step strategy for helping patients with functional somatic syndromes is presented here and helps to heighten their fears and pessimistic expectations, prolong their disability, and reinforce their sick role.
Journal ArticleDOI
Psychosocial factors in the irritable bowel syndrome. A multivariate study of patients and nonpatients with irritable bowel syndrome
Douglas A. Drossman,Daphne C. McKee,Robert S. Sandler,C. Madeline Mitchell,Elliot M. Cramer,Betsy C. Lowman,Amy L. Burger +6 more
TL;DR: In this paper, a multivariate analysis of the irritable bowel syndrome (IBS) was performed and the authors described the symptomatic and psychologic features of the condition and their possible contributions to health care seeking, concluding that the psychologic factors associated with the IBS are associated with patient status rather than to the disorder per se.
Journal ArticleDOI
Functional Bowel Disorders in Apparently Healthy People
TL;DR: Four clinically distinct functional bowel syndromes existed in almost one-third of the subjects studied, and constipation seemed to increase with age.
Journal ArticleDOI
Effects of stressful life events on bowel symptoms: subjects with irritable bowel syndrome compared with subjects without bowel dysfunction.
TL;DR: In this paper, a standardised inventory of stressful life events and a bowel symptom questionnaire were administered at three month intervals for one year to 383 women who were unselected with respect to bowel symptoms.
References
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Journal ArticleDOI
A Life Setting Conducive to Illness: The Giving-Up—Given-Up Complex
Journal ArticleDOI
Relationship of separation and depression to disease. I. A report on a hospitalized medical population.
TL;DR: A group of 42 semiprivate hospitalized medical patients between the ages of 18 and 45 was studied for predisease setting based on reported object‐relationship changes and reported and observed major affective reactions to such changes.
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Experimental studies on the irritable colon
TL;DR: When under stress induced by experimental stimuli, both healthy persons and patients with irritable colon may show disturbances in motility and engorgement of the sigmoid colon coincident with periods of emotional tension, which may be related to the mechanisms of spastic constipation and functional diarrhea.
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Psychiatric study of a consecutive series of 34 patients with ulcerative colitis.
TL;DR: The vital statistics and physiological findings in the two groups are shown, and the residual volume is increased to about two and a half times the predicted normal in both groups, while the total lung capacity is increased by nearly one-third in the miners and by almost one-quarter in the patients with non-specific lung disease.
Journal ArticleDOI
AN EPIDEMIOLOGICAL STUDY OF ULCERATIVE COLITIS AND REGIONAL ENTERITIS AMONG ADULTS IN BALTIMORE II. Social and demographic factors
TL;DR: There were no consistent differences in present occupational status; the regional enteritis group had a higher educational attainment and the non-Jews in the study groups were of a more recent foreign background than the controls.