Effects of stressful life events on bowel symptoms: Subjects with irritable bowel syndrome compared with subjects without bowel dysfunction

W. E. Whitehead, M. D. Crowell, J. C. Robinson, B. R. Heller, M. M. Schuster

Research output: Contribution to journalArticle

321 Citations (Scopus)

Abstract

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. A NEO Personality Inventory was given initially to assess neuroticism. Subjects who satisfied restrictive diagnostic criteria for irritable bowel syndrome were compared with those who complained of abdominal pain plus altered bowel habits but who did not meet restrictive diagnostic criteria (functional bowel disorder) and with controls without bowel dysfunction. The irritable bowel group showed significantly higher levels of stress than the other two groups even when the confounding effects of neuroticism were statistically controlled for. Time lagged correlations showed that stress in one three month interval was significantly correlated with bowel symptoms in the subsequent three month interval for all groups. The slope of the regression line relating stress to bowel symptoms was significantly steeper for the irritable bowel group than for the other two groups at three and six months, suggesting that subjects with irritable bowel syndrome show a greater reactivity to stress. Stress scores were also significantly correlated with the number of disability days and the number of medical clinic visits for bowel symptoms.

Original languageEnglish (US)
Pages (from-to)825-830
Number of pages6
JournalGut
Volume33
Issue number6
StatePublished - Jun 1992
Externally publishedYes

Fingerprint

Irritable Bowel Syndrome
Personality Inventory
Ambulatory Care
Abdominal Pain
Habits
Equipment and Supplies
Neuroticism
Surveys and Questionnaires

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Whitehead, W. E., Crowell, M. D., Robinson, J. C., Heller, B. R., & Schuster, M. M. (1992). Effects of stressful life events on bowel symptoms: Subjects with irritable bowel syndrome compared with subjects without bowel dysfunction. Gut, 33(6), 825-830.

Effects of stressful life events on bowel symptoms : Subjects with irritable bowel syndrome compared with subjects without bowel dysfunction. / Whitehead, W. E.; Crowell, M. D.; Robinson, J. C.; Heller, B. R.; Schuster, M. M.

In: Gut, Vol. 33, No. 6, 06.1992, p. 825-830.

Research output: Contribution to journalArticle

Whitehead, WE, Crowell, MD, Robinson, JC, Heller, BR & Schuster, MM 1992, 'Effects of stressful life events on bowel symptoms: Subjects with irritable bowel syndrome compared with subjects without bowel dysfunction', Gut, vol. 33, no. 6, pp. 825-830.
Whitehead, W. E. ; Crowell, M. D. ; Robinson, J. C. ; Heller, B. R. ; Schuster, M. M. / Effects of stressful life events on bowel symptoms : Subjects with irritable bowel syndrome compared with subjects without bowel dysfunction. In: Gut. 1992 ; Vol. 33, No. 6. pp. 825-830.
@article{b3acb55f36844eac912160351ac3a028,
title = "Effects of stressful life events on bowel symptoms: Subjects with irritable bowel syndrome compared with subjects without bowel dysfunction",
abstract = "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. A NEO Personality Inventory was given initially to assess neuroticism. Subjects who satisfied restrictive diagnostic criteria for irritable bowel syndrome were compared with those who complained of abdominal pain plus altered bowel habits but who did not meet restrictive diagnostic criteria (functional bowel disorder) and with controls without bowel dysfunction. The irritable bowel group showed significantly higher levels of stress than the other two groups even when the confounding effects of neuroticism were statistically controlled for. Time lagged correlations showed that stress in one three month interval was significantly correlated with bowel symptoms in the subsequent three month interval for all groups. The slope of the regression line relating stress to bowel symptoms was significantly steeper for the irritable bowel group than for the other two groups at three and six months, suggesting that subjects with irritable bowel syndrome show a greater reactivity to stress. Stress scores were also significantly correlated with the number of disability days and the number of medical clinic visits for bowel symptoms.",
author = "Whitehead, {W. E.} and Crowell, {M. D.} and Robinson, {J. C.} and Heller, {B. R.} and Schuster, {M. M.}",
year = "1992",
month = "6",
language = "English (US)",
volume = "33",
pages = "825--830",
journal = "Gut",
issn = "0017-5749",
publisher = "BMJ Publishing Group",
number = "6",

}

TY - JOUR

T1 - Effects of stressful life events on bowel symptoms

T2 - Subjects with irritable bowel syndrome compared with subjects without bowel dysfunction

AU - Whitehead, W. E.

AU - Crowell, M. D.

AU - Robinson, J. C.

AU - Heller, B. R.

AU - Schuster, M. M.

PY - 1992/6

Y1 - 1992/6

N2 - 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. A NEO Personality Inventory was given initially to assess neuroticism. Subjects who satisfied restrictive diagnostic criteria for irritable bowel syndrome were compared with those who complained of abdominal pain plus altered bowel habits but who did not meet restrictive diagnostic criteria (functional bowel disorder) and with controls without bowel dysfunction. The irritable bowel group showed significantly higher levels of stress than the other two groups even when the confounding effects of neuroticism were statistically controlled for. Time lagged correlations showed that stress in one three month interval was significantly correlated with bowel symptoms in the subsequent three month interval for all groups. The slope of the regression line relating stress to bowel symptoms was significantly steeper for the irritable bowel group than for the other two groups at three and six months, suggesting that subjects with irritable bowel syndrome show a greater reactivity to stress. Stress scores were also significantly correlated with the number of disability days and the number of medical clinic visits for bowel symptoms.

AB - 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. A NEO Personality Inventory was given initially to assess neuroticism. Subjects who satisfied restrictive diagnostic criteria for irritable bowel syndrome were compared with those who complained of abdominal pain plus altered bowel habits but who did not meet restrictive diagnostic criteria (functional bowel disorder) and with controls without bowel dysfunction. The irritable bowel group showed significantly higher levels of stress than the other two groups even when the confounding effects of neuroticism were statistically controlled for. Time lagged correlations showed that stress in one three month interval was significantly correlated with bowel symptoms in the subsequent three month interval for all groups. The slope of the regression line relating stress to bowel symptoms was significantly steeper for the irritable bowel group than for the other two groups at three and six months, suggesting that subjects with irritable bowel syndrome show a greater reactivity to stress. Stress scores were also significantly correlated with the number of disability days and the number of medical clinic visits for bowel symptoms.

UR - http://www.scopus.com/inward/record.url?scp=0026551507&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026551507&partnerID=8YFLogxK

M3 - Article

C2 - 1624167

AN - SCOPUS:0026551507

VL - 33

SP - 825

EP - 830

JO - Gut

JF - Gut

SN - 0017-5749

IS - 6

ER -