Academic Journals Database
Disseminating quality controlled scientific knowledge

Psychosocial determinants of irritable bowel syndrome

ADD TO MY LIST
 
Author(s): Teodora Surdea-Blaga | Adriana Băban | Dan L Dumitrascu

Journal: World Journal of Gastroenterology
ISSN 1007-9327

Volume: 18;
Issue: 7;
Start page: 616;
Date: 2012;
Original page

Keywords: Anxiety | Depressive symptoms | Irritable bowel syndrome | Personality | Psychosocial factors | Sexual abuse | Stressful events

ABSTRACT
From a pure motor disorder of the bowel, in the past few years, irritable bowel syndrome (IBS) has become a multifactorial disease that implies visceral hypersensitivity, alterations at the level of nervous and humoral communications between the enteric nervous system and the central nervous system, alteration of the gut microflora, an increased intestinal permeability and minimum intestinal inflammation. Psychological and social factors can interfere with the communication between the central and enteric nervous systems, and there is proof that they are involved in the onset of IBS and influence the response to treatment and outcome. There is evidence that abuse history and stressful life events are involved in the onset of functional gastrointestinal disorders. In order to explain clustering of IBS in families, genetic factors and social learning mechanisms have been proposed. The psychological features, such as anxiety, depression as well as the comorbid psychiatric disorders, health beliefs and coping of patients with IBS are discussed in relation to the symptoms and outcome.

Tango Rapperswil
Tango Rapperswil

     Affiliate Program