No difference in symptoms of irritable bowel syndrome between healthy subjects and patients with recurrent depression in remission

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No difference in symptoms of irritable bowel syndrome between healthy subjects and patients with recurrent depression in remission

Karling, Pontus (author): Umeå universitet,Medicin

Danielsson, Åke (author): Umeå universitet,Medicin

Adolfsson, Rolf (author): Umeå universitet,Psykiatri

Norrback, Karl-Fredrik (author): Umeå universitet,Psykiatri

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(creator_code:org_t)

Oxford : Blackwell, 2007
2007
English.
In: Neurogastroenterology and Motility. - Oxford : Blackwell. - 1350-1925 .- 1365-2982. ; 19:11, s. 896-904

Related links:: http://www.ncbi.nlm....; show more...; https://urn.kb.se/re...; https://doi.org/10.1...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

There is bidirectional comorbidity between anxiety/depression and irritable bowel syndrome (IBS). To investigate the prevalence of IBS symptoms, and factors associated with gastrointestinal symptoms in patients with recurrent depressive disorder. Patients (n = 95) with recurrent type of major depression according to DSM-IV criteria and sex- and age-matched controls (n = 190) were sent questionnaires investigating symptoms of IBS [Gastrointestinal Symptom Rating Scale (GSRS)-IBS] and symptoms of anxiety and depression [Hospital Anxiety and Depression Scale (HADS)]. Medical records were checked over a 10-year period for chronic somatic symptoms or diseases. Seventy-three patients with unipolar disorder (mean age 63.6 years SD 13.8; range 23–86 years) and 156 controls (mean age 59.2 years SD 11.6, range 21–85 years) responded. Patients with recurrent depression had higher GSRS-IBS scores and showed a strong correlation between symptoms of IBS and anxiety-depression (rs = 0.54; P < 0.001). IBS symptoms were also associated with multiple pain symptoms, higher health-seeking behaviour and selective-serotonin-reuptake inhibitor intake. However, patients with recurrent depression (n = 46) in remission (HADS-Depression score <8) did not have more symptoms of IBS than controls (GSRS-IBS median score 6.0 vs 6.5; P = 0.46). There is a strong association between symptoms of IBS and symptoms of anxiety and depression, whereas depressive patients in remission do not have more IBS symptoms than controls.

Keyword

adult
aged
aged; 80 and over
anxiety/complications/physiopathology
case-control studies
depression/*complications/*physiopathology/psychology
female
health surveys
humans
irritable bowel syndrome/*complications/*physiopathology/psychology
male
middle aged
prevalence
recurrence
remission; spontaneous
severity of illness index

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ref (subject category)
art (subject category)

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