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Functional bowel disorders in primary care: factors associated with health-related quality of life and doctor consultation.
J Psychosom Res 2008; 64(2):129-38JP

Abstract

BACKGROUND

The role of psychological factors in irritable bowel syndrome (IBS) remains unclear, particularly in a primary care setting, where relatively little research on this common and costly condition has been carried out. The aim of this study was to investigate the relative contribution of physical and psychological factors to health-related quality of life and health-care utilization in patients with functional bowel disease (IBS-like symptoms) in primary care. We also wished to establish the relevance of formal diagnostic criteria to IBS in the primary care setting.

METHODS

This study used a cross-sectional design. Four hundred twenty patients with functional bowel disorders in primary care completed a series of measures, including bowel symptom status and severity, severity of psychological distress, personality, and quality of life. The number of visits to a general practitioner (GP) in the previous 12 months was recorded.

RESULTS

The following variables were independently and highly significantly associated with health-related quality of life in patients with functional bowel disorders in primary care: total psychological symptom score, diarrhea severity, abdominal pain for >12 weeks, and abdominal distension. A similar pattern emerged between patients who met meet Rome II criteria for IBS and patients who did not meet Rome II criteria for IBS. Relatively few variables (either physical or psychological) had a major impact on the number of GP consultations, with the exception of frequency of bowel movements.

CONCLUSION

This study confirms that psychological factors are significantly associated with health-related quality of life in patients with IBS in primary care. Physical symptom severity is also important. Relatively few symptom measures, either physical or psychological, have a major impact on doctor consultation rates in primary care.

Authors+Show Affiliations

National Primary Care Research and Development Centre, University of Manchester, Manchester, United Kingdom.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

18222126

Citation

Lee, Victoria, et al. "Functional Bowel Disorders in Primary Care: Factors Associated With Health-related Quality of Life and Doctor Consultation." Journal of Psychosomatic Research, vol. 64, no. 2, 2008, pp. 129-38.
Lee V, Guthrie E, Robinson A, et al. Functional bowel disorders in primary care: factors associated with health-related quality of life and doctor consultation. J Psychosom Res. 2008;64(2):129-38.
Lee, V., Guthrie, E., Robinson, A., Kennedy, A., Tomenson, B., Rogers, A., & Thompson, D. (2008). Functional bowel disorders in primary care: factors associated with health-related quality of life and doctor consultation. Journal of Psychosomatic Research, 64(2), pp. 129-38. doi:10.1016/j.jpsychores.2007.09.004.
Lee V, et al. Functional Bowel Disorders in Primary Care: Factors Associated With Health-related Quality of Life and Doctor Consultation. J Psychosom Res. 2008;64(2):129-38. PubMed PMID: 18222126.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Functional bowel disorders in primary care: factors associated with health-related quality of life and doctor consultation. AU - Lee,Victoria, AU - Guthrie,Else, AU - Robinson,Andrew, AU - Kennedy,Anne, AU - Tomenson,Barbara, AU - Rogers,Anne, AU - Thompson,David, PY - 2007/01/11/received PY - 2007/07/30/revised PY - 2007/09/13/accepted PY - 2008/1/29/pubmed PY - 2008/4/9/medline PY - 2008/1/29/entrez SP - 129 EP - 38 JF - Journal of psychosomatic research JO - J Psychosom Res VL - 64 IS - 2 N2 - BACKGROUND: The role of psychological factors in irritable bowel syndrome (IBS) remains unclear, particularly in a primary care setting, where relatively little research on this common and costly condition has been carried out. The aim of this study was to investigate the relative contribution of physical and psychological factors to health-related quality of life and health-care utilization in patients with functional bowel disease (IBS-like symptoms) in primary care. We also wished to establish the relevance of formal diagnostic criteria to IBS in the primary care setting. METHODS: This study used a cross-sectional design. Four hundred twenty patients with functional bowel disorders in primary care completed a series of measures, including bowel symptom status and severity, severity of psychological distress, personality, and quality of life. The number of visits to a general practitioner (GP) in the previous 12 months was recorded. RESULTS: The following variables were independently and highly significantly associated with health-related quality of life in patients with functional bowel disorders in primary care: total psychological symptom score, diarrhea severity, abdominal pain for >12 weeks, and abdominal distension. A similar pattern emerged between patients who met meet Rome II criteria for IBS and patients who did not meet Rome II criteria for IBS. Relatively few variables (either physical or psychological) had a major impact on the number of GP consultations, with the exception of frequency of bowel movements. CONCLUSION: This study confirms that psychological factors are significantly associated with health-related quality of life in patients with IBS in primary care. Physical symptom severity is also important. Relatively few symptom measures, either physical or psychological, have a major impact on doctor consultation rates in primary care. SN - 0022-3999 UR - https://www.unboundmedicine.com/medline/citation/18222126/Functional_bowel_disorders_in_primary_care:_factors_associated_with_health_related_quality_of_life_and_doctor_consultation_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-3999(07)00362-5 DB - PRIME DP - Unbound Medicine ER -