Psychological distress and GI symptoms are related to severity of bloating in women with irritable bowel syndrome

Authors

  • Hyo Jung Park,

    Corresponding author
    1. Division of Nursing Science, College of Health Science, Ewha Womans University, 11-1 Daehyun-Dong, Seodaemoon-Ku, Seoul 120-750, South Korea
    • Division of Nursing Science, College of Health Science, Ewha Womans University, 11-1 Daehyun-Dong, Seodaemoon-Ku, Seoul 120-750, South Korea.
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    • Full-time Lecturer.

  • Monica Jarrett,

    1. Biobehavioral Nursing and Health Systems, School of Nursing, University of Washington, Seattle, WA
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    • Associate Professor.

  • Kevin Cain,

    1. Department of Biostatistics and Office for Nursing Research, University of Washington, Seattle, WA
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    • Research Scientist.

  • Margaret Heitkemper

    1. Biobehavioral Nursing and Health Systems, School of Nursing, University of Washington, Seattle, WA
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    • Professor.


Abstract

Bloating is a frequent complaint of women with irritable bowel syndrome (IBS). We compared retrospective and daily diary gastrointestinal and psychological distress symptoms in 183 women ages 18–48 in three IBS subgroups: Minimal-Bloating, Mild-Bloating, Moderate-Severe-Bloating. More women with moderate to severe levels of bloating reported a history of hard stools, straining to have a stool, a history of depressive disorders, and more severe daily symptoms of depression and anxiety as compared to women with minimal or mild bloating symptoms. Appraising the level of symptom severity and psychological distress is vital to the selection of appropriate treatment options. © 2008 Wiley Periodicals, Inc. Res Nurs Health 31:98–107, 2008

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