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. 1987 Feb;28(2):160–165. doi: 10.1136/gut.28.2.160

Life events, psychiatric illness and the irritable bowel syndrome.

M J Ford, P M Miller, J Eastwood, M A Eastwood
PMCID: PMC1432990  PMID: 3557188

Abstract

The frequency, severity, and characteristics of psychiatric illness and stressful life situations were assessed in 134 patients aged 18-60 years referred to a gastrointestinal clinic by their general practitioner. A functional disorder of the gastrointestinal tract was established in 72%. A formal psychiatric assessment in 64 randomly selected patients revealed a previous or current psychiatric disorder in 54% of the functional group and 12.5% of the organic group. Stressful life events before referral were assessed by a modification of the Bedford College methodology. Anxiety provoking life situations were found in 30%, a proportion which was not significantly different in the two groups. Psychiatric illness episodes and/or anxiety provoking situations, preceded the onset of bowel symptoms in two-thirds of the functional group, however, but in none of the organic group. Life situations alone did not appear to be associated with functional disorders unless they provoked an anxiety state.

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Selected References

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  1. Craig T. K., Brown G. W. Goal frustration and life events in the aetiology of painful gastrointestinal disorder. J Psychosom Res. 1984;28(5):411–421. doi: 10.1016/0022-3999(84)90073-4. [DOI] [PubMed] [Google Scholar]
  2. Creed F. Life events and appendicectomy. Lancet. 1981 Jun 27;1(8235):1381–1385. doi: 10.1016/s0140-6736(81)92567-8. [DOI] [PubMed] [Google Scholar]
  3. Dean C., Surtees P. G., Sashidharan S. P. Comparison of research diagnostic systems in an Edinburgh community sample. Br J Psychiatry. 1983 Mar;142:247–256. doi: 10.1192/bjp.142.3.247. [DOI] [PubMed] [Google Scholar]
  4. Fava G. A., Pavan L. Large bowel disorders. I. Illness configuration and life events. Psychother Psychosom. 1976;27(2):93–99. doi: 10.1159/000287001. [DOI] [PubMed] [Google Scholar]
  5. Ferguson A., Sircus W., Eastwood M. A. Frequency of "functional" gastrointestinal disorders. Lancet. 1977 Sep 17;2(8038):613–614. doi: 10.1016/s0140-6736(77)91466-0. [DOI] [PubMed] [Google Scholar]
  6. Fielding J. F. A year in out-patients with the irritable bowel syndrome. Ir J Med Sci. 1977 Jun;146(6):162–166. doi: 10.1007/BF03030953. [DOI] [PubMed] [Google Scholar]
  7. Finlay-Jones R., Brown G. W. types of stressful life event and the onset of anxiety and depressive disorders. Psychol Med. 1981 Nov;11(4):803–815. doi: 10.1017/s0033291700041301. [DOI] [PubMed] [Google Scholar]
  8. Ford M. J., Eastwood J., Eastwood M. A. The irritable bowel syndrome: soma and psyche. Psychol Med. 1982 Nov;12(4):705–707. doi: 10.1017/s0033291700049011. [DOI] [PubMed] [Google Scholar]
  9. Gomez J., Dally P. Psychologically mediated abdominal pain in surgical and medical outpatients clinics. Br Med J. 1977 Jun 4;1(6074):1451–1453. doi: 10.1136/bmj.1.6074.1451. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Harvey R. F., Salih S. Y., Read A. E. Organic and functional disorders in 2000 gastroenterology outpatients. Lancet. 1983 Mar 19;1(8325):632–634. doi: 10.1016/s0140-6736(83)91802-0. [DOI] [PubMed] [Google Scholar]
  11. Holmes K. M., Salter R. H. Irritable bowel syndrome--a safe diagnosis? Br Med J (Clin Res Ed) 1982 Nov 27;285(6354):1533–1534. doi: 10.1136/bmj.285.6354.1533. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Horrocks J. C., De Dombal F. T. Clinical presentation of patients with "dyspepsia". Detailed symptomatic study of 360 patients. Gut. 1978 Jan;19(1):19–26. doi: 10.1136/gut.19.1.19. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Ingham J. G., Miller P. M. Self-referral: social and demographic determinants of consulting behaviour. J Psychosom Res. 1983;27(3):233–242. doi: 10.1016/0022-3999(83)90027-2. [DOI] [PubMed] [Google Scholar]
  14. KREITMAN N., SAINSBURY P., PEARCE K., COSTAIN W. R. HYPOCHONDRIASIS AND DEPRESSION IN OUT-PATIENTS AT A GENERAL HOSPITAL. Br J Psychiatry. 1965 Jul;111:607–615. doi: 10.1192/bjp.111.476.607. [DOI] [PubMed] [Google Scholar]
  15. Latimer P. R. Irritable bowel syndrome: a behavioral model. Behav Res Ther. 1981;19(6):475–483. doi: 10.1016/0005-7967(81)90074-7. [DOI] [PubMed] [Google Scholar]
  16. Manning A. P., Thompson W. G., Heaton K. W., Morris A. F. Towards positive diagnosis of the irritable bowel. Br Med J. 1978 Sep 2;2(6138):653–654. doi: 10.1136/bmj.2.6138.653. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Mendeloff A. I., Monk M., Siegel C. I., Lilienfeld A. Illness experience and life stresses in patients with irritable colon and with ulcerative colitis. An epidemiologic study of ulcerative colitis and regional enteritis in Baltimore, 1960-1964. N Engl J Med. 1970 Jan 1;282(1):14–17. doi: 10.1056/NEJM197001012820104. [DOI] [PubMed] [Google Scholar]
  18. Miller P. M., Ingham J. G. Dimensions of experience and symptomatology. J Psychosom Res. 1985;29(5):475–488. doi: 10.1016/0022-3999(85)90081-9. [DOI] [PubMed] [Google Scholar]
  19. Sandler R. S., Drossman D. A., Nathan H. P., McKee D. C. Symptom complaints and health care seeking behavior in subjects with bowel dysfunction. Gastroenterology. 1984 Aug;87(2):314–318. [PubMed] [Google Scholar]
  20. Surtees P. G., Dean C., Ingham J. G., Kreitman N. B., Miller P. M., Sashidharan S. P. Psychiatric disorder in women from an Edinburgh community: associations with demographic factors. Br J Psychiatry. 1983 Mar;142:238–246. doi: 10.1192/bjp.142.3.238. [DOI] [PubMed] [Google Scholar]
  21. Svedlund J. Psychotherapy in irritable bowel syndrome. A controlled outcome study. Acta Psychiatr Scand Suppl. 1983;306:1–86. doi: 10.1111/j.1600-0447.1983.tb03707.x. [DOI] [PubMed] [Google Scholar]
  22. Thompson W. G., Heaton K. W. Functional bowel disorders in apparently healthy people. Gastroenterology. 1980 Aug;79(2):283–288. [PubMed] [Google Scholar]
  23. Welch G. W., Hillman L. C., Pomare E. W. Psychoneurotic symptomatology in the irritable bowel syndrome: a study of reporters and non-reporters. Br Med J (Clin Res Ed) 1985 Nov 16;291(6506):1382–1384. doi: 10.1136/bmj.291.6506.1382. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Whitehead W. E., Winget C., Fedoravicius A. S., Wooley S., Blackwell B. Learned illness behavior in patients with irritable bowel syndrome and peptic ulcer. Dig Dis Sci. 1982 Mar;27(3):202–208. doi: 10.1007/BF01296915. [DOI] [PubMed] [Google Scholar]
  25. Young S. J., Alpers D. H., Norland C. C., Woodruff R. A., Jr Psychiatric illness and the irritable bowel syndrome. Practical implications for the primary physician. Gastroenterology. 1976 Feb;70(2):162–166. [PubMed] [Google Scholar]

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