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Psychiatric diagnoses, sexual and physical victimization, and disability in patients with irritable bowel syndrome or inflammatory bowel disease

Published online by Cambridge University Press:  09 July 2009

E. A. Walker ,
A. N. Gelfand ,
M. D. Gelfand  and
W. J. Katon
E. A. Walker*
Affiliation:
Department of Psychiatry and Behavioral Sciences, Division of Consultation-Liaison, University of Washington and the Division of Gastroenterology, Virginia Mason Medical Center, Seattle, Washington, USA
A. N. Gelfand
Affiliation:
Department of Psychiatry and Behavioral Sciences, Division of Consultation-Liaison, University of Washington and the Division of Gastroenterology, Virginia Mason Medical Center, Seattle, Washington, USA
M. D. Gelfand
Affiliation:
Department of Psychiatry and Behavioral Sciences, Division of Consultation-Liaison, University of Washington and the Division of Gastroenterology, Virginia Mason Medical Center, Seattle, Washington, USA
W. J. Katon
Affiliation:
Department of Psychiatry and Behavioral Sciences, Division of Consultation-Liaison, University of Washington and the Division of Gastroenterology, Virginia Mason Medical Center, Seattle, Washington, USA
*
1Address for correspondence: Dr Edward A. Walker, Department of Psychiatry and Behavioral Sciences, Division of Consultation-Liaison, RP-10, University of Washington, Seattle, Washington 98195, USA.
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Synopsis

We compared 71 patients with irritable bowel syndrome (IBS) and 40 patients with inflammatory bowel disease (IBD) using structured interviews for psychiatric, gastrointestinal and sexual/physical victimization histories, as well as self-reported measures of personality, functional disability and dissociation. IBS patients had significantly higher lifetime prevalence rates of major depression, current panic disorder, and childhood sexual abuse. Despite the absence of organic pathology, IBS patients had significantly higher numbers of medically unexplained physical symptoms and disability ratings equal to, or greater than, those of patients with severe organic gastrointestinal disease.

Type
Original Articles
Information
Psychological Medicine , Volume 25 , Issue 6 , November 1995 , pp. 1259 - 1267
Copyright
Copyright © Cambridge University Press 1995

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