Background-It has been suggested that psychological factors rather than symptoms drive subjects with irritable bowel syndrome (IBS) to seek medical care, but this issue has not been tackled in a population based study.
Aim-To identify whether psychological factors or abuse explain health care seeking for IBS.
Methods-A sample of residents of Penrith (a Sydney suburb representative of the Australian population) selected randomly from the electoral rolls (that by law include the entire population =18 years) was mailed a validated self-report questionnaire.
Measured were gastrointestinal symptoms including the Manning (and Rome) criteria for IBS, health care seeking, neuroticism (Eysenck Personality Questionnaire), psychological morbidity (General Health Questionnaire : GHQ) and sexual, physical and emotional abuse (including the standardised Drossman questions).
Among 730 subjects, 96 (13%, 95% confidence interval (CI) 11-16%) had IBS by the Manning criteria.
Of those with IBS, 73% (95% CI 63-81%) had sought medical care for abdominal pain or discomfort.
Only increasing pain severity (odds ratio (OR)=2.10,95% CI 1.11-3.95) and duration of pain (OR=1.53,95% CI 1.10-2.13) were independently associated with seeking health care for IBS.
Pain severity was also predictive of recent care seeking (OR=1.74,95% CI 1.12-1.96).
Neuroticism, psychological morbidity and abuse history were not significant predictors. (...)
Mots-clés Pascal : Côlon irritable, Demande thérapeutique, Incidence, Relation, Psychopathologie, Symptomatologie, Enquête par correspondance, Epidémiologie, Homme, Australie, Océanie, Appareil digestif pathologie, Intestin pathologie
Mots-clés Pascal anglais : Irritable bowel syndrome, Therapeutical request, Incidence, Relation, Psychopathology, Symptomatology, Mail inquiry, Epidemiology, Human, Australia, Oceania, Digestive diseases, Intestinal disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0506351
Code Inist : 002B13B03. Création : 13/02/1998.