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The cognitive behavioural model of irritable bowel syndrome: a prospective investigation of gastroenteritis patients.

Record type: Article

Background and aims: The aim of this study was to determine whether a combination of mood and personality factors together with illness beliefs and behaviours predict the onset of irritable bowel syndrome (IBS) post gastroenteritis, as suggested by the cognitive behavioural model of IBS.
Methods: Primary care patients with a positive test for Campylobacter gastroenteritis, and no previous history of IBS or serious bowel conditions were recruited into this prospective study (N=620). Participants completed a questionnaire at the time of infection which included standardised measures of mood, perceived stress, perfectionism, negative illness beliefs and illness behaviours. 3 and 6 months after initial infection, participants completed follow-up questionnaires designed to determine whether they met Rome criteria for IBS.
Results: A total of 49 participants met criteria for IBS at both follow-up points. Logistic regressions indicated that those who developed IBS had significantly higher levels of perceived stress (1.10 [95%CI, 1.02- 1.15]), anxiety (1.14 [95%CI, 1.05-1.23]), somatisation, (1.17 [95%CI, 1.02-1.35]), and negative illness beliefs (1.14 [95%CI, 1.03-1.27]) at the time of infection than those who did not develop IBS. IBS cases were also significantly more likely to remain active in the face of their acute symptoms until they felt forced to rest (all-or-nothing behaviour) (1.09 [95%CI, 1.03-1.16]), and significantly less likely to initially rest in response to their acute illness (0.93 [95%CI, .88- .97]). Depression and perfectionism were not associated with IBS onset.

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Citation

Spence, Meagan J. and Moss-Morris, Rona (2007) The cognitive behavioural model of irritable bowel syndrome: a prospective investigation of gastroenteritis patients. Gut, 56, (8), pp. 1066-1071. (doi:10.1136/gut.2006.108811).

More information

Published date: August 2007
Keywords: biopsychosocial, campylobacter gastroenteritis, cognitive behavioural, functional somatic syndromes, irritable bowel syndrome

Identifiers

Local EPrints ID: 44799
URI: http://eprints.soton.ac.uk/id/eprint/44799
ISSN: 0017-5749
PURE UUID: 1b658bde-4bd0-4df2-a604-95f073204be2

Catalogue record

Date deposited: 15 Mar 2007
Last modified: 17 Jul 2017 15:13

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Contributors

Author: Meagan J. Spence
Author: Rona Moss-Morris

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