Is it in my head?

UK and New Zealand researchers report in the current issue of the medical journal Gut that people who experience high levels of stress and anxiety appear to be more likely to develop irritable bowel syndrome (IBS) following a severe gastric infection.

Dr. Rona Moss-Morris of the University of Southampton and Dr. Meagan J. Spence of the University of Auckland were cited as noting that a variety of studies have suggested that the cause of IBS has psychological and behavioral components.

Moss-Morris was quoted as telling Reuters Health that, "This study shows that various psychological factors, particularly stress, anxiety and a tendency to push oneself to keep going when ill and then collapse in response, interact with the physical illness in causing IBS."

According to Reuters Health, the researchers looked at 620 patients who tested positive for stomach inflammation from a bout of infection with Campylobacter. None of the participants had previously suffered from IBS or serious bowel conditions.

The subjects completed a questionnaire, covering aspects of personality and their behavior at the time of the initial infection. They were then checked 3 and 6 months later to see if they had developed IBS. The researcher found that 49 of the patients had the condition at both follow-up points.

Depression and perfectionism were not significantly associated with the onset of IBS. However, a variety of other factors were.

These included significantly higher levels of perceived stress and anxiety. IBS patients were also significantly less likely to rest in the face of their illness, and exhibited "all-or-nothing" behavior by continuing their activities despite their symptoms until they were forced to stop.

These patients were prone to view illness in a particularly pessimistic fashion. Being female was also an important risk factor.

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About Douglas Powell

A former professor of food safety and the publisher of barfblog.com, Powell is passionate about food, has five daughters, and is an OK goaltender in pickup hockey. Download Doug’s CV here. Dr. Douglas Powell editor, barfblog.com retired professor, food safety 3/289 Annerley Rd Annerley, Queensland 4103 dpowell29@gmail.com 61478222221 I am based in Brisbane, Australia, 15 hours ahead of Eastern Standard Time