TY - JOUR
T1 - Relationship between subtypes of irritable bowel syndrome and severity of symptoms associated with panic disorder
AU - Sugaya, Nagisa
AU - Kaiya, Hisanobu
AU - Kumano, Hiroaki
AU - Nomura, Shinobu
PY - 2008/6/30
Y1 - 2008/6/30
N2 - Objective. To investigate the relationship between subtypes of irritable bowel syndrome (IBS) and severity of symptoms associated with panic disorder (PD). Material and methods. The study comprised 178 consecutive new PD outpatients. Sixty-four patients met the Rome-II criteria for IBS (IBS[+]; 29 diarrhea-predominant IBS (IBSD), 14 constipation-predominant IBS (IBSC), 21 other types of IBS). Results. IBSD patients with agoraphobia avoided a greater number of scenes owing to fear of panic attack than did PD patients without IBS (IBS) and with agoraphobia. IBS[+] patients with avoidant behavior due to fear of IBS symptoms had significantly higher Beck Depression Inventory (BDI) scores and avoided a larger number of scenes owing to fear of panic attack than IBS[+] patients with agoraphobia and without avoidant behavior due to fear of IBS symptoms or IBS patients with agoraphobia. Conclusions. The results suggest that the presence of IBSD or avoidant behavior because of fear of IBS symptoms may be associated with a more severe form of agoraphobia, and the latter may also be associated with depression.
AB - Objective. To investigate the relationship between subtypes of irritable bowel syndrome (IBS) and severity of symptoms associated with panic disorder (PD). Material and methods. The study comprised 178 consecutive new PD outpatients. Sixty-four patients met the Rome-II criteria for IBS (IBS[+]; 29 diarrhea-predominant IBS (IBSD), 14 constipation-predominant IBS (IBSC), 21 other types of IBS). Results. IBSD patients with agoraphobia avoided a greater number of scenes owing to fear of panic attack than did PD patients without IBS (IBS) and with agoraphobia. IBS[+] patients with avoidant behavior due to fear of IBS symptoms had significantly higher Beck Depression Inventory (BDI) scores and avoided a larger number of scenes owing to fear of panic attack than IBS[+] patients with agoraphobia and without avoidant behavior due to fear of IBS symptoms or IBS patients with agoraphobia. Conclusions. The results suggest that the presence of IBSD or avoidant behavior because of fear of IBS symptoms may be associated with a more severe form of agoraphobia, and the latter may also be associated with depression.
KW - Agoraphobia
KW - Anticipatory anxiety
KW - Depression
KW - Diarrhea and constipation
KW - Irritable bowel syndrome
KW - Panic disorder
UR - http://www.scopus.com/inward/record.url?scp=45749110697&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=45749110697&partnerID=8YFLogxK
U2 - 10.1080/00365520701883478
DO - 10.1080/00365520701883478
M3 - Article
C2 - 18569984
AN - SCOPUS:45749110697
SN - 0036-5521
VL - 43
SP - 675
EP - 681
JO - Scandinavian Journal of Gastroenterology
JF - Scandinavian Journal of Gastroenterology
IS - 6
ER -
