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More negative self-esteem and inferior coping strategies among patients diagnosed with IBS compared with patients without IBS - a case-control study in primary care
Linköping University, Department of Medical and Health Sciences, Division of Drug Research. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in West Östergötland, Research & Development Unit in Local Health Care.
Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Gastroentorology.
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2015 (English)In: BMC Family Practice, ISSN 1471-2296, E-ISSN 1471-2296, Vol. 16, no 6Article in journal (Refereed) Published
Abstract [en]


Irritable Bowel Syndrome (IBS) is a chronic, relapsing gastrointestinal disorder,that affects approximately 10% of the general population and the majority are diagnosed  in primary care. IBS has been reported to be associated with altered psychological and cognitive functioning such as mood disturbances, somatization, catastrophizing or altered visceral interoception by negative emotions and stress. The aim was to  investigate the psychosocial constructs of self-esteem and sense of coherence among IBS patients compared to non-IBS patients in primary care.     


A case–control study in primary care setting among IBS patients meeting the ROME III         criteria (n = 140) compared to controls i.e. non-IBS patients (n = 213) without any         present or previous gastrointestinal complaints. The data were collected through self-reportedquestionnaires of psychosocial factors.     


IBS-patients reported significantly more negative self-esteem (p < 0.001), lower scores         for positive self-esteem (p < 0.001), and lower sense of coherence (p < 0.001) than the controls. The IBS-cases were also less likely to report ‘good’ health status (p < 0.001) and less likely to report a positive belief in the future (p < 0.001). After controlling for relevant confounding factors in multiple regressions, the elevation  in negative self-esteem among IBS patients remained statistically significant (p =0.02), as did the lower scores for sense of coherence among IBS cases (p = 0.04).     


The more frequently reported negative self-esteem and inferior coping strategies among         IBS patients found in this study suggest the possibility that psychological therapies         might be helpful for these patients. However these data do not indicate the causal         direction of the observed associations. More research is therefore warranted to determine whether these psychosocial constructs are more frequent in IBS patients.

Place, publisher, year, edition, pages
BioMed Central , 2015. Vol. 16, no 6
Keyword [en]
Primary care; IBS; Self-esteem; Coping; Psychosocial factors
National Category
Gastroenterology and Hepatology Psychology
URN: urn:nbn:se:liu:diva-114578DOI: 10.1186/s12875-015-0225-xISI: 000349125500001PubMedID: 25626450OAI: diva2:791457

Funding Agencies|FORSS (Research fund in South of Sweden)

Available from: 2015-02-27 Created: 2015-02-26 Last updated: 2016-02-12

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Grodzinsky, EwaWalter, SusannaOlsen Faresjö, Ashild
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Division of Drug ResearchFaculty of Medicine and Health SciencesResearch & Development Unit in Local Health CareDivision of Neuro and Inflammation ScienceDepartment of GastroentorologyDivision of Community Medicine
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BMC Family Practice
Gastroenterology and HepatologyPsychology

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