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irritable bowel syndrome subtypes differ in body awareness, psychological symptoms and biochemical stress markers

World Journal of Gastroenterology 2008年第31期14卷 4889-4896页

作者： Elsa M Eriksson Kristina I Andrén Henry T Eriksson Gran K Kurlberg Department of Medicine Sahlgrenska University Hospital/stra Gteborg SE-41685 Sweden Department of Surgery Sahlgrenska University Hospital/stra Gteborg SE-41685 Sweden Department of Medicine Sahlgrenska University Hospital/stra Gteborg SE-41685 Sweden Department of Surgery Sahlgrenska University Hospital/stra Gteborg SE-41685 Sweden

AIM: To elucidate the differences in somatic, psycho-logical and biochemical pattern between the subtypes of irritable bowel syndrome (IBS). METHODS: Eighty IBS patients, 30 diarrhoea pre-dominant (D-IBS), 16 constipation predominant (C-IBS) and 34 alternating IBS (A-IBS) underwent physi-otherapeutic examinations for dysfunctions in body movements and awareness and were compared to an apparently healthy control group (AHC). All groups an-swered questionnaires for gastrointestinal and psycho-logical symptoms. Biochemical variables were analysed in blood. RESULTS: The D-IBS group showed less body aware-ness, less psychological symptoms, a more normal sense of coherence and psychosocial rating as well as higher C-peptide values. C-IBS had a higher degree of body dysfunction and psychological symptoms, as well as the lowest sense of coherence compared to controls and D-IBS. They also demonstrated the most elevated prolactin levels. A-IBS had the lowest degree of body disturbance, deteriorated quality of life and affected bi-ochemical pattern. All subtypes had higher pain scores compared to controls. In addition they all had signifi -cantly increased triglycerides and elevated morning cortisol levels, however, without statistical signifi cance compared with the ***: IBS subtypes showed different pro-files in body awareness, somatic and psychological symptoms and in biochemical variables. D-IBS differed compared to the other groups by lowered body aware-ness, less psychological symptoms and a higher sense of coherence and elevated C-peptide values. C-IBS and A-IBS subtypes suffered more from depression and anxiety, associated with a lower quality of life. These differences may be important and will be taken into account in our treatment of these patients.

关键词： irritable bowel syndrome subtypes Physiotherapy Body awareness Stress Biochemistry

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