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

doi:10.3748/wjg.14.4889

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Clinical Research

World J Gastroenterol. Aug 21, 2008; 14(31): 4889-4896
Published online Aug 21, 2008. doi: 10.3748/wjg.14.4889

Table 1 Body awareness scale (BAS-H)

Category	AHC (n = 21)		D-IBS (n = 30)		C-IBS (n = 16)		A-IBS (n = 34)
	M	Md (IQR)	M	Md (IQR)	M	Md (IQR)	M	Md (IQR)
BASobs
Total	1.5	2 (2)	2.6	3 (3)^c	2.7	3 (3)^c	2.2	2 (4)^c^fⁱ
Grounding	1.5	2 (2)	2.6	2 (2)^c	2.9	3 (2)^c	1.9	2 (2)^b^fⁱ
Mid-line	2.1	2 (2)	3.6	4 (3)^c	3.4	3 (2)^c	3.0	3 (2)^c^d
Centring	2.1	2 (1)	3.3	3 (2)^c	3.4	4 (2)^c	2.8	3 (2)^c^e^g
Flow	1.5	1 (2)	2.5	3 (4)^c	2.7	3 (3)^c	2.4	2 (4)^c
Respiration	1.4	1 (2)	3.9	4 (2)^c	3.9	4 (2)^c	3.6	4 (1)^c
Boundaries	0.5	0 (0)	1.1	0 (2)^c	1.1	0 (2)^b	1.0	0 (2)^b
BASself
Total	1.6	2 (2)	1.8	2 (3)^a	2.7	2 (4)^c^f	2.3	2 (4)^c^f^h
Grounding	0.8	0 (2)	1.0	0 (2)	1.8	2 (3)^c^e	1.8	2 (4)^c^f
Mid-line	1.6	2 (2)	1.8	2 (4)	3.2	4 (5)^c^f	2.4	2 (4)^b^e^g
Centring	1.3	0 (2)	1.3	1 (2)	2.2	2 (4)^a^d	1.4	1 (2)
Flow	2.1	2 (4)	2.8	3 (5)^a	3.8	4 (4)^c^e	3.5	4 (4)^c^d
Respiration	1.0	0 (2)	1.6	2 (2)	2.4	2 (3)^c^d	2.9	4 (3)^c^f
Boundaries	1.7	2 (3)	2.0	2 (3)	2.6	2 (4)^c^e	2.0	2 (4)^g

Results from BASobs and BASself examination score from AHC group and D-IBS, C-IBS and A-IBS patients. The results are shown in total and as items categorised. The higher score, the more symptoms.

^aP < 0.05,

^bP < 0.01,

^cP < 0.001 vs AHC;

^dP < 0.05,

^eP < 0.01,

^fP < 0.001 vs D-IBS;

^gP < 0.05,

^hP < 0.01,

ⁱP < 0.001, C-IBS vs A-IBS. M: Mean; Md: Median; IQR: Inter quartile range.

Table 2 Gastrointestinal scale (GIS)

Category	AHC (n = 21)		D-IBS (n = 30)		C-IBS (n = 16)		A-IBS (n = 34)
	M	Md (IQR)	M	Md (IQR)	M	Md (IQR)	M	Md (IQR)
Total	0.4	0 (1)	1.9	1 (3)^c	1.7	1 (3)^c	2.0	1 (3)^c
Pain	0.5	0 (1)	1.9	2 (2)^c	2.0	2 (2)^c	1.9	2 (2)^c
Flatulence	0.5	0 (0)	2.4	2 (3)^c	2.5	3 (3)^c	2.9	3 (4)^c^e
Nausea	0.5	0 (1)	1.5	0 (3)^a	1.3	1 (2)	1.4	0 (2)^a
Constipation	0.4	0 (1)	0.8	1 (1)^a	3.8	4 (2)^c^f	2.9	2 (3)^c^f
Diarrhoea	0.5	0 (1)	3.2	3 (3)^c	0.5	0 (1)^f	2.2	2 (2)^c^f
Motility	0.7	0 (1)	3.8	4 (3)^c	2.6	2 (3)^c^e	3.0	3 (3)^c^d
Miscellaneous	0.3	0 (0)	1.2	1 (1)^c	1.1	0 (1)^c	1.2	1 (2)^c

GIS score from AHC group, D-IBS, C-IBS, and A-IBS patients. The results are shown in total and as items categorised. The higher score, the more symptoms.

^aP < 0.05,

^cP < 0.001 vs AHC;

^dP < 0.05,

^eP < 0.01,

^fP < 0.001 vs D-IBS. M: Mean; Md: Median; IQR: Inter quartile range.

Table 3 Psychological symptoms (SCL-90)

Category	AHC (n = 21)		D-IBS (n = 30)		C-IBS (n = 16)		A-IBS (n = 34)
	M	Md (IQR)	M	Md (IQR)	M	Md (IQR)	M	Md (IQR)
Total	0.3	0 (0)	0.8	0 (1)^c	1.3	1 (2)^c^f	1.1	1 (2)^c^fⁱ
Obsessive-comp	0.4	0 (1)	1.0	1 (2)^c	1.5	1 (2)^c^f	1.3	1 (3)^c^e
Sensitivity	0.3	0 (0)	0.6	0 (1)^c	1.3	1 (2)^c^f	0.9	0 (2)^c^f^h
Depression	0.4	0 (1)	1.1	1 (2)^c	1.6	2 (2)^c^f	1.5	1 (3)^c^f
Anxiety	0.4	0 (0)	1.0	0 (2)^c	1.3	1 (2)^c^e	1.2	1 (2)^c^d
Hostility	0.2	0 (0)	0.3	0 (0)^b	0.8	0 (1)^c^f	0.7	0 (1)^c^f
Phobic anxiety	0.4	0 (0)	0.4	0 (0)	0.7	0 (1)^c^f	0.5	0 (0)^c^g
Paranoid ideation	0.2	0 (0)	0.4	0 (1)^b	1.2	1 (2)^c^f	0.7	0 (1)^c^dⁱ
Psychoticism	0.1	0 (0)	0.3	0 (0)^c	0.7	0 (1)^c^f	0.4	0 (1)^c^dⁱ
Somatisation	0.2	0 (0)	1.3	1 (2)^c	1.9	2 (2)^c^f	1.5	1 (3)^c^dⁱ

SCL 90 score from AHC group, D-IBS, C-IBS and A-IBS patients. The results are shown in total and as items categorised. The higher score, the more symptoms.

^bP < 0.01,

^cP < 0.001 vs AHC;

^dP < 0.05,

^eP < 0.01,

^fP < 0.001 vs D-IBS;

^gP < 0.05,

^hP < 0.01,

ⁱP < 0.001, C-IBS vs A-IBS. M: Mean; Md: Median; IQR: Inter quartile range.

Table 4 Sense of coherence (SOC)

Category	AHC (n = 21)		D-IBS (n = 30)		C-IBS (n = 16)		A-IBS (n = 34)
	M	Md (IQR)	M	Md (IQR)	M	Md (IQR)	M	Md (IQR)
Total	4.2	4 (2)	3.8	4 (3)^b	3.1	3 (3)^c^f	3.4	4 (3)^c^f^h
Comprehensibility	3.7	4 (2)	3.3	3 (3)	2.5	3 (3)^c^f	3.1	3 (3)^cⁱ
Manageability	4.4	5 (3)	4.0	4 (3)	3.3	3.5 (3)^c^f	3.6	4 (3)^c^h
Meaningfulness	4.6	5 (1)	4.2	5 (3)	3.8	4 (2)^c^d	3.7	4 (2)^c^f
Present time	4.5	5 (1)	4.0	5 (3)^a	3.3	3 (3)^c^f	3.5	4 (3)^c^f
External conditions	4.1	4 (2)	3.7	4 (3)^a	2.9	3 (4)^c^f	3.4	3 (3)^c^h

Sense of coherence score from the AHC group and C-IBS, D-IBS and A-IBS patients. The results are shown in total and as items categorised. The higher score, the better SOC.

^aP < 0.05,

^bP < 0.01,

^cP < 0.001 vs AHC;

^dP < 0.05,

^fP < 0.001 vs D-IBS;

^hP < 0.01,

ⁱP < 0.001, C-IBS vs A-IBS. M:Mean; Md: Median; IQR: Inter quartile range.

Table 5 Psychosocial rating scale (PRS)

Category	AHC (n = 21)		D-IBS (n = 30)		C-IBS (n = 16)		A-IBS (n = 34)
	M	Md (IQR)	M	Md (IQR)	M	Md (IQR)	M	Md (IQR)
PRS	3.75	4 (0)	3.33	4 (1)^c	3.17	4 (1)^c^e	3.12	4 (2)^c^f

Psychosocial rating scale (PRS) presented as M, Md (IQR) from the AHC group and D-IBS, C-IBS and A-IBS patients. A higher score indicates a better psychosocial rating/quality of life.

^cP < 0.001 vs AHC;

^eP < 0.01,

^fP < 0.001 vs D-IBS. M: Mean; Md: Median; IQR: Inter quartile range.

Table 6 Pain

Category	AHC (n = 21)		D-IBS (n = 30)		C-IBS (n = 16)		A-IBS (n = 34)
	M	Md (IQR)	M	Md (IQR)	M	Md (IQR)	M	Md (IQR)
Total	4.2	4 (4)	12.4	11 (12)^b	14.1	11 (13)^b	13.3	11 (12)^c
Abdominal	0.3	0 (0)	1.5	2 (1)^b	2.4	2 (1)^c	1.9	2 (1)^c
Rest of body	3.9	4 (6)	10.1	9 (10)^a	13.1	14 (14)^a	11.4	9 (11)^b

Pain score presented as M, Md (IQR) experienced as drawings from the AHC group and D-IBS, C-IBS, and A-IBS patients. The higher score the more symptoms.

^aP < 0.05,

^bP < 0.01,

^cP < 0.001, vs AHC. M: Mean; Md: Median; IQR: Inter quartile range.

Table 7 Biochemical levels (mean ± SD, %)

Category	AHC (n = 21)		D-IBS (n = 30)		C-IBS (n = 16)		A-IBS (n = 34)
C-peptide	0.46 ± 0.14	10/10	0.62 ± 0.28^a	40/3	0.55 ± 0.21	25/6	0.57 ± 0.24	35/12
Triglyceride	0.7 ± 0.3	10/0	1.3 ± 0.6^c	57/3	1.1 ± 0.5^b	38/0	1.2 ± 0.7^b	38/0
Prolactin	264 ± 118	5/10	232 ± 94	7/23	374 ± 178^a^e	31/0	301 ± 148	24/6
Cortisol 8	491 ± 144	10/14	539 ± 239	10/6	591 ± 274	31/19	596 ± 315	44/23
Cortisol 13	316 ± 65	10/14	334 ± 157	27/30	353 ± 118	31/19	333 ± 160	10/14

Biochemical status presented as mean ± SD and percent (%) above/below ± 1SD for the AHC group and D-IBS, C-IBS, and A-IBS patients. Cortisol 8 and 13 equals cortisol level at 8 am, and at 1 pm, respectively.

^aP < 0.05,

^bP < 0.01,

^cP < 0.001, vs AHC;

^eP < 0.01, vs D-IBS.

Citation: Eriksson EM, Andrén KI, Eriksson HT, Kurlberg GK. Irritable bowel syndrome subtypes differ in body awareness, psychological symptoms and biochemical stress markers. World J Gastroenterol 2008; 14(31): 4889-4896
URL: https://www.wjgnet.com/1007-9327/full/v14/i31/4889.htm
DOI: https://dx.doi.org/10.3748/wjg.14.4889