Relationship Between Cognitive Factors and Anxiety in Individuals with Irritable Bowel Syndrome
Relationship Between Cognitive Factors and Anxiety in Individuals with Irritable Bowel Syndrome
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DOI：
10.1007/s12529-011-9195-0
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发表时间：
2012-09-01
影响因子：
2.7
通讯作者：
Shimada, Hironori
中科院分区：
文献类型：
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作者：
Sugaya, Nagisa;Nomura, Shinobu;Shimada, Hironori
肠易激综合征(IBS)患者有很高的焦虑。本研究以1,087名大学生(男，506；女，576；身份不明，5；年龄，19.72+/-1.76岁)为被试，完成了包括罗马II模块问卷(基于IBS的诊断标准)、焦虑敏感指数(ASI)、认知评定量表(CARS；研究对象包括881名非IBS患者和206名IBS患者，分别用承诺、效果评估、威胁评估和可控性四个子量表测量症状相关认知，包括关注腹部症状的条目、医院焦虑抑郁量表-焦虑量表(HADS-A)和存在IBS症状的焦虑逃避行为条目。肠易激综合征患者的ASI和HADS-A得分高于对照组(P<；0.001)。除对IBS症状的可控性和注意力外，CARS各因子分与ASI和HADS-A得分呈显著正相关(p<；0.01)。有IBS和回避行为的个体在CARS(除控制和注意IBS症状外)和HADS-A得分较高(p<；0.05)。假设模型包含ASI分数、CARS分量表分数(控制性除外)和HADS-A分数，在注意和不注意IBS症状的情况下都表现出很好的拟合。IBS患者的严重焦虑敏感性与他们的症状相关认知有关，认知的改变增加了焦虑，导致了残疾状况的可能发展。
Individuals with irritable bowel syndrome (IBS) have high anxiety. There is insufficient information about the relationships between concrete cognitive contents and anxiety in IBS.The present study investigated the relationship between cognitive factors and anxiety in individuals with IBS.The participants were 1,087 college students (male, 506; female, 576; unidentified, 5; age, 19.72 +/- 1.76 years) who completed a set of questionnaires that included the Rome II Modular Questionnaire (based on diagnostic criteria for IBS), Anxiety Sensitivity Index (ASI), Cognitive Appraisal Rating Scale (CARS; subscales: commitment, appraisal of effect, appraisal of threat, and controllability) for measuring symptom-related cognition, an item about attention to abdominal symptoms, the Hospital Anxiety and Depression Scale-Anxiety Scale (HADS-A), and an item regarding the presence of avoidant behavior due to anxiety of IBS symptoms.The participants included 881 individuals without IBS and 206 individuals with IBS. Individuals with IBS had higher ASI and HADS-A scores than those of the individuals belonging to the control group (p < 0.001). Subscale scores of CARS (except those of controllability and attention to IBS symptoms) significantly correlated with the ASI and HADS-A scores (p < 0.01). Individuals with IBS and avoidant behavior had higher subscale scores of CARS (except those of controllability and attention to IBS symptoms) and higher HADS-A scores (p < 0.05). The hypothetical models containing ASI scores, subscale scores of CARS (except those of controllability), and HADS-A scores with and without attention to IBS symptoms exhibited a good fit.Severe anxiety sensitivity in individuals with IBS related to their symptom-related cognition, and the altered cognition increases anxiety, leading to the possible development of a disabling condition.