Open Access“Visceral sensitivity index” in patients with IBS of diff erent ages
Author(s) -
М. Г. Мнацаканян,
А. П. Погромов,
О. В. Тащян,
Ksenia Kolosova
Publication year - 2020
Publication title -
èksperimentalʹnaâ i kliničeskaâ gastroènterologiâ
Language(s) - English
Resource type - Journals
ISSN - 1682-8658
DOI - 10.31146/1682-8658-ecg-174-2-65-70
Subject(s) - medicine , irritable bowel syndrome , somatization , anxiety , alexithymia , depression (economics) , anxiety score , biopsychosocial model , beck anxiety inventory , beck depression inventory , gastroenterology , psychiatry , economics , macroeconomics
The Irritable Bowel Syndrom (IBS) is one of the most widespread functional disorders of digestive tract (FD GIT). According to biopsychosocial model the anxiety concerning feelings from digestive tract plays a key role in maintenance and, perhaps, in development of IBS. J. Labus proposed the new questionnaire — VSI — the Visceral Sensitivity Index or the index of gastrointestinal symptom-specifi c anxiety, later validated only for patients with IBS. Aim: to estimate the value of VSI in patients with IBS depending on a sex, age and clinical subtype of IBS and its correlation with a depression, anxiety and alexihymia. Methods: 245 patients with IBS were examined (women — 183, men — 62), middle age 45.31 ± 6.9 years (19–81). Initially, 10 patients from 245 selected patients with IBS did not answer to the questionnaire. 7 patients did not fill out the questionnaire. So, data from 228 patients with IBS which completely fill out the questionnaire was analyzed. According to the research objective the initial group of patients with IBS was divided into two subgroups: up to 45 years (the 1st group) and 45 years and older (the 2nd group). The 1st group included 120 patients; the 2nd group — 108 patients. IBS was confirmed by the diagnostic criteria of IBS according to Rome III (2006). Depression was assessed by the Beck’s Depression Inventori (BDI), anxiety — by the Stait-Trait Anxiety Inventory (STAI) (by Spielberger-Hanin), alexithymia — by the Toronto Alexithymia Scale (TAS). Results: The VSI was higher in the senior age group of IBS patients (2nd group), at the same time there were no gender differences in both groups. The greatest values of VSI were observed at patients with IBS-D subtype in both age groups. VSI was an independent indicator in the 1st subgroup of patients with IBS (age up to 45 years) while in the 2nd subgroup (senior age group) weak correlation with a depression and personal anxiety (r ≥0.4) was observed. Conclusion: The VSI can be used as the independent test refl ecting a psychoemotional condition of patients with IBS at a diagnostic stage.