Evidence map›Paper›PMID 27521653›Full record

ArticleJournal of psychosomatic research2016

Medical comorbidity and distress in patients with irritable bowel syndrome: The moderating role of age.

Elyse R Thakur, Brian M Quigley, Hashem B El-Serag, Gregory D Gudleski, Jeffrey M Lackner

Open access · greenAbstract read
In one paragraph

Article in Journal of psychosomatic research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Irritable bowel syndrome in adults: Prevalence and risk factors.Annals of medicine and surgery (2012) · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Elyse R ThakurVA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, United States; VA South Central Mental Illness Research, Education and Clinical Center; Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, United States. Electronic address: ethakur@bcm.edu.
Brian M QuigleyResearch Institute on Addictions, University at Buffalo, SUNY, Buffalo, NY, United States. Electronic address: Quigley@ria.buffalo.edu.
Hashem B El-SeragVA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, United States; Gastroenterology and Hepatology, Baylor College of Medicine, Houston, TX, United States. Electronic address: hasheme@bcm.edu.
Gregory D GudleskiDepartment of Medicine, University at Buffalo School of Medicine, SUNY, Buffalo, NY, United States. Electronic address: gudleski@buffalo.edu.
Jeffrey M LacknerDepartment of Medicine, University at Buffalo School of Medicine, SUNY, Buffalo, NY, United States. Electronic address: lackner@buffalo.edu.
University at Buffalo, State University of New York · USCenter for Innovation · USMichael E. DeBakey VA Medical Center · US

Funding

Self-Administered CBT for IBS: A Multicenter TrialU01DK077738 · NIDDK · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI LACKNER, JEFFREY M · 2008 to 2014
$8.1M
NIDDK NIH HHS U01 DK077738
6 · The paper itself

Abstract

objectivesIrritable bowel syndrome (IBS) affects people across the age spectrum and is highly comorbid with other medical conditions. The aim of this study was to determine the moderating effect of age on the relationship between medical comorbidity and health outcomes in IBS patients.

methodsPatients (n=384) across the age spectrum (18 to 70) completed questionnaires regarding medical comorbidities, anxiety, depression, IBS symptom severity, and IBS quality of life (QOL).

resultsThe mean age was 41 (SD=15). Age interacted with medical comorbidities to predict anxiety, F(7,354)=5.82, p=0.009, R(2)=0.10. Results revealed significant main effects for education, β=-0.16, p<0.05, age, β=-0.15, p<0.05, medical comorbidities, β=0.25, p<0.05, and a significant interaction, β=-0.15, p<0.01. Anxiety was greater among patients with many comorbidities, with this effect being more pronounced for younger adults. Depression, also predicted by the interaction between age and comorbidities, showed the same pattern as anxiety. There was no significant interaction between age and medical comorbidities in predicting IBS symptom severity or IBS QOL.

conclusionDistress among IBS patients with medical comorbidities varies with age, with higher levels of anxiety and depression among younger adults than their older counterparts. Medical comorbidity may have a more selective impact on psychological distress as compared to IBS symptom severity and quality of life for younger adults with IBS. Distress may increase IBS burden for these patients and complicate its medical management.

Indexed as

AdolescentAdultAgedAge FactorsAnxietyComorbidityCross-Sectional StudiesDepressionFemaleHumansIrritable Bowel SyndromeMaleMiddle AgedQuality of LifeSeverity of Illness IndexSurveys and QuestionnairesAnxietyDepressionIBS QOLIBS symptom severityIrritable bowel syndromeMedical comorbidity

Identifiers

PMID27521653
PMCPMC5006683
OpenAlexW2480421699

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.