Evidence map›Paper›PMID 28094229›Full record

ArticleExplore (New York, N.Y.)

Perceived Stress in Patients with Common Gastrointestinal Disorders: Associations with Quality of Life, Symptoms and Disease Management.

Joel S Edman, Jeffrey M Greeson, Rhonda S Roberts, Adam B Kaufman, Donald I Abrams, Rowena J Dolor, Ruth Q Wolever

Abstract read
In one paragraph

Article in Explore (New York, N.Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Review
  7. Article
  8. Coping-resilience profiles and experiences of stress in autistic adults.Autism research : official journal of the International Society for Autism Research · 2022
    Article
  9. Article
  10. Understanding Perceived Stress in Adolescent Inflammatory Bowel Disease.Journal of the Canadian Association of Gastroenterology · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
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

7 authors at 7 institutions in 1 country.

Joel S EdmanNutrition Sciences Department, Drexel University, Philadelphia, PA. Electronic address: EdmanWellness@comcast.net.
Jeffrey M GreesonDepartment of Psychology, College of Science and Mathematics, Rowan University, Glassboro, NJ.
Rhonda S RobertsDuke Clinical Research Institute, Duke University, Durham, NC.
Adam B KaufmanMain Line Gastroenterology Associates, Malvern, PA.
Donald I AbramsUCSF Osher Center for Integrative Medicine, University of California San Francisco, San Francisco, CA.
Rowena J DolorDivision of General Internal Medicine, Duke University Medical Center, Durham, NC.
Ruth Q WoleverOsher Center for Integrative Medicine, Vanderbilt University, Schools of Medicine and Nursing, Nashville, TN.
Drexel University · USDuke Medical Center · USDuke University · USMain Line Health · USRowan University · USUniversity of California, San Francisco · USVanderbilt University · US

Funding

Mechanisms of Mindfulness: Effects on Sleep Quality, Stress Physiology & CVD RiskR00AT004945 · NCCIH · UNIVERSITY OF PENNSYLVANIA · PI GREESON, JEFFREY M · 2010 to 2014
$730k
NCCIH NIH HHS R00 AT004945
6 · The paper itself

Abstract

OBJECTIVE AND

methodsResearch supports relationships between stress and gastrointestinal (GI) symptoms and disorders. This pilot study assesses relationships between perceived stress, quality of life (QOL), and self-reported pain ratings as an indicator of symptom management in patients who self-reported gastroesophageal reflux disease (GERD), irritable bowel syndrome (IBS), and inflammatory bowel disease (IBD).

resultsIn the full sample (n = 402) perceived stress positively correlated with depression (r = 0.76, P < .0001), fatigue (r = 0.38, P < .0001), sleep disturbance (r = 0.40, P < .0001), average pain (r = 0.26, P < .0001), and worst pain (r = 0.25, P < .0001). Higher perceived stress also correlated with lower mental health-related QOL. Similar correlations were found for the participants with GERD (n = 188), IBS (n = 132), and IBD (n = 82). Finally, there were significant correlations in the GERD cohort between perceived stress, and average pain (r = 0.34, P < .0001) and worst pain (r = 0.29, P < .0001), and in the IBD cohort between perceived stress, and average pain (r = 0.32, P < .0001), and worst pain (r = 0.35, P < .01).

conclusionsPerceived stress broadly correlated with QOL characteristics in patients with GERD, IBS, and IBD, and their overall QOL was significantly lower than the general population. Perceived stress also appeared to be an indicator of symptom management (self-reported pain ratings) in GERD and IBD, but not IBS. While future research using objective measures of stress and symptom/disease management is needed to confirm these associations, as well as to evaluate the ability of stress reduction interventions to improve perceived stress, QOL and disease management in these GI disorders, integrative medicine treatment programs would be most beneficial to study.

Indexed as

Disease ManagementQuality of LifeStress, PsychologicalAbdominal PainAdultDepressionFatigueFemaleGastrointestinal DiseasesHumansMaleMiddle AgedPilot ProjectsSelf ReportSleepgastroesophageal reflux diseaseinflammatory bowel diseaseirritable bowel syndromeperceived stressquality of lifestress management

Identifiers

PMID28094229
PMCPMC6252255
OpenAlexW2561488885

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.