ArticleAnnals of medicine and surgery (2012)2025
Structural modeling of IBS severity: the mediating role of negative meta-emotions in stress, hostile attribution, and cognitive bias - a cross-sectional study.
Article in Annals of medicine and surgery (2012), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Irritable bowel syndrome (IBS) is one of the most prevalent gastrointestinal disorders, significantly affecting the quality of life of patients. Recent research indicates that psychological factors, such as stress and hostile attribution, can exacerbate the severity of IBS symptoms. This study aims to explore the structural relationships among IBS symptom severity, hostile attribution, perceived stress, and cognitive bias, with a mediating role of negative meta-emotions. Methods: This descriptive-correlational, cross-sectional study was conducted on 300 adults diagnosed with IBS in Tabriz. Data were collected using validated questionnaires, including the Hostile Attribution Scale, the Perceived Stress Scale, the Negative Meta-Emotion Questionnaire, and the Cognitive Bias Scale. Data was analyzed using SPSS software and Structural Equation Modeling (SEM) in AMOS software. Results: The findings revealed that perceived stress and hostile attribution significantly influenced cognitive biases ( Conclusion: This study highlights the importance of negative meta-emotions as key mediators in explaining IBS symptoms. The obtained results can assist in designing effective psychological interventions for managing IBS symptoms. Addressing psychological factors and negative meta-emotions in the treatment of this disorder may lead to improvements in patient's quality of life and reductions in the severity of their symptoms. Future research should focus on investigating targeted interventions in this area and conducting longitudinal analyses.
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