Adverse childhood experiences and alexithymia intensity as predictors of temporal dynamics of functioning in individuals with irritable bowel syndrome: A three-wave latent transition analysis.

Autor: Rzeszutek M; Faculty of Psychology, University of Warsaw, Poland. Electronic address: marcin.rzeszutek@psych.uw.edu.pl., Kowalkowska J; Faculty of Food Science, University of Warmia and Mazury in Olsztyn, Poland., Drabarek K; Faculty of Psychology, University of Warsaw, Poland., Van Hoy A; Faculty of Psychology, University of Warsaw, Poland., Schier K; Faculty of Psychology, University of Warsaw, Poland., Lis-Turlejska M; Faculty of Psychology, SWPS University of Social Sciences and Humanities, Warsaw, Poland., Dragan M; Faculty of Psychology, University of Warsaw, Poland., Holas P; Faculty of Psychology, University of Warsaw, Poland., Maison D; Faculty of Psychology, University of Warsaw, Poland., Litwin E; Faculty of Psychology, University of Warsaw, Poland., Wawrzyniak J; Faculty of Psychology, University of Warsaw, Poland., Znamirowska W; Faculty of Psychology, University of Warsaw, Poland., Szumiał S; Faculty of Psychology, University of Warsaw, Poland., Desmond M; Great Ormond Street Institute of Child Health, University College London, United Kingdom.
Jazyk: angličtina
Zdroj: Journal of psychosomatic research [J Psychosom Res] 2024 Dec; Vol. 187, pp. 111904. Date of Electronic Publication: 2024 Aug 23.
DOI: 10.1016/j.jpsychores.2024.111904
Abstrakt: Objective: Despite high prevalence of irritable bowel syndrome (IBS) and its significant negative impact on individuals' quality of life, its etiology remains poorly understood. This prospective study explored whether early life factors (adverse childhood experiences; ACEs) and alexithymia intensity, could explain IBS symptom severity and its effects on psychological functioning over time. We also compared the studied variables between an IBS sample and a healthy control group.
Method: Based on the Rome III Diagnostic Criteria for IBS, 245 individuals with a diagnosis of IBS were recruited from a national sample of Poles. The IBS sample completed the following psychometric questionaries in three waves, one month apart: Adverse Childhood Experiences Questionnaire, Toronto Alexithymia Scale, IBS Symptom Severity Score, Short Form Perceived Stress Scale, and Ultra-Brief Patient Health Questionnaire for Anxiety and Depression. Latent transition analysis was used to identify distinct profiles of IBS symptom dynamics.
Results: The IBS group reported a significantly higher number of ACEs, greater alexithymia severity, and more intense levels of stress, anxiety, and depressive symptoms compared to the healthy controls. Four profiles of IBS individuals with distinct dynamics of IBS symptoms, stress, anxiety, and depressive symptoms were extracted, which correlated with the baseline number of ACEs and alexithymia intensity among participants.
Conclusion: Childhood adversity and associated problems in emotional processing affect IBS symptom severity. ACEs should be included in IBS screening and considered in the design of individualized multidisciplinary treatment approaches for IBS patients.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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