Anhedonia in irritable bowel syndrome and in inflammatory bowel diseases and its relationship with abdominal pain

Autor: Luna Carpinelli, Paola Iovino, Cristina Bucci, Fabiana Zingone, Carolina Ciacci, Antonella Santonicola
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
Pleasure
medicine.medical_specialty
Abdominal pain
Rome IV criteria
Visual analogue scale
Physiology
SHAPS
behavioral disciplines and activities
Inflammatory bowel disease
Cohort Studies
03 medical and health sciences
0302 clinical medicine
Crohn Disease
inflammatory bowel disease
Surveys and Questionnaires
Internal medicine
medicine
IBS-SSS
Humans
Interpersonal Relations
Irritable bowel syndrome
Depression (differential diagnoses)
Aged
Pain Measurement
ulcerative colitis
Psychiatric Status Rating Scales
irritable bowel syndrome
Crohn's disease
business.industry
Endocrine and Autonomic Systems
abdominal pain
Gastroenterology
Anhedonia
Middle Aged
Inflammatory Bowel Diseases
medicine.disease
Ulcerative colitis
anhedonia
depression
BDI-II
Colitis
Ulcerative

Female
030211 gastroenterology & hepatology
medicine.symptom
business
030217 neurology & neurosurgery
Popis: BACKGROUND Anhedonia is the lowered ability to experience pleasure from rewarding or enjoyable activities and is considered a symptom of depression. Inflammatory bowel disease (IBD) and irritable bowel syndrome (IBS) are frequently accompanied by psychiatric disorders such as depression. However, to our knowledge, studies have yet to investigate the anhedonia in these patients. Our aim was to study the level of anhedonia in patients with IBD and IBS in comparison with healthy controls (HC), and to relate anhedonia levels with the severity of abdominal pain. METHODS We consecutively recruited IBD and IBS patients. All patients fulfilled the Snaith-Hamilton Pleasure Scale (SHAPS), a self-rating scale consisting of 14 items that cover the domains of social interaction, food, and drink, sensory experiences, achievement and pastimes, and the Beck Depression Inventory-II (BDI-II) to screen for depression. Moreover, we calculated abdominal pain on a (0-100) Visual Analog Scale (VAS) in all patients. KEY RESULTS We enrolled 120 patients (64 IBD and 56 IBS) and 81 HC. Among IBD patients, 34 had Crohn's disease and 30 ulcerative colitis. All patients as a whole had significantly higher SHAPS and BDI-II scores than HC (1.3 ± 1.5 vs 0.8 ± 0.1; P = 0.01 and 10.4 ± 7.5 vs 5.9 ± 4.9; P
Databáze: OpenAIRE