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Published in: PharmacoEconomics 6/2001

01-06-2001 | Review Article

Quality of Life in Irritable Bowel Syndrome

Authors: Richard Lea, Dr Peter J. Whorwell

Published in: PharmacoEconomics | Issue 6/2001

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Abstract

Quality-of-life (QOL) assessment is becoming increasingly important in the evaluation of the impact of disease and the effect of therapy. This is particularly so for irritable bowel syndrome (IBS) where there is often a tendency for a chronic clinical course, but with no associated mortality. Instruments used to study quality of life may be generic or disease specific, and care needs to be taken to ensure that the instrument used has been adequately validated for the purpose intended. Several disease-specific instruments [Irritable Bowel Syndrome Quality of Life (IBS-QOL, IBSQOL) and Functional Digestive Disorders Quality of Life (FDDQL)], in addition to generic measures, are now available for use in IBS.
Quality of life in patients with IBS is surprisingly poor, particularly in the population seeking healthcare, where it can be compared with conditions which carry a high mortality, such as ischaemic heart disease, heart failure and diabetes mellitus. Pain severity appears to be an important factor in determining quality of life in IBS, although bowel disturbance and psychological difficulties are also likely to be important.
There is limited data on the effect of treatment of IBS on quality of life. Improvement has been reported with dietry modification, drug treatments and hypnotherapy. It is likely that, in the future, QOL measures will become increasingly used as secondary end-points in therapeutic trials in IBS.
Literature
1.
go back to reference Thompson WG, Longstreth GF, Drossman DA, et al. Functional bowel disorders and functional abdominal pain. Gut 1999; 45 Suppl. 2: 43–7 Thompson WG, Longstreth GF, Drossman DA, et al. Functional bowel disorders and functional abdominal pain. Gut 1999; 45 Suppl. 2: 43–7
2.
go back to reference Talley NJ, Zinsmeister AR, Schleck CD, et al. Dyspepsia and dyspepsia subgroups: a population based study. Gastroenterology 1992; 102: 1259–68PubMed Talley NJ, Zinsmeister AR, Schleck CD, et al. Dyspepsia and dyspepsia subgroups: a population based study. Gastroenterology 1992; 102: 1259–68PubMed
3.
go back to reference Talley NJ, Weaver AL, Zinsmeister AR, et al. Onset and disappearance of gastrointestinal symptoms and functional gastrointestinal disorders. Am J Epidemiol 1992; 136: 165–77PubMed Talley NJ, Weaver AL, Zinsmeister AR, et al. Onset and disappearance of gastrointestinal symptoms and functional gastrointestinal disorders. Am J Epidemiol 1992; 136: 165–77PubMed
4.
go back to reference Constitution of the World Health Organisation. Handbook of basic documents. 5th ed. Geneva: Palais des Nations, 1952 Constitution of the World Health Organisation. Handbook of basic documents. 5th ed. Geneva: Palais des Nations, 1952
5.
go back to reference Testa MA, Simonson DC. Current concepts: assessment of quality of life outcomes. N Engl J Med 1996; 334 (13): 835–40PubMedCrossRef Testa MA, Simonson DC. Current concepts: assessment of quality of life outcomes. N Engl J Med 1996; 334 (13): 835–40PubMedCrossRef
6.
go back to reference Irvine EJ. Quality of life: rationale and methods for developing a disease-specific instrument for inflammatory bowel disease. Scand J Gastroenterol 1993; 28 Suppl. 199: 22–7CrossRef Irvine EJ. Quality of life: rationale and methods for developing a disease-specific instrument for inflammatory bowel disease. Scand J Gastroenterol 1993; 28 Suppl. 199: 22–7CrossRef
7.
go back to reference Bech P. Quality of life measurements for patients taking which drugs? The clinical PCASEE perspective. Pharmacoeconomics 1995 Feb; 7 (2): 141–51PubMedCrossRef Bech P. Quality of life measurements for patients taking which drugs? The clinical PCASEE perspective. Pharmacoeconomics 1995 Feb; 7 (2): 141–51PubMedCrossRef
8.
go back to reference Lee OY, Fitzgerald LZ, Naliboff B, et al. Impact of advertisement and clinic populations in symptoms and perception of irritable bowel syndrome. Aliment Pharmacol Ther 1999; 13: 1631–8PubMedCrossRef Lee OY, Fitzgerald LZ, Naliboff B, et al. Impact of advertisement and clinic populations in symptoms and perception of irritable bowel syndrome. Aliment Pharmacol Ther 1999; 13: 1631–8PubMedCrossRef
9.
go back to reference Guthrie EA, Creed FH, Whorwell PJ, et al. Outpatients with irritable bowel syndrome: a comparison of first time and chronic attenders. Gut 1992; 33 (3): 361–3PubMedCrossRef Guthrie EA, Creed FH, Whorwell PJ, et al. Outpatients with irritable bowel syndrome: a comparison of first time and chronic attenders. Gut 1992; 33 (3): 361–3PubMedCrossRef
10.
go back to reference Xuan J, Kirchdoerfer LJ, Boyer JG, et al. Effects of comorbidity on health related quality of life scores: an analysis of clinical trial data. Clin Ther 1999; 21 (2): 383–403PubMedCrossRef Xuan J, Kirchdoerfer LJ, Boyer JG, et al. Effects of comorbidity on health related quality of life scores: an analysis of clinical trial data. Clin Ther 1999; 21 (2): 383–403PubMedCrossRef
11.
go back to reference Patrick DL, Drossman DA, Frederick IO, et al. Quality of life in persons with irritable bowel syndrome: development and validation of a new measure. Dig Dis Sci 1998 Feb; 43 (2): 400–11PubMedCrossRef Patrick DL, Drossman DA, Frederick IO, et al. Quality of life in persons with irritable bowel syndrome: development and validation of a new measure. Dig Dis Sci 1998 Feb; 43 (2): 400–11PubMedCrossRef
12.
go back to reference Steward AL, Greenfield S, Hays RD, et al. Functional status and well being of patients with chronic conditions: results from the medical outcomes study. JAMA 1989; 262: 907–13CrossRef Steward AL, Greenfield S, Hays RD, et al. Functional status and well being of patients with chronic conditions: results from the medical outcomes study. JAMA 1989; 262: 907–13CrossRef
13.
go back to reference Bergner M, Bobbitt RA, Pollard WE, et al. The sickness impact profile: validation of a health status measure. Med Care 1976; 14 (1): 57–67PubMedCrossRef Bergner M, Bobbitt RA, Pollard WE, et al. The sickness impact profile: validation of a health status measure. Med Care 1976; 14 (1): 57–67PubMedCrossRef
14.
go back to reference Borgaonkar MR, Irvine EJ. Quality of life measurement in gastrointestinal and liver disorders. Gut 2000; 47: 444–54PubMedCrossRef Borgaonkar MR, Irvine EJ. Quality of life measurement in gastrointestinal and liver disorders. Gut 2000; 47: 444–54PubMedCrossRef
15.
go back to reference Hahn BA, Kirchdoerfer LJ, Fullerton S, et al. Evaluation of a new quality of life questionnaire for patients with irritable bowel syndrome. Aliment Pharmacol Ther 1997 Jun; 11 (3): 547–52PubMedCrossRef Hahn BA, Kirchdoerfer LJ, Fullerton S, et al. Evaluation of a new quality of life questionnaire for patients with irritable bowel syndrome. Aliment Pharmacol Ther 1997 Jun; 11 (3): 547–52PubMedCrossRef
16.
go back to reference Whitehead WE, Burnett CK, Edwin WC, et al. Impact of irritable bowel syndrome on quality of life. Dig Dis Sci 1996; 41 (11): 2248–53PubMedCrossRef Whitehead WE, Burnett CK, Edwin WC, et al. Impact of irritable bowel syndrome on quality of life. Dig Dis Sci 1996; 41 (11): 2248–53PubMedCrossRef
17.
go back to reference Chassany O, Marquis P, Scherrer B, et al. Validation of a specific quality of life questionnaire for functional digestive disorders. Gut 1999; 44: 527–33PubMedCrossRef Chassany O, Marquis P, Scherrer B, et al. Validation of a specific quality of life questionnaire for functional digestive disorders. Gut 1999; 44: 527–33PubMedCrossRef
19.
go back to reference Wong E, Guyatt GH, Cook DJ, et al. Development of a questionnaire to measure quality of life in irritable bowel syndrome. Eur J Surg Suppl 1998; (583): 50–6PubMedCrossRef Wong E, Guyatt GH, Cook DJ, et al. Development of a questionnaire to measure quality of life in irritable bowel syndrome. Eur J Surg Suppl 1998; (583): 50–6PubMedCrossRef
20.
go back to reference Eypasch E, Williams JI, Wood-Dauphinee S, et al. Gastrointestinal quality of life index: development, validation and application of a new instrument. Br J Surg 1995 Feb; 82 (2): 216–22PubMedCrossRef Eypasch E, Williams JI, Wood-Dauphinee S, et al. Gastrointestinal quality of life index: development, validation and application of a new instrument. Br J Surg 1995 Feb; 82 (2): 216–22PubMedCrossRef
21.
go back to reference Shaw M, Talley NJ, Adlis S, et al. Development of a digestive health status instrument: tests of scaling assumptions, structure and reliability in a primary care population. Aliment Pharmacol Ther 1998 Nov; 12 (11): 1067–78PubMedCrossRef Shaw M, Talley NJ, Adlis S, et al. Development of a digestive health status instrument: tests of scaling assumptions, structure and reliability in a primary care population. Aliment Pharmacol Ther 1998 Nov; 12 (11): 1067–78PubMedCrossRef
22.
go back to reference Wiklund IK, Glise H. Quality of life in different gastrointestinal conditions. Eur J Surg Suppl. 1998; 582: 56–61PubMed Wiklund IK, Glise H. Quality of life in different gastrointestinal conditions. Eur J Surg Suppl. 1998; 582: 56–61PubMed
23.
go back to reference Drossman DA, Li Z, Leserman J. Health status by gastrointestinal diagnosis and abuse history. Gastroenterology 1996; 110 (4): 999–1007PubMedCrossRef Drossman DA, Li Z, Leserman J. Health status by gastrointestinal diagnosis and abuse history. Gastroenterology 1996; 110 (4): 999–1007PubMedCrossRef
24.
go back to reference Dancey CP, Backhouse S. Towards a better understanding of patients with irritable bowel syndrome. J Adv Nursing 1993; 18: 1443–50CrossRef Dancey CP, Backhouse S. Towards a better understanding of patients with irritable bowel syndrome. J Adv Nursing 1993; 18: 1443–50CrossRef
25.
go back to reference Hahn BA, Kirchdoerfer LJ, Fullerton S, et al. Patient perceived severity of irritable bowel syndrome in relation to symptoms, health care utilization and quality of life. Aliment Pharmacol Ther 1997; 11: 553–9PubMedCrossRef Hahn BA, Kirchdoerfer LJ, Fullerton S, et al. Patient perceived severity of irritable bowel syndrome in relation to symptoms, health care utilization and quality of life. Aliment Pharmacol Ther 1997; 11: 553–9PubMedCrossRef
26.
go back to reference Stassels SA, Hahn BA. Short Form 36 (SF-36) scores in patients with IBS compared with US norms. Gastroenterology 1997; 112 Suppl.: A44 Stassels SA, Hahn BA. Short Form 36 (SF-36) scores in patients with IBS compared with US norms. Gastroenterology 1997; 112 Suppl.: A44
27.
go back to reference Chassany O, Marquis P, Fraitag B, et al. European psychometric validation of a specific quality of life questionnaire in functional digestive disorders [abstract]. Gut 1996; 99 (Suppl. 3): A33 Chassany O, Marquis P, Fraitag B, et al. European psychometric validation of a specific quality of life questionnaire in functional digestive disorders [abstract]. Gut 1996; 99 (Suppl. 3): A33
28.
go back to reference Chassany O, Bergmann JF. Quality of life in irritable bowel syndrome, effect of therapy. Eur J Surg Suppl 1998; 583: 81–6PubMed Chassany O, Bergmann JF. Quality of life in irritable bowel syndrome, effect of therapy. Eur J Surg Suppl 1998; 583: 81–6PubMed
29.
go back to reference Gralnek IM, Hays RD, Kilbourne A, et al. The impact of irritable bowel syndrome on health related quality of life. Gastroenterology 2000; 119: 654–60PubMedCrossRef Gralnek IM, Hays RD, Kilbourne A, et al. The impact of irritable bowel syndrome on health related quality of life. Gastroenterology 2000; 119: 654–60PubMedCrossRef
30.
go back to reference Koloski NA, Talley NJ, Boyce PM. The impact of functional gastrointestinal disorders on quality of life. Am J Gastroenterol 2000 Jan; 95 (1): 67–71PubMedCrossRef Koloski NA, Talley NJ, Boyce PM. The impact of functional gastrointestinal disorders on quality of life. Am J Gastroenterol 2000 Jan; 95 (1): 67–71PubMedCrossRef
31.
go back to reference Drossman DA, Li Z, Toner BB, et al. Functional bowel disorders: a multicentre comparison of health status and development of illness severity index. Dig Dis Sci 1995; 40: 986–95PubMedCrossRef Drossman DA, Li Z, Toner BB, et al. Functional bowel disorders: a multicentre comparison of health status and development of illness severity index. Dig Dis Sci 1995; 40: 986–95PubMedCrossRef
32.
go back to reference Talley NJ, Zinsmeister AR, Melton LJ. Irritable bowel syndrome in a community: subgroups risk factors and health care utilization. Am J Epidemiol 1995; 142: 76–83PubMed Talley NJ, Zinsmeister AR, Melton LJ. Irritable bowel syndrome in a community: subgroups risk factors and health care utilization. Am J Epidemiol 1995; 142: 76–83PubMed
33.
go back to reference Glia A, Lindberg G. quality of life in patients with different types of functional constipation. Scand J Gastroenterol 1997; 32: 1083–9PubMedCrossRef Glia A, Lindberg G. quality of life in patients with different types of functional constipation. Scand J Gastroenterol 1997; 32: 1083–9PubMedCrossRef
34.
go back to reference Drossman DA, Creed FH, Fava GA. Psychosocial aspects of functional gastrointestinal disorders. Gastroenterol Int 1995; 8: 47–90 Drossman DA, Creed FH, Fava GA. Psychosocial aspects of functional gastrointestinal disorders. Gastroenterol Int 1995; 8: 47–90
35.
go back to reference Walker EA, Gelfand AN, Gelfand MD. Psychiatric diagnoses, sexual and physical victimisation and disability in patients with irritable bowel syndrome or inflammatory bowel disease. Psychol Med 1995; 25 (6): 1259–67PubMedCrossRef Walker EA, Gelfand AN, Gelfand MD. Psychiatric diagnoses, sexual and physical victimisation and disability in patients with irritable bowel syndrome or inflammatory bowel disease. Psychol Med 1995; 25 (6): 1259–67PubMedCrossRef
36.
go back to reference Drossman DA, McKee DC, Sandler RS. Psychological factors in the irritable bowel syndrome. Gastroenterology 1988; 95: 701–8PubMed Drossman DA, McKee DC, Sandler RS. Psychological factors in the irritable bowel syndrome. Gastroenterology 1988; 95: 701–8PubMed
37.
go back to reference Lydiard RB, Fossey MD, March W. Prevalence of psychiatric disorders in patients with IBS. Psychosomatics 1993; 34: 229–34PubMedCrossRef Lydiard RB, Fossey MD, March W. Prevalence of psychiatric disorders in patients with IBS. Psychosomatics 1993; 34: 229–34PubMedCrossRef
38.
go back to reference Drossman DA, Leserman J, Nachman G. Sexual and physical abuse in women with functional than organic gastrointestinal disorders. Ann Intern Med 1990; 113: 828–33PubMed Drossman DA, Leserman J, Nachman G. Sexual and physical abuse in women with functional than organic gastrointestinal disorders. Ann Intern Med 1990; 113: 828–33PubMed
39.
go back to reference Talley NJ, Fett SL, Zinsmeister AR, et al. Gastrointestinal tract symptoms and self-reported abuse: a population-based study. Gastroenterology 1994; 107 (4): 1040–9PubMed Talley NJ, Fett SL, Zinsmeister AR, et al. Gastrointestinal tract symptoms and self-reported abuse: a population-based study. Gastroenterology 1994; 107 (4): 1040–9PubMed
40.
go back to reference Longstreth GF, Wolde-Tsadik G. Irritable bowel type symptoms in HMO examinees. Dig Dis Sci 1993; 38: 1581–9PubMedCrossRef Longstreth GF, Wolde-Tsadik G. Irritable bowel type symptoms in HMO examinees. Dig Dis Sci 1993; 38: 1581–9PubMedCrossRef
41.
go back to reference Creed F, Craig T, Farmer R. Functional abdominal pain, psychiatric illness and life events. Gut 1988; 29 (2): 235–42PubMedCrossRef Creed F, Craig T, Farmer R. Functional abdominal pain, psychiatric illness and life events. Gut 1988; 29 (2): 235–42PubMedCrossRef
42.
go back to reference Craig TKJ, Brown GW. Goal frustration and life events in the aetiology of painful gastrointestinal disorder. J Psychosom Res 1984; 28: 411–21PubMedCrossRef Craig TKJ, Brown GW. Goal frustration and life events in the aetiology of painful gastrointestinal disorder. J Psychosom Res 1984; 28: 411–21PubMedCrossRef
43.
go back to reference Whitehead WE, Crowell MD, Robinson JC. Effects of stressful life events on bowel symptoms: subjects with irritable bowel syndrome compared with subjects without bowel dysfunction. Gut 1992; 33: 825–30PubMedCrossRef Whitehead WE, Crowell MD, Robinson JC. Effects of stressful life events on bowel symptoms: subjects with irritable bowel syndrome compared with subjects without bowel dysfunction. Gut 1992; 33: 825–30PubMedCrossRef
44.
go back to reference Barton A, Pal B, Whorwell PJ, et al. Increased prevalence of sicca complex and fibromyalgia in patients with irritable bowel syndrome. Am J Gastroenterol 1999; 94 (7): 1898–901PubMedCrossRef Barton A, Pal B, Whorwell PJ, et al. Increased prevalence of sicca complex and fibromyalgia in patients with irritable bowel syndrome. Am J Gastroenterol 1999; 94 (7): 1898–901PubMedCrossRef
45.
go back to reference Whorwell PJ, McCallum M, Creed FH, et al. Non-colonic features of irritable bowel syndrome. Gut 1986; 27: 37–40PubMedCrossRef Whorwell PJ, McCallum M, Creed FH, et al. Non-colonic features of irritable bowel syndrome. Gut 1986; 27: 37–40PubMedCrossRef
46.
go back to reference Sperber AD, Atzmon Y, Neumann L, et al. Fibromyalgia in the irritable bowel syndrome: studies of prevalence and clinical implications. Am J Gastroenterol 1999; 94 (12): 3541–6PubMedCrossRef Sperber AD, Atzmon Y, Neumann L, et al. Fibromyalgia in the irritable bowel syndrome: studies of prevalence and clinical implications. Am J Gastroenterol 1999; 94 (12): 3541–6PubMedCrossRef
47.
go back to reference Hahn BA, Yan S, Stassels S. Impact of irritable bowel syndrome on quality of life and resource use in the United States & United Kingdom. Digestion 1999; 60: 77–81PubMedCrossRef Hahn BA, Yan S, Stassels S. Impact of irritable bowel syndrome on quality of life and resource use in the United States & United Kingdom. Digestion 1999; 60: 77–81PubMedCrossRef
48.
go back to reference O’Keefe EA, Talley NJ, Zinsmeister AR, et al. Bowel disorders impair functional status and quality of life in the elderly: a population based study. J Gerontol A Biol Sci Med Sci 1995 Jul; 50 (4): M184–9CrossRef O’Keefe EA, Talley NJ, Zinsmeister AR, et al. Bowel disorders impair functional status and quality of life in the elderly: a population based study. J Gerontol A Biol Sci Med Sci 1995 Jul; 50 (4): M184–9CrossRef
49.
go back to reference Drossman DA, Whitehead WE, Camilleri M. Irritable bowel syndrome: a technical review for practice guideline development. Gastroenterology 1997; 112 (6): 2120–37PubMedCrossRef Drossman DA, Whitehead WE, Camilleri M. Irritable bowel syndrome: a technical review for practice guideline development. Gastroenterology 1997; 112 (6): 2120–37PubMedCrossRef
50.
go back to reference Switz DM. What a gastroenterologist does all day: a survey of a state society’s practice. Gastroenterology 1976; 70: 1048PubMed Switz DM. What a gastroenterologist does all day: a survey of a state society’s practice. Gastroenterology 1976; 70: 1048PubMed
51.
go back to reference Wells NE, Hahn BA, Whorwell PJ. Clinical economics review: irritable bowel syndrome. Aliment Pharmacol Ther 1997; 11 (6): 1019–30PubMedCrossRef Wells NE, Hahn BA, Whorwell PJ. Clinical economics review: irritable bowel syndrome. Aliment Pharmacol Ther 1997; 11 (6): 1019–30PubMedCrossRef
52.
go back to reference Everhart JE, Renault PF. Irritable bowel syndrome in office based practice in the United States. Gastroenterology 1991; 100: 998–1005PubMed Everhart JE, Renault PF. Irritable bowel syndrome in office based practice in the United States. Gastroenterology 1991; 100: 998–1005PubMed
53.
go back to reference Maxton DG, Whorwell PJ. Use of medical resources and attitudes to health care in patients with chronic abdominal pain. Br J Med Econ 1992; 2: 75–9 Maxton DG, Whorwell PJ. Use of medical resources and attitudes to health care in patients with chronic abdominal pain. Br J Med Econ 1992; 2: 75–9
54.
go back to reference Whitehead WE, Cheskin LJ, Heller BR. Evidence for exacerbation of irritable bowel syndrome during menses. Gastroenterology 1990; 98: 1485PubMed Whitehead WE, Cheskin LJ, Heller BR. Evidence for exacerbation of irritable bowel syndrome during menses. Gastroenterology 1990; 98: 1485PubMed
55.
go back to reference Talley NJ, Gabriel SE, Harmsen WS, et al. Medical costs in community subjects with irritable bowel syndrome. Gastroenterology 1995; 109: 1736–41PubMedCrossRef Talley NJ, Gabriel SE, Harmsen WS, et al. Medical costs in community subjects with irritable bowel syndrome. Gastroenterology 1995; 109: 1736–41PubMedCrossRef
56.
go back to reference KMPG Peat Marwick Inc. The economic burden of irritable bowel syndrome in Canada. Symposium on functional digestive disease 1997; 34: 10 KMPG Peat Marwick Inc. The economic burden of irritable bowel syndrome in Canada. Symposium on functional digestive disease 1997; 34: 10
57.
go back to reference Drossman DA, Li Z, Andruzzi E. US householder survey of functional gastrointestinal disorders. Prevalence, sociodemography and health impact. Dig Dis Sci 1993; 38 (9): 1569–80PubMedCrossRef Drossman DA, Li Z, Andruzzi E. US householder survey of functional gastrointestinal disorders. Prevalence, sociodemography and health impact. Dig Dis Sci 1993; 38 (9): 1569–80PubMedCrossRef
58.
go back to reference Schuster MM. Diagnostic evaluation of the irritable bowel syndrome. Gastroenterol Clin North Am 1991; 20: 269PubMed Schuster MM. Diagnostic evaluation of the irritable bowel syndrome. Gastroenterol Clin North Am 1991; 20: 269PubMed
59.
go back to reference Klein KB. Controlled treatment trials in the irritable bowel syndrome: a critique. Gastroenterology 1988; 95: 232–41PubMed Klein KB. Controlled treatment trials in the irritable bowel syndrome: a critique. Gastroenterology 1988; 95: 232–41PubMed
60.
go back to reference King TS, Hunter JO. quality of life in irritable bowel syndrome: does it improve with resolution of symptoms? Gastroenterology 1997; 112 Suppl.: A761 King TS, Hunter JO. quality of life in irritable bowel syndrome: does it improve with resolution of symptoms? Gastroenterology 1997; 112 Suppl.: A761
61.
go back to reference Mathias JR, Clench MH, Abell TE, et al. Effects of leuprolide acetate on functional bowel disease: a multicentre, double blind, placebo-controlled study. Gastroenterology 1997; 112 Suppl.: A784 Mathias JR, Clench MH, Abell TE, et al. Effects of leuprolide acetate on functional bowel disease: a multicentre, double blind, placebo-controlled study. Gastroenterology 1997; 112 Suppl.: A784
62.
go back to reference Dapoigny M, Abitbol JL, Meric G, et al. Fedotozine in IBS: results of a six week placebo controlled multicentre therapeutic trial. Gastroenterology 1995; 108 Suppl.: A588CrossRef Dapoigny M, Abitbol JL, Meric G, et al. Fedotozine in IBS: results of a six week placebo controlled multicentre therapeutic trial. Gastroenterology 1995; 108 Suppl.: A588CrossRef
63.
go back to reference Chassany O, Geneve J, Abitbol JL, et al. Specific quality of life questionnaire in IBS: effect of fedotozine. Gastroenterology 1995; 108 Suppl.: A581CrossRef Chassany O, Geneve J, Abitbol JL, et al. Specific quality of life questionnaire in IBS: effect of fedotozine. Gastroenterology 1995; 108 Suppl.: A581CrossRef
64.
go back to reference Drossman DA, Creed FH, Olden KW, et al. Psychosocial aspects of the functional gastrointestinal disorders. In: Drossman DA, Talley NJ, Thompson WG, et al., editors. The functional gastrointestinal disorders: diagnosis pathophysiology & treatment: a multinational consensus. Vol 2. Mclean (VA): Degnon and associates. In press Drossman DA, Creed FH, Olden KW, et al. Psychosocial aspects of the functional gastrointestinal disorders. In: Drossman DA, Talley NJ, Thompson WG, et al., editors. The functional gastrointestinal disorders: diagnosis pathophysiology & treatment: a multinational consensus. Vol 2. Mclean (VA): Degnon and associates. In press
65.
go back to reference Guthrie E, Creed F, Dawson D, et al. A controlled trial of psychological treatment for the irritable bowel syndrome. Gastroenterology 1991; 100: 450–7PubMed Guthrie E, Creed F, Dawson D, et al. A controlled trial of psychological treatment for the irritable bowel syndrome. Gastroenterology 1991; 100: 450–7PubMed
66.
go back to reference Talley NJ, Owen BK, Boyce P, et al. Psychological treatments for irritable bowel syndrome: a critique of controlled treatment trials. Am J Gastroenterol 1996; 91: 277–83PubMed Talley NJ, Owen BK, Boyce P, et al. Psychological treatments for irritable bowel syndrome: a critique of controlled treatment trials. Am J Gastroenterol 1996; 91: 277–83PubMed
67.
go back to reference Galovski TE, Blanchard EB. The treatment of irritable bowel syndrome with hypnotherapy. Appl Psychophysiol Biofeedback 1998; 23: 219–32PubMedCrossRef Galovski TE, Blanchard EB. The treatment of irritable bowel syndrome with hypnotherapy. Appl Psychophysiol Biofeedback 1998; 23: 219–32PubMedCrossRef
68.
go back to reference Whorwell PJ, Prior A, Faragher EB. Controlled trial of hypnotherapy in the treatment of severe refractory irritable bowel syndrome. Lancet 1984; 2 (8414): 1232–4PubMedCrossRef Whorwell PJ, Prior A, Faragher EB. Controlled trial of hypnotherapy in the treatment of severe refractory irritable bowel syndrome. Lancet 1984; 2 (8414): 1232–4PubMedCrossRef
69.
go back to reference Whorwell PJ, Prior A, Colgan SM. Hypnotherapy in severe irritable bowel syndrome: further experience. Gut 1987; 28: 423–5PubMedCrossRef Whorwell PJ, Prior A, Colgan SM. Hypnotherapy in severe irritable bowel syndrome: further experience. Gut 1987; 28: 423–5PubMedCrossRef
70.
go back to reference Houghton LA, Heyman DJ, Whorwell PJ. Symptomatology, quality of life and economic features of irritable bowel syndrome — the effect of hypnotherapy. Aliment Pharmacol Ther 1996; 10: 91–5PubMedCrossRef Houghton LA, Heyman DJ, Whorwell PJ. Symptomatology, quality of life and economic features of irritable bowel syndrome — the effect of hypnotherapy. Aliment Pharmacol Ther 1996; 10: 91–5PubMedCrossRef
71.
go back to reference Harvey RF, Hinton RA, Gunery RM, et al. Individual and group hypnotherapy in the treatment of refractory IBS. Lancet 1989; 1: 424–5PubMedCrossRef Harvey RF, Hinton RA, Gunery RM, et al. Individual and group hypnotherapy in the treatment of refractory IBS. Lancet 1989; 1: 424–5PubMedCrossRef
72.
go back to reference Chiotakakau-Faliakau E, Kamm MA, Ray AJ, et al. Biofeedback provides long term benefit for patients with intractable, slow and normal transit constipation. Gut 1998; 42: 517–21CrossRef Chiotakakau-Faliakau E, Kamm MA, Ray AJ, et al. Biofeedback provides long term benefit for patients with intractable, slow and normal transit constipation. Gut 1998; 42: 517–21CrossRef
73.
go back to reference Wiklund I. Quality of life and regulatory issues. Scand J Gastroenterol 1996; 31 Suppl. 221: 37–8CrossRef Wiklund I. Quality of life and regulatory issues. Scand J Gastroenterol 1996; 31 Suppl. 221: 37–8CrossRef
Metadata
Title
Quality of Life in Irritable Bowel Syndrome
Authors
Richard Lea
Dr Peter J. Whorwell
Publication date
01-06-2001
Publisher
Springer International Publishing
Published in
PharmacoEconomics / Issue 6/2001
Print ISSN: 1170-7690
Electronic ISSN: 1179-2027
DOI
https://doi.org/10.2165/00019053-200119060-00003

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