Document Detail


Psychological impact and risk factors associated with new onset fecal incontinence.
MedLine Citation:
PMID:  23148816     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVES: We aim to evaluate the psychological impact and risk factors associated with new onset FI over 12years in adults over 18years for the first time in a population-based study. METHODS: Participants (n=1775) were a random population sample from Penrith, Australia who responded to a survey in 1997 and completed a 12-year follow-up survey (response rate=60%). FI was defined as having leakage of stool over the past 12months. The original and follow-up surveys contained valid questions on demographic, gastrointestinal and psychological symptoms. RESULTS: 114 (11.4%) reported new onset FI at the 12year follow-up. People who reported FI at the 12year follow-up were significantly more anxious and depressed. In terms of baseline risk factors only bloating (OR=1.3; 95%CI 1.0-1.6, P=0.026) was an independent predictor of developing new onset FI. However, current bowel symptoms measured at follow-up including less likelihood of <3 bowel motions a week, increased urgency and mucus were independently associated with having FI at follow-up. CONCLUSION: FI is associated with anxiety and depression. Baseline GI symptoms do not appear to be as important as current bowel symptoms in determining who develops FI.
Authors:
N A Koloski; M Jones; J Kalantar; M Weltman; J Zaguirre; N J Talley
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-8-19
Journal Detail:
Title:  Journal of psychosomatic research     Volume:  73     ISSN:  1879-1360     ISO Abbreviation:  J Psychosom Res     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-11-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376333     Medline TA:  J Psychosom Res     Country:  -    
Other Details:
Languages:  ENG     Pagination:  464-468     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
Affiliation:
Faculty of Health, University of Newcastle, Newcastle NSW 2308, Australia. Electronic address: Natasha.Koloski@newcastle.edu.au.
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