|The patient's perspective of irritable bowel syndrome.|
|PMID: 11401739 Owner: NLM Status: MEDLINE|
|OBJECTIVE: The researchers wanted to understand how irritable bowel syndrome (IBS) affects patients' lives and their interactions with physicians and the health care system. STUDY DESIGN: A qualitative study was performed using focus groups of people with physician-diagnosed IBS. Immersion/crystallization was used to identify overriding themes. POPULATION: Adult volunteers with a previous physician diagnosis of IBS were included. OUTCOMES MEASURED: The outcomes were patient-reported symptoms, episode triggers, treatments, lifestyle changes, and interactions with their physicians that were related to IBS, and overriding themes identified from the focus groups. RESULTS: The subjects described IBS as a chronic episodic illness that affects their daily lives. Interaction with the medical community seldom clarified understanding of the condition or improved its management. Three overriding themes emerged from the groups: a sense of frustration, a sense of isolation, and a search for a niche in the health/sick role continuum. Frustration was evident in the perceived inability to control symptoms, prevent episodes, identify episode triggers, and obtain medical validation of the condition. The constant anticipation of the next IBS episode, the need for immediate access to toilet facilities, and the nature of the bowel symptoms often required withdrawal from social activities and resultant isolation. CONCLUSIONS: IBS is perceived as a chronic condition resulting in frustration and social isolation, and physicians are perceived to be providing inadequate medical information or support to patients with IBS.|
|S Bertram; M Kurland; E Lydick; G R Locke; B P Yawn|
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|Type: Journal Article|
|Title: The Journal of family practice Volume: 50 ISSN: 0094-3509 ISO Abbreviation: J Fam Pract Publication Date: 2001 Jun|
|Created Date: 2001-06-12 Completed Date: 2001-07-05 Revised Date: 2007-11-15|
Medline Journal Info:
|Nlm Unique ID: 7502590 Medline TA: J Fam Pract Country: United States|
|Languages: eng Pagination: 521-5 Citation Subset: AIM; IM|
|Department of Research, Olmsted Medical Center, Rochester, MN 55904, USA.|
|APA/MLA Format Download EndNote Download BibTex|
Activities of Daily Living
Attitude to Health*
Colonic Diseases, Functional / prevention & control*, psychology*
Cost of Illness
Patient Education as Topic
Referral and Consultation
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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