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Clinical and psychological correlates of soiling in adult patients with functional gastrointestinal disorders
- Source :
- International Journal of Colorectal Disease. 33:1793-1797
- Publication Year :
- 2018
- Publisher :
- Springer Science and Business Media LLC, 2018.
-
Abstract
- Fecal soiling (FS) is the staining of underwear without loss of significant amounts of fecal material. It is frequently associated with defecation disorders in children. The aim of this study was to search for psychological and clinical correlates of adult patients with soiling. Clinically, the complaint of staining is confused with that of fecal incontinence (FI) in the mind of both patients and attending physicians.Observational study PATIENTS AND METHOD: We included 1454 consecutive outpatients (71% females). They filled out the Rome III questionnaire for functional gastrointestinal disorders (FGIDs); Beck depression inventory, and state and trait anxiety questionnaires; and Likert scales for constipation, diarrhea, bloating, and abdominal pain. Data were analyzed using ANOVA and logistic regression analysis.Soiling was found in 123 patients (8.5%). They reported similar frequencies of esophageal, gastroduodenal, and abdominal pain as patients without soiling. In contrast, patients with soiling reported higher prevalence of IBS, such as IBS-Diarrhea, Mixed-IBS, functional diarrhea, functional constipation, and levator ani syndrome, and higher Likert scale for diarrhea, bloating, abdominal pain, and softer stools. The multivariable logistic regression analysis shows that patients with soiling have increased odds to report IBS (P = 0.019; OR = 1.958; 95% CI = [1.118-3.431]), functional diarrhea (P = 0.040; OR = 1.901; 95% CI = [1.028-3.513]), and high Diarrhea Likert scale (P 0.001; OR = 1.215; 95% CI = [1.130-1.306]). No association was found with psychological evaluation.In FGID patients, soiling is not associated with psychological disorders and is mainly associated with IBS and functional diarrhea.
- Subjects :
- Adult
Diarrhea
Male
Urologic Diseases
medicine.medical_specialty
Abdominal pain
Constipation
Anxiety
Risk Assessment
Irritable Bowel Syndrome
03 medical and health sciences
0302 clinical medicine
Bloating
Risk Factors
Internal medicine
medicine
Humans
Fecal incontinence
Defecation
Irritable bowel syndrome
Depression
business.industry
Gastroenterology
Beck Depression Inventory
Middle Aged
medicine.disease
Mental Health
030220 oncology & carcinogenesis
Functional constipation
Female
030211 gastroenterology & hepatology
medicine.symptom
business
Fecal Incontinence
Subjects
Details
- ISSN :
- 14321262 and 01791958
- Volume :
- 33
- Database :
- OpenAIRE
- Journal :
- International Journal of Colorectal Disease
- Accession number :
- edsair.doi.dedup.....70966c889313d2f678598b19ce006b07