Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-17T19:04:12.910Z Has data issue: false hasContentIssue false

The Relationship Between Irritable Bowel Syndrome and Panic Disorder: A Case Study

Published online by Cambridge University Press:  06 October 2014

Tracey Wade*
Affiliation:
Queen Elizabeth Hospital, Adelaide
Megan Jones
Affiliation:
University of Adelaide
*
Department of Psychiatry, Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, PO Box 980126, Richmond VA 23298-0126, USA. E-mail: [email protected]
Get access

Extract

Evidence suggests that cognitive behaviour therapy is the treatment of choice for both irritable bowel syndrome (IBS) and panic disorder (PD). The present study examines the treatment issues relating to a woman diagnosed with both IBS and PD (with agoraphobia), where therapy for PD was disrupted by IBS symptoms. Group therapy was then initiated for IBS, and this was associated with a large decrease in general anxiety and depression, and an increase in confidence concerning management of the pain caused by the IBS. This finding is discussed with respect to its possible implications for the treatment of people suffering both IBS and PD.

Type
Articles
Copyright
Copyright © The Author(s) 1998

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Barlow, D.H., Hayes, S.C., & Nelson, R.O. (1984). The scientist practitioner: Research and accountability in clinical and educational settings. New York: Pergamon.Google Scholar
Beck, A.T., & Steer, R.A. (1993a). Manual for Beck Anxiety Inventory. San Antonio, TX: Psychological Corporation.Google Scholar
Beck, A.T., & Steer, R.A. (1993b). Manual for Revised Beck Depression Inventory. San Antonio, TX: Psychological Corporation.Google Scholar
Blanchard, E.B., Scharff, L., Schwartz, S.P., Suls, J.M., & Barlow, D.H. (1990). The role of anxiety and depression in the irritable bowel syndrome. Behaviour Research and Therapy, 28, 401405.CrossRefGoogle ScholarPubMed
Clark, D.M. (1989). Anxiety states: Panic and generalised anxiety. In Hawton, K., Salkovskis, P.M., Kirk, J., & Clark, D.M. (Eds.), Cognitive behaviour therapy for psychiatric problems (pp. 5296). Oxford: Oxford University Press.CrossRefGoogle Scholar
Drossman, D.A., Thompson, W.G., Talley, N.J., Funch-Jensen, P., Jarnsens, J., & Whitehead, W.E. (1990). Identification of sub-groups of functional gastrointestinal disorders. Gastroenterology International, 3, 159172.Google Scholar
Folks, D.G., & Kinney, F.C. (1992). The role of psychological factors in gastrointestinal conditions. Psychosomatics, 33, 257270.CrossRefGoogle ScholarPubMed
Greenberger, D., & Padesky, C.A. (1995). Mind over mood: A cognitive therapy treatment manual for clients. New York: Guilford.Google Scholar
Greene, B., & Blanchard, E.B. (1994). Cognitive therapy for irritable bowel syndrome. Journal of Consulting and Clinical Psychology, 62, 576582.CrossRefGoogle ScholarPubMed
Irwin, C., Falsetti, S.A., Lydiard, L.B., Ballenger, J.C., Brock, C.D., & Brener, W. (1996). Comorbidity of post traumatic stress disorder and irritable bowel syndrome. Journal of Clinical Psychiatry, 57, 576578.CrossRefGoogle ScholarPubMed
Kaplan, D.S., Masand, P.S., & Gupta, S. (1996). The relationship of irritable bowel syndrome and panic disorder. Annals of Clinical Psychiatry, 8, 8188.CrossRefGoogle ScholarPubMed
Kay, L., Jorgensen, T., & Jensen, K.H. (1994). The epidemiology of irritable bowel syndrome in a random population: Prevalence, incidence, natural history and risk factors. Journal of Internal Medicine, 236, 2330.CrossRefGoogle Scholar
Lydiard, R.B. (1997). Anxiety and irritable bowel syndrome: Psychiatric, medical or both? Journal of Clinical Psychiatry, 58(Suppl. 3), 5161.Google ScholarPubMed
Lydiard, R.B., Greenwald, S., Weissman, M.M., Johnson, J., Drossman, D.A., & Ballenger, J.C. (1994). Panic disorder and gastrointestinal symptoms: Findings from the NIMH epidemiologic catchment area project American Journal of Psychiatry, 151, 6470.Google ScholarPubMed
Masand, P.S., Kaplan, D.S., Gupta, S., Bhandary, A.N., Nasra, G.S., Kline, M.D., & Margo, K.L. (1995). Major depression and irritable bowel syndrome: Is there a relationship? Journal of Clinical Psychiatry, 56, 363367.Google ScholarPubMed
Payne, A., & Blanchard, E.B. (1995). A controlled comparison of cognitive therapy and self-help support groups in the treatment of irritable bowel syndrome. Journal of Consulting and Clinical Psychology, 63, 779786.CrossRefGoogle ScholarPubMed
Pither, C.E., & Nicholas, M.K. (1995). The identification of iatrogenic factors in the development of chronic pain syndromes: Abnormal treatment behaviour? In Bond, M.R., Charlton, J.E., & Woolf, C.J. (Eds.), Proceedings of the Vth World Congress on Pain (pp. 176193). BV: Elsevier Science.Google Scholar
Rees, C.S., Richards, J.C., & Smith, L.M. (1998). Symptom clusters in panic disorder. Australian Journal of Psychology, 50, 1924.CrossRefGoogle Scholar
Salkovskis, P.M. (1996). The cognitive approach to anxiety, threat beliefs, safety seeking behaviour, and the special case of health anxiety and obsessions. In Salkovskis, P.M. (Ed.), Frontiers of Cognitive Therapy (pp. 4874). New York: Guilford.Google Scholar
Schwarz, S.P., Blanchard, E.B., Berreman, C.F., Scahrff, L., Taylor, A.E., Greene, B.R., Suis, J.M., & Malamood, H.S. (1993). Psychological aspects of irritable bowel syndrome: Comparisons with inflammatory bowel disease and nonpatient controls. Behaviour Research and Therapy, 31, 297304.CrossRefGoogle ScholarPubMed
Talley, N.J., Owen, B.K., Boyce, P., & Paterson, K. (1996). Psychological treatments for irritable bowel syndrome: A critique of controlled treatment trials. American Journal of Gastroenterology, 91, 277283.Google ScholarPubMed
Talley, N.J., Zinsmeister, A.R., van Dyke, C., & Melton, L.J., III. (1991). Epidemiology of colonic symptoms and the irritable bowel syndrome. Gastroenterology, 101, 927934.CrossRefGoogle ScholarPubMed
van Dulmen, A.M., Fennis, J.F., & Bleijenberg, G. (1996). Cognitive-behavioural group therapy for irritable bowel syndrome: Effects and long-term follow-up. Psychosomatic Medicine, 58, 508514.CrossRefGoogle Scholar
Whitehead, W.E. (1992). Behavioral medicine approaches to gastrointestinal disorders. Journal of Consulting and Clinical Psychology, 60, 605612.CrossRefGoogle ScholarPubMed
Woodman, C.L., & Noyes, R. (1992). The relationship between panic disorder and irritable bowel syndrome: A review. Annals of Clinical Psychiatry, 4, 175180.CrossRefGoogle Scholar
Zaubler, T.S., & Katon, W. (1996). Panic disorder and medical comorbidity: A review of the medical and psychiatric literature. Bulletin of the Menninger Clinic, 60, A12A38.Google ScholarPubMed