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Prevalence of irritable bowel syndrome among university students: the roles of worry, neuroticism, anxiety sensitivity and visceral anxiety
Authors:Hazlett-Stevens Holly  Craske Michelle G  Mayer Emeran A  Chang Lin  Naliboff Bruce D
Institution:

a Department of Psychology/298, University of Nevada, Reno, NV 89557, USA

b Department of Psychology, University of California, Los Angeles, CA, USA

c CURE Digestive Diseases Research Center/Neuroenteric Disease Program, University of California School of Medicine, Los Angeles, CA, USA

d Department of Medicine, University of California School of Medicine, Greater Los Angeles VA Healthcare System, Los Angeles, CA, USA

e Department of Physiology, University of California School of Medicine, Greater Los Angeles VA Healthcare System, Los Angeles, CA, USA

f Department of Psychiatry and Biobehavioral Sciences, University of California School of Medicine, Greater Los Angeles VA Healthcare System, Los Angeles, CA, USA

Abstract:OBJECTIVE: Relationships between presence of irritable bowel syndrome (IBS) and generalized anxiety disorder (GAD), chronic worry, neuroticism, anxiety sensitivity and anxiety about visceral sensations were examined among university students. METHODS: College student participants were administered self-report diagnostic measures of IBS and GAD, the Penn State Worry Questionnaire (PSWQ), the Neuroticism subscale of the Eysenck Personality Questionnaire, the Anxiety Sensitivity Index (ASI) and five additional items designed to measure visceral anxiety. RESULTS: The prevalence of IBS and its associated characteristics among students were similar to previous community survey studies, with the exception of lower symptom severity in the university sample. IBS was associated with a higher frequency of GAD and greater worry, neuroticism, anxiety sensitivity and visceral anxiety. Logistic regression analyses further showed that the measure of anxiety specific to visceral sensations was the strongest predictor of IBS diagnostic status. CONCLUSIONS: While various aspects of anxiety appear related to IBS, specific anxiety about visceral sensations appears to be the most significant factor. Implications of the associations between anxiety-related variables, particularly anxiety about visceral sensations, are discussed.
Keywords:Anxiety sensitivity  Generalized anxiety disorder  Irritable bowel syndrome  Neuroticism  Worry
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