Article: Differing coping mechanisms, stress level and anorectal physiology in patients with functional constipation

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TitleDiffering coping mechanisms, stress level and anorectal physiology in patients with functional constipation
AuthorsChan, AOO1
Cheng, C2
Hui, WM1
Hu, WHC1
Wong, NYH1
Lam, KF1
Wong, WM1
Lai, KC1
Lam, SK1
Wong, BCY1
KeywordsAnorectal physiology
Constipation
Coping mechanism
Issue Date2005
PublisherBeijing Baishideng BioMed Scientific Co., Ltd. The Journal's web site is located at http://www.wjgnet.com/1007-9327/index.htm
CitationWorld Journal Of Gastroenterology, 2005, v. 11 n. 34, p. 5362-5366 [How to Cite?]
AbstractAim: To investigate coping mechanisms, constipation symptoms and anorectal physiology in 80 constipated subjects and 18 controls. Methods: Constipation was diagnosed by Rome II criteria. Coping ability and anxiety/depression were assessed by validated questionnaires. Transit time and balloon distension test were performed. Results: 34.5% patients were classified as slow transit type of constipation. The total colonic transit time (56 h vs 10 h, P<0.0001) and rectal sensation including urge sensation (79 mL vs 63 mL, P = 0.019) and maximum tolerable volume (110 mL vs 95 mL, P = 0.03) differed in patients and controls. Constipated subjects had significantly higher anxiety and depression scores and lower SF-36 scores in all categories. They also demonstrated higher scores of 'monitoring' coping strategy (14±6 vs 9±3, P = 0.001), which correlated with the rectal distension sensation (P = 0.005), urge sensation (P=0.002), and maximum tolerable volume (P = 0.035). The less use of blunting strategy predicted slow transit constipation in both univariate (P = 0.01) and multivariate analysis (P = 0.03). Conclusion: Defective or ineffective use of coping strategies may be an important etiology in functional constipation and subsequently reflected in abnormal anorectal physiology. © 2005 The WJG Press and Elsevier Inc. All rights reserved.
ISSN1007-9327
2011 Impact Factor: 2.471
2011 SCImago Journal Rankings: 0.189
ISI Accession Number IDWOS:000208100200019
ReferencesReferences in Scopus
DC Field
Value
dc.contributor.authorChan, AOO
dc.contributor.authorCheng, C
dc.contributor.authorHui, WM
dc.contributor.authorHu, WHC
dc.contributor.authorWong, NYH
dc.contributor.authorLam, KF
dc.contributor.authorWong, WM
dc.contributor.authorLai, KC
dc.contributor.authorLam, SK
dc.contributor.authorWong, BCY
dc.date.accessioned2010-09-06T07:19:30Z
dc.date.available2010-09-06T07:19:30Z
dc.date.issued2005
dc.description.abstractAim: To investigate coping mechanisms, constipation symptoms and anorectal physiology in 80 constipated subjects and 18 controls. Methods: Constipation was diagnosed by Rome II criteria. Coping ability and anxiety/depression were assessed by validated questionnaires. Transit time and balloon distension test were performed. Results: 34.5% patients were classified as slow transit type of constipation. The total colonic transit time (56 h vs 10 h, P<0.0001) and rectal sensation including urge sensation (79 mL vs 63 mL, P = 0.019) and maximum tolerable volume (110 mL vs 95 mL, P = 0.03) differed in patients and controls. Constipated subjects had significantly higher anxiety and depression scores and lower SF-36 scores in all categories. They also demonstrated higher scores of 'monitoring' coping strategy (14±6 vs 9±3, P = 0.001), which correlated with the rectal distension sensation (P = 0.005), urge sensation (P=0.002), and maximum tolerable volume (P = 0.035). The less use of blunting strategy predicted slow transit constipation in both univariate (P = 0.01) and multivariate analysis (P = 0.03). Conclusion: Defective or ineffective use of coping strategies may be an important etiology in functional constipation and subsequently reflected in abnormal anorectal physiology. © 2005 The WJG Press and Elsevier Inc. All rights reserved.
dc.description.natureLink_to_subscribed_fulltext
dc.identifier.citationWorld Journal Of Gastroenterology, 2005, v. 11 n. 34, p. 5362-5366 [How to Cite?]
dc.identifier.epage5366
dc.identifier.hkuros115888
dc.identifier.isiWOS:000208100200019
dc.identifier.issn1007-9327
2011 Impact Factor: 2.471
2011 SCImago Journal Rankings: 0.189
dc.identifier.issue34
dc.identifier.openurl
dc.identifier.pmid16149147
dc.identifier.scopuseid_2-s2.0-26244455748
dc.identifier.spage5362
dc.identifier.urihttp://hdl.handle.net/10722/76276
dc.identifier.volume11
dc.languageeng
dc.publisherBeijing Baishideng BioMed Scientific Co., Ltd. The Journal's web site is located at http://www.wjgnet.com/1007-9327/index.htm
dc.publisher.placeChina
dc.relation.ispartofWorld Journal of Gastroenterology
dc.relation.referencesReferences in Scopus
dc.subject.meshAdaptation, Psychological
dc.subject.meshAdolescent
dc.subject.meshAdult
dc.subject.meshAged
dc.subject.meshAged, 80 and over
dc.subject.meshAnal Canal - physiopathology
dc.subject.meshConstipation - epidemiology - physiopathology - psychology
dc.subject.meshFemale
dc.subject.meshHumans
dc.subject.meshMale
dc.subject.meshMiddle Aged
dc.subject.meshPrevalence
dc.subject.meshQuestionnaires
dc.subject.meshRectum - physiopathology
dc.subject.meshStress, Psychological - epidemiology - physiopathology
dc.subjectAnorectal physiology
dc.subjectConstipation
dc.subjectCoping mechanism
dc.titleDiffering coping mechanisms, stress level and anorectal physiology in patients with functional constipation
dc.typeArticle
Author Affiliations
  1. The University of Hong Kong
  2. Hong Kong University of Science and Technology