Adverse childhood experiences and alexithymia intensity as predictors of temporal dynamics of functioning in individuals with irritable bowel syndrome: A three-wave latent transition analysis

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cris.lastimport.scopus2025-04-05T03:14:05Z
dc.abstract.enbjective: Despite high prevalence of irritable bowel syndrome (IBS) and its significant negative impact on individuals’ quality of life, its etiology remains poorly understood. This prospective study explored whether early life factors (adverse childhood experiences; ACEs) and alexithymia intensity, could explain IBS symptom severity and its effects on psychological functioning over time. We also compared the studied variables between an IBS sample and a healthy control group. Method: Based on the Rome III Diagnostic Criteria for IBS, 245 individuals with a diagnosis of IBS were recruited from a national sample of Poles. The IBS sample completed the following psychometric questionaries in three waves, one month apart: Adverse Childhood Experiences Questionnaire, Toronto Alexithymia Scale, IBS Symptom Severity Score, Short Form Perceived Stress Scale, and Ultra-Brief Patient Health Questionnaire for Anxiety and Depression. Latent transition analysis was used to identify distinct profiles of IBS symptom dynamics. Results: The IBS group reported a significantly higher number of ACEs, greater alexithymia severity, and more intense levels of stress, anxiety, and depressive symptoms compared to the healthy controls. Four profiles of IBS individuals with distinct dynamics of IBS symptoms, stress, anxiety, and depressive symptoms were extracted, which correlated with the baseline number of ACEs and alexithymia intensity among participants. Conclusion: Childhood adversity and associated problems in emotional processing affect IBS symptom severity. ACEs should be included in IBS screening and considered in the design of individualized multidisciplinary treatment approaches for IBS patients.
dc.affiliationWydział Psychologii w Warszawie
dc.contributor.authorRzeszutek, Marcin
dc.contributor.authorKowalkowska, Joanna
dc.contributor.authorDrabarek, Katarzyna
dc.contributor.authorVon Hoy Angelika
dc.contributor.authorSchier, Katarzyna
dc.contributor.authorLis-Turlejska, Maria
dc.contributor.authorDragan, Małgorzata
dc.contributor.authorHolas, Paweł.
dc.contributor.authorMaison, Dominika
dc.contributor.authorLitwin, Elżbieta
dc.contributor.authorWawrzyniak, Julia
dc.contributor.authorZnamirowska, Wiktoria
dc.contributor.authorSzumiał, Szymon
dc.contributor.authorDesmond, Małgorzata
dc.date.access2024-09-18
dc.date.accessioned2024-10-10T06:40:41Z
dc.date.available2024-10-10T06:40:41Z
dc.date.created2024-06-22
dc.date.issued2024-09-18
dc.description.accesstimeat_publication
dc.description.physical1-8
dc.description.versionfinal_published
dc.description.volume187
dc.identifier.doi10.1016/j.jpsychores.2024.111904
dc.identifier.issn0022-3999
dc.identifier.urihttps://share.swps.edu.pl/handle/swps/919
dc.identifier.weblinkhttps://www.sciencedirect.com/science/article/pii/S0022399924003167
dc.languageen
dc.pbn.affiliationpsychologia
dc.rightsCC-BY
dc.rights.questionYes_rights
dc.share.articleOTHER
dc.subject.enIrritable bowel syndrome
dc.subject.enAdverse childhood experiences
dc.subject.enAlexithymia
dc.subject.enStress
dc.subject.enDepression
dc.subject.enAnxiety
dc.subject.enLatent transition analysis
dc.swps.sciencecloudsend
dc.titleAdverse childhood experiences and alexithymia intensity as predictors of temporal dynamics of functioning in individuals with irritable bowel syndrome: A three-wave latent transition analysis
dc.title.journalJournal of Psychosomatic Research
dc.typeJournalArticle
dspace.entity.typeArticle