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
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
StatusVoR
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Authors
Rzeszutek, Marcin
Kowalkowska, Joanna
Drabarek, Katarzyna
Von Hoy Angelika
Schier, Katarzyna
Lis-Turlejska, Maria
Dragan, Małgorzata
Holas, Paweł.
Maison, Dominika
Litwin, Elżbieta
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Date
2024-09-18
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Journal title
Journal of Psychosomatic Research
Issue
Volume
187
Pages
Pages
1-8
ISSN
0022-3999
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2024-09-18
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Abstract EN
bjective: 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.
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Keywords PL
Keywords EN
Irritable bowel syndrome
Adverse childhood experiences
Alexithymia
Stress
Depression
Anxiety
Latent transition analysis
Adverse childhood experiences
Alexithymia
Stress
Depression
Anxiety
Latent transition analysis
Keywords other
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