Functional disability in adolescents and young adults with symptoms of irritable bowel syndrome: The role of academic, social, and athletic competence

Objective: To examine perceived academic, social, and athletic competence a s potential moderators of the relation between symptoms of irritable bowel syndrome (IBS) and functional disability in adolescents and young adults wi th a history of recurrent abdominal pain (RAP). Methods: We assessed IBS symptoms, competence, and disability by telephone interview in RAP patients five years following their medical evaluation. Results: For both male and female subjects, the relation between symptoms a nd disability was stronger at lower levels of perceived academic competence . Furthermore, among females, the relation between symptoms and disability was stronger at lower levels of perceived social competence; among males, t he relation was stronger at lower levels of perceived athletic competence. Conclusions: Perceived competence moderated the relation between IBS sympto ms and functional disability. Interventions designed to enhance patient com petence in various roles may be useful in reducing disability among adolesc ents and young adults with symptoms of IBS.