Rl. Levy et al., THE RELATIONSHIP BETWEEN DAILY-LIFE STRESS AND GASTROINTESTINAL SYMPTOMS IN WOMEN WITH IRRITABLE-BOWEL-SYNDROME, Journal of behavioral medicine, 20(2), 1997, pp. 177-193
Research on irritable bowel syndrome (IBS), a functional disorder of t
he gastrointestinal (GI) system, has linked GI symptoms to stress. Thi
s study examined the relationship between dairy stress and GI symptoms
across women and within woman in IBS patients (n = 26), IBS nonpatien
ts (IBS-NP n = 23), and controls (n = 26), controlling for menstrual c
ycle phase. Women (ages 20-45) completed daily health diaries for two
cycles in which they monitored daily GI symptoms and stress levels. Th
e Life Event Survey (LES) was used as a retrospective measure of self-
reported stress. The across-women analyses showed higher mean GI sympt
oms and stress in the IBS and IBS-NP groups relative to controls but n
o group differences in LES scores. The within-woman analyses found a s
ignificant and positive relationship between daily stress and daily sy
mptoms in both the IBS-NP and the IBS groups. Controlling for menstrua
l cycle had no substantial impact on the results.