Psychosocial and Sensory Factors Contribute to Self-Reported Pain and Quality of Life in Young Adults with Irritable Bowel Syndrome.
Jie Chen, Zahra Amirkhanzadeh Barandouzi, Joochul Lee and 4 others
PMID 35074280WHAT IT FOUND
In young adults with IBS, fatigue, pain catastrophizing, low self-efficacy, alcohol intake, mechanical pain sensitivity, and cold pain threshold were associated with worse pain interference and quality of life.
Key findings
01Pain interference was associated with age, sex, catastrophizing, self-efficacy, alcohol intake, mechanical pain sensitivity, and cold pain threshold.
02Higher fatigue was associated with lower IBS quality of life, and indirect effects through catastrophizing and self-efficacy were statistically significant.
03Mechanical pain sensitivity and cold pain threshold were correlated with pain interference, but quantitative sensory testing did not have a direct or indirect effect on pain interference.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only young adults were studied, so findings may not apply to older adults. Most participants were female and non-Hispanic White, so sex and race balance is limited. The analysis used baseline cross-sectional data, so it can show association but not cause and effect. This paper did not test the parent randomized intervention, so it provides no evidence that nurse-led support or self-management changed outcomes. Quantitative sensory testing was performed as a research protocol on the forearm, not as routine clinical assessment.
Declared interests
The authors declare no conflict of interest.
The easy way to misread this
Do not treat these factors as proven causes or as targets that will improve IBS pain or quality of life. The study was cross-sectional and did not test an intervention.