Gender, age, society, culture, and the patient's perspective in the functional gastrointestinal disorders.

@article{Chang2006GenderAS,
  title={Gender, age, society, culture, and the patient's perspective in the functional gastrointestinal disorders.},
  author={Lin Chang and Brenda B. Toner and Shin Fukudo and Elspeth Guthrie and Giles Richard Locke and Nancy J. Norton and Ami D. Sperber},
  journal={Gastroenterology},
  year={2006},
  volume={130 5},
  pages={
          1435-46
        }
}
Patients with functional gastrointestinal disorders (FGID) often experience emotional distress, a perceived lack of validation, and an unsatisfactory experience with health care providers. A health care provider can provide the patient with a framework in which to understand and legitimize their symptoms, remove self-doubt or blame, and identify factors that contribute to symptoms that the patient can influence or control. This framework can be strengthened with the consideration of various… 
Sex-Gender Differences in Irritable Bowel Syndrome
TLDR
A more sex-gender-oriented approach in the medical care setting could improve understanding of heterogeneous patients suffering from IBS and an individualized and multicomponent approach including sex and gender issues might help improve the treatment of IBS.
Gender Differences in Gastrointestinal, Psychological, and Somatic Symptoms in Irritable Bowel Syndrome
TLDR
The presence of somatic symptoms in postmenopausal women with IBS may challenge clinicians to find suitable therapeutic options, and the correlation between daily symptoms and daily report of overall health was evaluated.
Treatment of irritable bowel syndrome: sex and gender specific aspects.
TLDR
There appears to be a greater clinical response to serotonergic agents developed for IBS in women compared to men, and there is an absence of drugs licensed specifically for the treatment of IBS.
Cross‐cultural and psychological issues in irritable bowel syndrome
TLDR
In this brief review, a collaborative team effort by psychiatrists and gastroenterologists could help in reducing the burden of this difficult to treat functional bowel disorder.
Impact of symptoms by gender and age in Japanese subjects with irritable bowel syndrome with constipation (IBS-C): a large population-based internet survey
TLDR
The expression rate of some IBS-C symptoms was higher among females and those aged 20–49 years than males and those ages 50–79 years, respectively, and there was no gender or age differences with regard to the most common and bothersome symptom (abdominal bloating).
Is Functional Dyspepsia of Particular Concern in Women? A Review of Gender Differences in Epidemiology, Pathophysiologic Mechanisms, Clinical Presentation, and Management
TLDR
Specific gender differences related to the symptom presentation, pathophysiology, and approach to treatment of functional dyspepsia are highlighted, while noting where differences have not been found and where further investigation is warranted.
Gender-related traits, quality of life, and psychological adjustment among women with irritable bowel syndrome
TLDR
Findings may help elucidate psychosocial factors contributing to quality of life among women with IBS.
Predictors of Irritable Bowel-Type Symptoms and Healthcare-Seeking Behavior Among Adults With Celiac Disease
TLDR
The data support the biopsychosocial model of IBS: IBS-type symptoms in adult patients with CD can be explained through an interaction of clinical and sociopsychological mechanisms.
...
...

References

SHOWING 1-10 OF 146 REFERENCES
Gender role and irritable bowel syndrome: literature review and hypothesis
TLDR
The concept of gender role, defined as generalizations about appropriate male and female traits that are associated with masculinity and femininity, may further the understanding of IBS in both women and men.
Gender-related differences in IBS symptoms
TLDR
Female patients report higher levels of a variety of intestinal and nonintestinal sensory symptoms despite similar levels of IBS severity, abdominal pain, psychological symptoms, and illness impact, making it unlikely that most of the gender differences observed are directly tied to the menstrual cycle.
Medical and lay views of irritable bowel syndrome.
TLDR
Investigation of doctors' and patients' views of irritable bowel syndrome (IBS) in order to assess why problems in the doctor-IBS patient relationship seem to occur and to offer IBS patients empowering explanations for their disorder.
The patient's perspective of irritable bowel syndrome.
TLDR
IBS is perceived as a chronic condition resulting in frustration and social isolation, and physicians are perceived to be providing inadequate medical information or support to patients with IBS.
Perceived stigma, illness intrusiveness and quality of life in men and women with irritable bowel syndrome
TLDR
The results bear on the ways in which gender socialization shapes sex differences in the wider experience of IBS and raise implications for general versus sex-specific treatments.
Irritable bowel syndrome in a community: symptom subgroups, risk factors, and health care utilization.
TLDR
It is concluded that the onset of IBS may not be limited to early adulthood and that subgroups of Ibs based on bowel patterns may not identify clinically distinct entities.
Irritable bowel syndrome defined by factor analysis gender and race comparisons
TLDR
The three core Manning symptoms have equal applicability to both genders and to African-Americans as well as to Caucasians and are useful symptom criteria for the diagnosis of IBS when used in conjunction with medical evaluation.
Irritable bowel-type symptoms in HMO examinees
TLDR
More severe irritable bowel-type symptoms were especially associated with nongastrointestinal symptoms, stress effects, sexual abuse, use of sedatives and oral narcotics, and a past alcohol problem.
...
...