- Title
- Psychological impact and risk factors associated with new onset fecal incontinence
- Creator
- Koloski, N. A.; Jones, M.; Kalantar, J.; Weltman, M.; Zaguirre, J.; Talley, N. J.
- Relation
- Journal of Psychosomatic Research Vol. 73, Issue 6, p. 464-468
- Publisher Link
- http://dx.doi.org/10.1016/j.jpsychores.2012.07.013
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2012
- Description
- Objectives: We aim to evaluate the psychological impact and risk factors associated with new onset FI over 12 years in adults over 18 years for the first time in a population-based study. Methods: Participants (n = 1775) were a random population sample from Penrith, Australia who responded to a survey in 1997 and completed a 12-year follow-up survey (response rate = 60%). FI was defined as having leakage of stool over the past 12 months. The original and follow-up surveys contained valid questions on demographic, gastrointestinal and psychological symptoms. Results: 114 (11.4%) reported new onset FI at the 12 year follow-up. People who reported FI at the 12 year follow-up were significantly more anxious and depressed. In terms of baseline risk factors only bloating (OR = 1.3; 95% CI 1.0–1.6, P = 0.026) was an independent predictor of developing new onset FI. However, current bowel symptoms measured at follow-up including less likelihood of <3 bowel motions a week, increased urgency and mucus were independently associated with having FI at follow-up. Conclusion: FI is associated with anxiety and depression. Baseline GI symptoms do not appear to be as important as current bowel symptoms in determining who develops FI.
- Subject
- fecal incontinence; risk factor; onset; incidence; impact
- Identifier
- http://hdl.handle.net/1959.13/1317802
- Identifier
- uon:23509
- Identifier
- ISSN:0022-3999
- Language
- eng
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