A Questionnaire for Functional Bowel Disorders
Authors: Douglas A. Drossman
Journal: Annals of Internal Medicine (1989)

Editorials15 October 1989A Questionnaire for Functional Bowel DisordersDouglas A. Drossman, MDDouglas A. Drossman, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-111-8-627 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe functional bowel disorders are a heterogeneous collection of clinical syndromes (for example, the irritable bowel syndrome, non-ulcer dyspepsia, "irritable" esophagus, chronic abdominal pain) associated with the gastrointestinal tract that have "no known structural (e. g., pathologic or radiologic) abnormalities, or infectious or metabolic causes" (1). As a group these disorders are extremely common and constitute a large health-care burden. In a survey by the National Center for Health Statistics (1979 to 1981), functional gastrointestinal symptoms were reported by almost 3 908 000 persons, two thirds of whom had seen physicians (2). In 1984, patients with these symptoms accounted for...References1. MitchellDrossman CD. Survey of the AGA membership relating to patients with functional gastrointestinal disorders [Letter]. Gastroenterology. 1987;92:1282-4. CrossrefMedlineGoogle Scholar2. Collins J. Prevalence of Selected Chronic Conditions, United States, 1979-1981 Period. Hyattsville, Maryland: U. S. Department of Health and Human Services, Public Health Service, National Center for Health Statistics; 1986. Vital and Health Statistics. Series 10, No. 155. DHHS Publication No. (PHS) 86-1583. Google Scholar3. Lawrence L. Detailed Diagnoses and Procedures for Patients Discharged from Short-Stay Hospitals, United States, 1984. Hyattsville, Maryland: U. S. Department of Health and Human Services, Public Health Service, National Center for Health Statistics; 1986. Vital and Health Statistics Series 13, No. 86. DHHS Publication No. (PHS) 86-1747. Google Scholar4. Drossman D. The physician and the patient: review of the psychosocial gastrointestinal literature with an integrated approach to the patient. In: Sleisenger MH, Fordtran JS, eds. Gastrointestinal Disease: Pathophysiology, Diagnosis, Management. Philadelphia: W. B. Saunders Co.; 1989:3-20. Google Scholar5. ThompsonHeaton WK. Functional bowel disorders in apparently healthy people. Gastroenterology. 1980;79:283-8. CrossrefMedlineGoogle Scholar6. DrossmanSandlerMcKeeLovitz DRDA. Bowel patterns among subjects not seeking health care. Use of a questionnaire to identify a population with bowel dysfunction. Gastroenterology. 1982;83:529-34. CrossrefMedlineGoogle Scholar7. SandlerDrossmanNathanMcKee RDHD. Symptom complaints and health care seeking behavior in subjects with bowel dysfunction. Gastroenterology. 1984;87:314-8. CrossrefMedlineGoogle Scholar8. ManningThompsonHeatonMorris AWKA. Towards positive diagnosis of the irritable bowel. Br Med J 1978;2:653-4. CrossrefMedlineGoogle Scholar9. KruisThiemeWeinzierlSchusslerHollPaulus WCMPJW. A diagnostic score for the irritable bowel syndrome. Its value in the exclusion of organic disease. Gastroenterology. 1984;87:1-7. CrossrefMedlineGoogle Scholar10. SvedlundSjodinDotevall JIG. GSRS—A clinical rating scale for gastrointestinal symptoms in patients with irritable bowel syndrome and peptic ulcer disease. Dig Dis Sci. 1988;33:129-34. CrossrefMedlineGoogle Scholar11. MilhollandWheelerHeieck ASJ. Medical assessment by a Delphi group opinion technic. New Engl J Med. 1973;298:1272-5. CrossrefGoogle Scholar12. ThompsonDrossmanDotevallHeatonKruis WDGKW. Irritable bowel syndrome: guidelines for the diagnosis. Gastroenterology International. 1989;2:92-5. Google Scholar13. TalleyPhillipsMeltonWiltgenZinsmeister NSLCR. A patient questionnaire to identify bowel disease. Ann Intern Med. 1989;111:671-674. LinkGoogle Scholar14. TalleyPhillips NS. Non-ulcer dyspepsia: potential causes and pathophysiology. Ann Intern Med. 1988;108:865-79. LinkGoogle Scholar15. SvendsenMunckAndersen JLJ. Irritable bowel syndrome-prognosis and diagnostic safety. A 5-year follow up study. Scand J Gastroenterol. 1985;20:415-8. CrossrefMedlineGoogle Scholar16. HarveyMauadBrown REA. Prognosis in the irritable bowel syndrome: a five-year prospective study. Lancet. 1987;1:963-5. CrossrefMedlineGoogle Scholar17. DrossmanMcKeeSandler DDR. Psychosocial factors in the irritable bowel syndrome. A multivariate study of patients and nonpatients with irritable bowel syndrome. Gastroenterology. 1988;95:701-8. CrossrefMedlineGoogle Scholar18. WhiteheadBosmajianZondermanCostaSchuster WLAPM. Symptoms of psychologic distress associated with irritable bowel syndrome. Comparison of community and medical clinic samples. Gastroenterology. 1988;95:709-14. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: Douglas A. Drossman, MDAffiliations: University of North Carolina Chapel Hill, North Carolina PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byNatural History of Irritable Bowel Syndrome in Women and Dysmenorrhea: A 10-Year Follow-Up StudyStability of the irritable bowel syndrome and subgroups as measured by three diagnostic criteria - a 10-year follow-up studyQuality of life measures in irritable bowel syndromeDysautonomia rating scales in Parkinson's disease: Sialorrhea, dysphagia, and constipation-Critique and recommendations by movement disorders task force on rating scales for Parkinson's diseaseReview article: self-report measures to evaluate constipationThe Incidence of Irritable Bowel Syndrome Among Community Subjects With Previous Acute Enteric InfectionValidation and results of a questionnaire for functional bowel disease in out-patientsReliability and validity of the digestive health status instrument in samples of community, primary care, and gastroenterology patientsFunctional somatic syndromes: one or many?Prevalence of Dyspepsia, Heartburn, and Peptic Ulcer Disease in VeteransAGA technical review on anorectal testing techniquesDevelopment of a digestive health status instrument: tests of scaling assumptions, structure and reliability in a primary care populationEvaluation of a new quality of life questionnaire for patients with irritable bowel syndromeDoes Lactose Maldigestion Really Play a Role in the Irritable Bowel?Gastrointestinal tract symptoms and self-reported abuse: A population-based studySmoking, alcohol, and analgesics in dyspepsia and among dyspepsia subgroups: lack of an association in a community.Functional constipation and outlet delay: A population-based studyColonic motility: practice or research?Colonic and Cardiovascular Actions of the Atypical β-Adrenergic Agonist SR 58611A in RatsEpidemiology of colonic symptoms and the irritable bowel syndromeWhich Clinical Variables Predict an Abnormal Double-Contrast Barium Enema Result?Thomas M. Zarchy, MD, Daniel Ershoff, DrPHAssessment of Functional Gastrointestinal Disease: The Bowel Disease Questionnaire 15 October 1989Volume 111, Issue 8Page: 627-629KeywordsAbdominal painEsophagusGastrointestinal tractHealth statisticsHealth surveysIrritable bowel syndromeQuestionnaires ePublished: 1 December 2008 Issue Published: 15 October 1989 PDF downloadLoading ...