Influence of trauma on clinical outcomes, quality of life and healthcare resource utilization following psychogastroenterology intervention

• Published in: Journal of psychosomatic research 2021-07, Vol.146, p.110481, Article 110481
• Main Authors: Jagielski, Christina H., Chey, William D., Riehl, Megan E.
• Format: Article
• Language: English
• Subjects: Abuse; Behavior modification; Chart reviews; Clinical outcomes; Cognitive behavioral therapy; DGBI; Disorders of gut-brain interaction; Distress; Emotional abuse; GI behavioral health; Health behavior; Health education; Health services utilization; Healthcare utilization; History; Hypnosis; Ibs; Irritable bowel syndrome; Mental health services; Patients; Psychological distress; Psychological trauma; Quality of life; Resource utilization; Trauma; Treatment outcomes
• ISSN: 0022-3999; 1879-1360; 1879-1360
• DOI: 10.1016/j.jpsychores.2021.110481

Patients with disorders of gut-brain interaction (DGBI) are more likely to report a history of psychological trauma, including abuse, compared with controls. The purpose of this study was to evaluate the prevalence of trauma amongst patients in a GI behavioral health program and assess the impact of trauma on GI-specific quality of life, psychological distress, and healthcare utilization. We conducted a retrospective analysis for 205 patients who completed treatment in the GI behavioral health program. Measures included the IBS-QOL and the Brief Symptom Inventory-18 (BSI-18), as well as a retrospective chart review to examine healthcare utilization (HCU). Patients with a trauma history had significantly greater psychological distress on the BSI-18 compared with controls (63.32 vs 57.40, p