Skip to main content

Advertisement

Log in

Gender-related traits, quality of life, and psychological adjustment among women with irritable bowel syndrome

  • Published:
Quality of Life Research Aims and scope Submit manuscript

Abstract

Objective

Irritable bowel syndrome (IBS) is a functional illness associated with significant impairment in quality of life. Compared to men, women are more likely to meet criteria for IBS, to seek treatment, and experience greater detriments in quality of life. In addition to physiological factors, psychosocial factors may contribute to such gender differences. We examined whether traits associated with masculine (agentic) and feminine (communal) gender roles were linked with adjustment to IBS.

Methods

Women with IBS (N = 144) completed online self-report measures of gender-related traits (agency, communion, unmitigated agency, unmitigated communion, lack of agency, lack of communion), IBS-specific quality of life (IBS-QOL), and psychological adjustment (negative and positive affect).

Results

Agency was positively associated with all dimensions of IBS-QOL and psychological adjustment. Select dimensions of IBS-QOL were lower among women higher in unmitigated agency (social reactions, body image) or unmitigated communion (interference with activity), and both traits were associated with increased negative affect. Lack of agency was associated with increased IBS-QOL (food avoidance) and decreased positive affect. Communion and lack of communion were not associated with either IBS-QOL or psychological adjustment.

Conclusions

Findings may help elucidate psychosocial factors contributing to quality of life among women with IBS.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Abbreviations

AG:

Agency

CM:

Communion

UA:

Unmitigated agency

UC:

Unmitigated communion

LA:

Lack of agency

LC:

Lack of communion

IBS:

Irritable bowel syndrome

IBS-QOL:

IBS-specific quality of life

HRQOL:

Health-related quality of life

PA:

Positive affect

NA:

Negative affect

References

  1. Longstreth, G. F., Thompson, W. G., Chey, W. D., Houghton, L. A., Mearin, F., & Spiller, R. C. (2006). Functional bowel disorders. Gastroenterology, 130, 1480–1491.

    Article  PubMed  Google Scholar 

  2. Saito, Y. A., Schoenfeld, P., & Locke, G. R. (2002). The epidemiology of irritable bowel syndrome in North America: A systematic review. The American Journal of Gastroenterology, 97, 1910–1915.

    PubMed  Google Scholar 

  3. Chang, L., Toner, B. B., Fukudo, S., Guthrie, E., Locke, G. R., Norton, N. J., et al. (2006). Gender, age, society, culture, and the patient’s perspective in the functional gastrointestinal disorders. Gastroenterology, 130, 1435–1446.

    Article  PubMed  Google Scholar 

  4. Hollowell, J., Lundgren, A., & Johansson, S. (2002). Irritable bowel syndrome: Patterns of ambulatory health care and resource use in the United States, 1993–1997. Digestive Diseases and Sciences, 47, 1115–1121.

    Article  PubMed  Google Scholar 

  5. Bertram, S., Kurland, M., Lydick, E., Locke, G. R., III, & Yawn, B. P. (2001). The patient’s perspective of irritable bowel syndrome. Journal of Family Practice, 50, 521–525.

    PubMed  CAS  Google Scholar 

  6. Hahn, B. A., Yan, S., & Strassels, S. (1999). Impact of irritable bowel syndrome on quality of life and resource use in the United States and United Kingdom. Digestion, 60, 77–81.

    Article  PubMed  CAS  Google Scholar 

  7. Gralnek, I. M., Hays, R. D., Kilbourne, A., Naliboff, B., & Mayer, E. A. (2000). The impact of irritable bowel syndrome on health-related quality of life. Gastroenterology, 119, 654–660.

    Article  PubMed  CAS  Google Scholar 

  8. Chang, L., & Heitkemper, M. M. (2002). Gender differences in irritable bowel syndrome. Gastroenterology, 123, 1686–1701.

    Article  PubMed  Google Scholar 

  9. Toner, B. B., Segal, Z. V., Emmott, S. D., & Myran, D. (2000). Cognitive-behavioral treatment of irritable bowel syndrome: The brain-gut connection. New York: Guilford Press.

    Google Scholar 

  10. Toner, B. B., & Akman, D. (2000). Gender role and irritable bowel syndrome: Literature review and hypothesis. American Journal of Gastroenterology, 95, 11–16.

    Article  PubMed  CAS  Google Scholar 

  11. Helgeson, V. S. (1994). Relation of agency and communion to well-being: Evidence and potential explanations. Psychological Bulletin, 116, 412–428.

    Article  Google Scholar 

  12. Helgeson, V. S., & Fritz, H. L. (1999). Unmitigated agency and unmitigated communion: Distinctions from agency and communion. Journal of Research in Personality, 33, 131–158.

    Article  Google Scholar 

  13. Saragovi, C., Koestner, R., Di Dio, L., & Aube, J. (1997). Agency, communion, and well-being: Extending Helgeson’s (1994) model. Journal of Personality and Social Psychology, 73, 593–609.

    Article  Google Scholar 

  14. Whitley, B. E. (1983). Sex role orientation and self-esteem: A critical meta-analytic review. Journal of Personality and Social Psychology, 44, 765–778.

    Article  PubMed  Google Scholar 

  15. Helgeson, V. S., & Lepore, S. J. (2004). Quality of life following prostate cancer: The role of agency and unmitigated agency. Journal of Applied Social Psychology, 34, 2559–2585.

    Article  Google Scholar 

  16. Trudeau, K. J., Danoff-Burg, S., Revenson, T. A., & Paget, S. A. (2003). Agency and communion in people with rheumatoid arthritis. Sex Roles, 49, 303–311.

    Article  Google Scholar 

  17. Ghaed, S. G., & Gallo, L. C. (2006). Distinctions among agency, communion, and unmitigated agency and communion according to the interpersonal circumplex, five-factor model, and social-emotional correlates. Journal of Personality Assessment, 86, 77–88.

    Article  PubMed  Google Scholar 

  18. Korabik, K., & McCreary, D. R. (2000). Testing a model of socially desirable and undesirable gender-role attributes. Sex Roles, 43, 665–685.

    Article  Google Scholar 

  19. McCreary, D. R., & Korabik, K. (1994). Examining the relationships between the socially desirable and undesirable aspects of agency and communion. Sex Roles, 31, 637–651.

    Article  Google Scholar 

  20. Helgeson, V. S., & Fritz, H. L. (2000). The implications of unmitigated agency and unmitigated communion for domains of problem behavior. Journal of Personality, 68, 1031–1057.

    Article  PubMed  CAS  Google Scholar 

  21. Fritz, H. L., & Helgeson, V. S. (1998). Distinctions of unmitigated communion from communion: Self-neglect and over involvement with others. Journal of Personality and Social Psychology, 75, 121–140.

    Article  PubMed  CAS  Google Scholar 

  22. Helgeson, V. S. (1993). Implications of agency and communion for patient and spouse adjustment to a first coronary event. Journal of Personality and Social Psychology, 64, 807–816.

    Article  PubMed  CAS  Google Scholar 

  23. Danoff-Burg, S., Mosher, C. E., & Grant, C. A. (2006). Relations of agentic and communal personality traits to health behavior and substance use among college students. Personality and Individual Differences, 40, 353–363.

    Article  Google Scholar 

  24. Helgeson, V. S. (1990). The role of masculinity in a prognostic predictor of heart attack severity. Sex Roles, 22, 755–774.

    Article  Google Scholar 

  25. Helgeson, V. S. (2003). Unmitigated communion and adjustment to breast cancer: Associations and explanations. Journal of Applied Social Psychology, 33, 1643–1661.

    Article  Google Scholar 

  26. Helgeson, V. S., & Fritz, H. L. (1998). A theory of unmitigated communion. Personality and Social Psychology Review, 2, 173–183.

    Article  PubMed  CAS  Google Scholar 

  27. Wiggins, J. S. (1995). Interpersonal adjectives scales: Professional manual. Lutz, FL: Psychological Assessment Resources, Inc.

    Google Scholar 

  28. Ali, A., Richardson, D. C., & Toner, B. B. (1998). Feminine gender role and illness behavior in irritable bowel syndrome. Journal of Gender, Culture, and Health, 3, 59–65.

    Article  Google Scholar 

  29. Hirokawa, K., & Dohi, I. (2007). Agency and communion related to mental health in Japanese young adults. Sex Roles, 56, 517–524.

    Article  Google Scholar 

  30. Spence, J. T., Helmreich, R. L., & Holahan, C. K. (1979). Negative and positive components of psychological masculinity and femininity and their relationships to self-reports of neurotic and acting out behaviors. Journal of Personality and Social Psychology, 37, 1673–1682.

    Article  PubMed  CAS  Google Scholar 

  31. Helgeson, V. S., Escobar, O., Siminerio, L., & Becker, D. (2007). Unmitigated communion and health among adolescents with and without diabetes: The mediating role of eating disturbances. Personality and Social Psychology Bulletin, 33, 519–536.

    Article  PubMed  Google Scholar 

  32. Wiggins, J. S., Trapnell, P., & Phillips, N. (1988). Psychometric and geometric characteristics of the revised interpersonal adjective scales (IAS-R). Multivariate Behavioral Research, 23, 517–530.

    Article  Google Scholar 

  33. Wiggins, J. S. (1991). Agency and communion as conceptual coordinates for the understanding and measurement of interpersonal behavior. Thinking Clearly About Psychology, 2, 89–113.

    Google Scholar 

  34. Patrick, D. L., Drossman, D. A., Frederick, I. O., Dicesare, J., & Puder, K. L. (1998). Quality of life in persons with irritable bowel syndrome: Development and validation of a new measure. Digestive Diseases and Sciences, 43, 400–411.

    Article  PubMed  CAS  Google Scholar 

  35. Patrick, D. L., Drossman, D. A., & Frederick, I. O. (1997). A quality-of-life measure for persons with irritable bowel syndrome (IBS-QOL). User’s manual and scoring diskette for United States version. Seattle, Washington: University of Washington.

    Google Scholar 

  36. Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 1063–1070.

    Article  PubMed  CAS  Google Scholar 

  37. Drossman, D. A., Corrazziari, E., Delvaux, M., Spiller, R., Talley, N. J., Thompson, W. G., et al. (2006). Rome III: The functional gastrointestinal disorders. McLean, VA: Degnon Associates.

    Google Scholar 

  38. Downey, R. G., & King, C. (1998). Missing data in likert ratings: A comparison of replacement methods. Journal of General Psychology, 125, 175–191.

    Article  PubMed  CAS  Google Scholar 

  39. Danoff-Burg, S., Revenson, T. A., Trudeau, K. J., & Paget, S. A. (2004). Unmitigated communion, social constraints, and psychological distress among women with rheumatoid arthritis. Journal of Personality, 72, 29–46.

    Article  PubMed  Google Scholar 

  40. Fritz, H. L. (2000). Gender-linked personality traits predict mental health and functional status following a first coronary event. Health Psychology, 19, 420–428.

    Article  PubMed  CAS  Google Scholar 

  41. Lengua, L. J., & Stormshak, E. A. (2000). Gender, gender roles, and personality: Gender differences in the prediction of coping and psychological symptoms. Sex Roles, 43, 787–820.

    Article  Google Scholar 

  42. Pressman, S. D., & Cohen, S. (2005). Does positive affect influence health? Psychological Bulletin, 131, 925–971.

    Article  PubMed  Google Scholar 

  43. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). UK: Lawrence Erlbaum Associates.

    Google Scholar 

  44. Kressin, N. R., Spiro, A., III, & Skinner, K. M. (2000). Negative affectivity and health-related quality of life. Medical Care, 38, 858–867.

    Article  PubMed  CAS  Google Scholar 

  45. Parsons, E. M., & Betz, N. E. (2001). The relationship of participation in sports and physical activity to body objectification, instrumentality, and locus of control among young women. Psychology of Women Quarterly, 25, 209–222.

    Article  Google Scholar 

  46. Stanton, A. L., Revenson, T. A., & Tennen, H. (2007). Health psychology: Psychological adjustment to chronic disease. Annual Review of Psychology, 58, 565–592.

    Article  PubMed  Google Scholar 

  47. Taylor, S. E. (1983). Adjustment to threatening events: A theory of cognitive adaptation. American Psychologist, 38, 1161–1173.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sabrina C. Voci.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Voci, S.C., Cramer, K.M. Gender-related traits, quality of life, and psychological adjustment among women with irritable bowel syndrome. Qual Life Res 18, 1169–1176 (2009). https://doi.org/10.1007/s11136-009-9532-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11136-009-9532-9

Keywords

Navigation