Screening for psychosocial factors in patients with irritable bowel syndrome

Psychosocial factors play a prominent role in both the onset and expression of irritable bowel syndrome (IBS) symptoms -particularly among those individuals who consult gastroenterologists. Although many patients with IBS respond to conventional medical or dietary treatment, outcomes are less positive for patients with severe gastrointestinal (GI) symptoms and/or significant psychosocial problems. Routine screening of IBS patients attending a GI outpatient clinic can be helpful for identifying those individuals who are less likely to respond to conventional therapy. Practical recommendations for screening procedures and referrals to mental health professionals are discussed.