Original Articles
Copyright ©2009 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Jul 7, 2009; 15(25): 3106-3113
Published online Jul 7, 2009. doi: 10.3748/wjg.15.3106
Constructive thinking, rational intelligence and irritable bowel syndrome
Enrique Rey, Marta Moreno Ortega, Monica Olga Garcia Alonso, Manuel Diaz-Rubio
Enrique Rey, Marta Moreno Ortega, Monica Olga Garcia Alonso, Manuel Diaz-Rubio, Department of Digestive Diseases, Hospital Clinico San Carlos (IMSALUD), and Faculty of Medicine, Complutense University, Madrid 28040, Spain
Author contributions: Rey E, Moreno Ortega M and Diaz-Rubio M had full access to all the data and take responsibility for the integrity of the data and accuracy of the analysis; Rey E designed the study; All authors participated in drafting the manuscript; Rey E critically revised the manuscript for important intellectual content.
Correspondence to: Enrique Rey, Department of Digestive Diseases, Hospital Clinico San Carlos (IMSALUD), and Faculty of Medicine, Complutense University, Madrid 28040, Spain. rey.enrique.spain@gmail.com
Telephone: +34-91-3303053
Fax: +34-91-3303505
Received: February 22, 2009
Revised: May 22, 2009
Accepted: May 29, 2009
Published online: July 7, 2009
Abstract

AIM: To evaluate rational and experiential intelligence in irritable bowel syndrome (IBS) sufferers.

METHODS: We recruited 100 subjects with IBS as per Rome II criteria (50 consulters and 50 non-consulters) and 100 healthy controls, matched by age, sex and educational level. Cases and controls completed a clinical questionnaire (including symptom characteristics and medical consultation) and the following tests: rational-intelligence (Wechsler Adult Intelligence Scale, 3rd edition); experiential-intelligence (Constructive Thinking Inventory); personality (NEO personality inventory); psychopathology (MMPI-2), anxiety (state-trait anxiety inventory) and life events (social readjustment rating scale). Analysis of variance was used to compare the test results of IBS-sufferers and controls, and a logistic regression model was then constructed and adjusted for age, sex and educational level to evaluate any possible association with IBS.

RESULTS: No differences were found between IBS cases and controls in terms of IQ (102.0 ± 10.8 vs 102.8 ± 12.6), but IBS sufferers scored significantly lower in global constructive thinking (43.7 ± 9.4 vs 49.6 ± 9.7). In the logistic regression model, global constructive thinking score was independently linked to suffering from IBS [OR 0.92 (0.87-0.97)], without significant OR for total IQ.

CONCLUSION: IBS subjects do not show lower rational intelligence than controls, but lower experiential intelligence is nevertheless associated with IBS.

Keywords: Constructive thinking; Intelligence tests; Intelligence; Irritable bowel syndrome