Personality of patients with fecal incontinence
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ORIGINAL ARTICLE
Personality of patients with fecal incontinence Michel Bouchoucha 1,2 Robert Benamouzig 2
&
Ghislain Devroede 3 & David Deutsch 2 & Jean-Jacques Raynaud 2 & Jean-Marc Sabate 2 &
Accepted: 17 September 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Background/Aims Although idiopathic fecal incontinence (FI) patients have some psychological characteristics, the personality of FI patients was not described. The present study aims to describe the clinical and personality characteristics of FI patients. Patients and methods This retrospective observational study included 996 outpatients, 72 with fecal incontinence. They filled out the Rome III diagnostic questionnaire, the personality inventory MMPI-2, the questionnaires for urological and sexual disorders, and Likert scales for bowel disorders perceived symptom severity. The main outcome measures were the presence in FI patients of functional gastrointestinal disorders, the self-reported symptom severity, and the personality profile. Results Patients were mainly females (72%). FI patients were characterized by higher age (P = 0.015), and by a higher prevalence of functional diarrhea (P = 0.001), urological (P = 0.001), and sexual disorders (P = 0.005). These patients also report higher diarrhea severity (P < 0.001) and lower abdominal pain severity (P = 0.009). The personality of FI patients is distinguished by a higher score for psychopathic deviate (P = 0.006), social responsibility (P = 0.003), Mac Andrew revised scale (P = 0.005), and antisocial practice (P = 0.007), and a lower score for type A behavior (P = 0.005). Conclusion FI patients are characterized not only by older age, and a high prevalence of diarrhea but also by a specific personality profile characterized by an unfavorable comparison with others. Keywords Fecal incontinence . MMPI . Personality . Functional anorectal disorders
Introduction Fecal incontinence (FI) is frequently found in the general population [1], but its exact prevalence varies according to the target population [2]. In a recent international survey of adult subjects, 16.1% reported FI, but only 3.3% fulfilled the Rome IV criteria [3]. This disorder is present independently of age Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00384-020-03758-w) contains supplementary material, which is available to authorized users. * Michel Bouchoucha [email protected] 1
Université Paris V René Descartes, 12 rue de l’École de Médecine, 75270 Paris Cedex 06, France
2
Service de Gastroentérologie, CEFRED (Centre d’Exploration Fonctionnelle et de Rééducation Digestive), Hôpital Avicenne, 125, rue de Stalingrad, 93009 Bobigny Cedex, France
3
Département de Chirurgie, Faculté de Médecine, Université de Sherbrooke, CHUS, 3001 12 e Avenue Nord, Sherbrooke, Quebec J1H5N4, Canada
and gender, but its prevalence increases with age, minimal in children (1.5 %), and maximal in nursing home residents (50%). In the adult community, the prevalence of FI
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