Evidence map›Paper›PMID 41442222›Full record

ArticleUnited European gastroenterology journal2026

Increased Disease Burden in Irritable Bowel Syndrome With Comorbid Conditions and Psychiatric Diagnoses in a Multinational European Cohort: Results From the DISCOvERIE Project.

Irina Midenfjord, Mahrukh Khadija, Elias Sundelin, Inês A Trindade, Hans Törnblom, Javier Santos, Beatriz Lobo, Danique Mulder, Alejandro Arias Vasquez, Georgy Ruesing and 16 more

Abstract readMulticenter Study
In one paragraph

Article in United European gastroenterology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

26 authors.

Irina MidenfjordUniversity of Gothenburg, Gothenburg, Sweden.ORCID https://orcid.org/0000-0003-3168-1075
Mahrukh KhadijaUniversity of Gothenburg, Gothenburg, Sweden.
Elias SundelinUniversity of Gothenburg, Gothenburg, Sweden.ORCID https://orcid.org/0000-0001-6485-082X
Inês A TrindadeUniversity of Gothenburg, Gothenburg, Sweden.
Hans TörnblomUniversity of Gothenburg, Gothenburg, Sweden.ORCID https://orcid.org/0000-0003-2117-9874
Javier SantosLaboratory of Neuro-Immuno-Gastroenterology, Digestive System Research Unit, Vall d'Hebron Institut de Recerca (VHIR) and Department of Gastroenterology, Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus & CIBERehd, Instituto de Salud Carlos III, Madrid, Spain.
Beatriz LoboLaboratory of Neuro-Immuno-Gastroenterology, Digestive System Research Unit, Vall d'Hebron Institut de Recerca (VHIR) and Department of Gastroenterology, Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus & CIBERehd, Instituto de Salud Carlos III, Madrid, Spain.
Danique MulderDepartment of Psychiatry, Radboud University Medical Center, Donders Institute for Brain, Nijmegen, the Netherlands.ORCID https://orcid.org/0000-0002-3927-4784
Alejandro Arias VasquezDepartment of Psychiatry, Radboud University Medical Center, Donders Institute for Brain, Nijmegen, the Netherlands.
Georgy RuesingDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital, Goethe University, Frankfurt, Germany.
Andreas ReifDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital, Goethe University, Frankfurt, Germany.ORCID https://orcid.org/0000-0002-0992-634X
Mareike AichholzerDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital, Goethe University, Frankfurt, Germany.ORCID https://orcid.org/0000-0002-1291-3304
Maaike Van Den HouteDepartment of Chronic Diseases and Metabolism, Laboratory for Brain-Gut Axis Studies (LABGAS), Translational Research Center for Gastrointestinal Disorders (TARGID), KU Leuven, Leuven, Belgium.
Lukas Van OudenhoveDepartment of Chronic Diseases and Metabolism, Laboratory for Brain-Gut Axis Studies (LABGAS), Translational Research Center for Gastrointestinal Disorders (TARGID), KU Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0002-6540-3113
Maria Chiara MatteucciDepartment of Medical and Surgical Sciences, University of Bologna and IRCCS Azienda Ospedaliero Universitaria di Bologna, Bologna, Italy.
Giovanni BarbaraDepartment of Medical and Surgical Sciences, University of Bologna and IRCCS Azienda Ospedaliero Universitaria di Bologna, Bologna, Italy.ORCID https://orcid.org/0000-0001-9745-0726
Michelle BosmanDepartment of Gastroenterology-Hepatology, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Center, Maastricht, the Netherlands.ORCID https://orcid.org/0000-0002-2040-2520
Daisy JonkersDepartment of Gastroenterology-Hepatology, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Center, Maastricht, the Netherlands.
Josep Antoni Ramos-QuirogaGroup of Psychiatry, Mental Health and Addictions, Vall d'Hebron Research Institut (VHIR), CIBERSAM, Vall d'Hebron Hospital Universitari, Universitat Autònoma de Barcelona, Barcelona, Spain.ORCID https://orcid.org/0000-0003-1622-0350
Eva JekkelDepartment of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary.
István BitterDepartment of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary.ORCID https://orcid.org/0000-0002-9464-4709
Andrei-Vasile PopSecond Medical Department, 'Iuliu Hatieganu' University of Medicine and Pharmacy, Cluj-Napoca, Romania.ORCID https://orcid.org/0009-0003-8579-0821
Dan Lucian DumitrascuSecond Medical Department, 'Iuliu Hatieganu' University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Carmen Alonso-CotonerLaboratory of Neuro-Immuno-Gastroenterology, Digestive System Research Unit, Vall d'Hebron Institut de Recerca (VHIR) and Department of Gastroenterology, Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus & CIBERehd, Instituto de Salud Carlos III, Madrid, Spain.
Amanda Rodríguez-UrrutiaGroup of Psychiatry, Mental Health and Addictions, Vall d'Hebron Research Institut (VHIR), CIBERSAM, Vall d'Hebron Hospital Universitari, Universitat Autònoma de Barcelona, Barcelona, Spain.
Magnus SimrénUniversity of Gothenburg, Gothenburg, Sweden.

Funding

Horizon 2020 Framework Program 848228
6 · The paper itself

Abstract

backgroundPatients with Irritable bowel syndrome (IBS) frequently suffer from comorbid psychiatric or somatic conditions, but the association with overall GI symptom severity and disease burden in IBS has not yet been established.

objectiveThis pan-European project, the DISCOvERIE project, aimed to characterize IBS patients with and without comorbid psychiatric (anxiety, depression) and/or somatic (fibromyalgia, chronic fatigue syndrome) conditions, and to compare them with disease (psychiatric and/or somatic condition without IBS) and healthy controls to further elucidate the effect of comorbid conditions on the disease burden in IBS.

methodsParticipants from nine different European centers were included: IBS patients (Rome IV criteria) with and without comorbid conditions, disease controls, and healthy controls. The presence of comorbidities was assessed through the Mini International Neuropsychiatric Interview (MINI) for anxiety or depression or through diagnostic criteria for fibromyalgia or chronic fatigue syndrome. Validated questionnaires on IBS (IBS-SSS), depressive (PHQ-9), anxiety (GAD-7) and somatic symptom severity (PHQ-12), fibromyalgia symptoms (FIQ) and fatigue (MFI) were completed.

resultsIn total, 842 participants were recruited between March 2021 and January 2023, of which 607 had IBS, 161 were disease controls and 74 were healthy controls. IBS, anxiety, depression, somatic symptoms and fatigue were more severe in IBS patients with comorbidities compared with IBS patients without comorbidities. The severity of the abovementioned symptoms all increased gradually with increasing number of comorbidities (all p < 0.001).

conclusionThis large pan-European study highlights the significant impact of psychiatric and somatic comorbidities in IBS, and their strong link with outcomes and disease burden.

Indexed as

AnxietyCost of IllnessDepressionFibromyalgiaIrritable Bowel SyndromeAdultCase-Control StudiesComorbidityEuropeFatigue Syndrome, ChronicFemaleHumansMaleMental DisordersMiddle AgedSeverity of Illness Indexanxietychronic fatigue syndromedepressionfibromyalgiagastrointestinal symptomsIBSIrritable bowel syndromepsychiatric diagnosessymptom burdensymptom severity

Identifiers

PMID41442222
PMCPMC12781183

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.