Deciphering the psychological tapestry of FGIDs: unveiling the impact of negative affect, rumination, and expression suppression

Abstract Background Functional Gastrointestinal Disorders (FGIDs) constitute a group of psychosomatic diseases characterized primarily by disruptions in the functioning of the digestive system, profoundly impacting the lives of affected individuals. Objective This study aims to investigate the influ...

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Main Authors: Xin-Xin Ma, Zheng-Hua Xiao, Wei Chen, Shou-Ying Zhao
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-024-21205-1
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author Xin-Xin Ma
Zheng-Hua Xiao
Wei Chen
Shou-Ying Zhao
author_facet Xin-Xin Ma
Zheng-Hua Xiao
Wei Chen
Shou-Ying Zhao
author_sort Xin-Xin Ma
collection DOAJ
description Abstract Background Functional Gastrointestinal Disorders (FGIDs) constitute a group of psychosomatic diseases characterized primarily by disruptions in the functioning of the digestive system, profoundly impacting the lives of affected individuals. Objective This study aims to investigate the influence of negative affect (NA) on the gastrointestinal symptoms of FGID patients, as well as the mediating role of rumination and the regulatory effects of expression suppression (ES) as an emotional regulation strategy. Methods A survey was conducted on 1000 patients (403M, 597F) with gastrointestinal disorders at a tertiary hospital using the negative affect subscale from the DS-14 (Type D Personality Scale), the Gastrointestinal Symptom Rating Scale (GSRS), the Rumination Response Scale (RRS), and the expression suppression subscale from the Gross-John Emotion Regulation Strategy. Results Negative affect positively predicts FGIDs, with rumination mediating the relationship between NA and FGIDs. The emotional regulation strategy of expression suppression moderates the positive relationship between NA and rumination and the mediating effect of rumination. Conclusion NA exacerbates symptoms of FGIDs in individuals, and rumination further amplifies this effect, with the mediating influence evident across both high and low ES emotion regulation strategy groups.
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institution Kabale University
issn 1471-2458
language English
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spelling doaj-art-8c2eb349dca0430083600d51e11141d02025-01-12T12:42:33ZengBMCBMC Public Health1471-24582025-01-0125111010.1186/s12889-024-21205-1Deciphering the psychological tapestry of FGIDs: unveiling the impact of negative affect, rumination, and expression suppressionXin-Xin Ma0Zheng-Hua Xiao1Wei Chen2Shou-Ying Zhao3School of Psychology, Guizhou Normal UniversityThe Second Affiliated Hospital of Guizhou University of Traditional Chinese MedicineSchool of Psychology, Guizhou Normal UniversitySchool of Psychology, Guizhou Normal UniversityAbstract Background Functional Gastrointestinal Disorders (FGIDs) constitute a group of psychosomatic diseases characterized primarily by disruptions in the functioning of the digestive system, profoundly impacting the lives of affected individuals. Objective This study aims to investigate the influence of negative affect (NA) on the gastrointestinal symptoms of FGID patients, as well as the mediating role of rumination and the regulatory effects of expression suppression (ES) as an emotional regulation strategy. Methods A survey was conducted on 1000 patients (403M, 597F) with gastrointestinal disorders at a tertiary hospital using the negative affect subscale from the DS-14 (Type D Personality Scale), the Gastrointestinal Symptom Rating Scale (GSRS), the Rumination Response Scale (RRS), and the expression suppression subscale from the Gross-John Emotion Regulation Strategy. Results Negative affect positively predicts FGIDs, with rumination mediating the relationship between NA and FGIDs. The emotional regulation strategy of expression suppression moderates the positive relationship between NA and rumination and the mediating effect of rumination. Conclusion NA exacerbates symptoms of FGIDs in individuals, and rumination further amplifies this effect, with the mediating influence evident across both high and low ES emotion regulation strategy groups.https://doi.org/10.1186/s12889-024-21205-1Functional Gastrointestinal DisordersNegative AffectRuminationExpression SuppressionType D Personality
spellingShingle Xin-Xin Ma
Zheng-Hua Xiao
Wei Chen
Shou-Ying Zhao
Deciphering the psychological tapestry of FGIDs: unveiling the impact of negative affect, rumination, and expression suppression
BMC Public Health
Functional Gastrointestinal Disorders
Negative Affect
Rumination
Expression Suppression
Type D Personality
title Deciphering the psychological tapestry of FGIDs: unveiling the impact of negative affect, rumination, and expression suppression
title_full Deciphering the psychological tapestry of FGIDs: unveiling the impact of negative affect, rumination, and expression suppression
title_fullStr Deciphering the psychological tapestry of FGIDs: unveiling the impact of negative affect, rumination, and expression suppression
title_full_unstemmed Deciphering the psychological tapestry of FGIDs: unveiling the impact of negative affect, rumination, and expression suppression
title_short Deciphering the psychological tapestry of FGIDs: unveiling the impact of negative affect, rumination, and expression suppression
title_sort deciphering the psychological tapestry of fgids unveiling the impact of negative affect rumination and expression suppression
topic Functional Gastrointestinal Disorders
Negative Affect
Rumination
Expression Suppression
Type D Personality
url https://doi.org/10.1186/s12889-024-21205-1
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