2013 Press Releases

Stressed out memories

10 Sep 2013
L-R: John Cryan, Ger Clarke, Aoife Nolan, Paul Kennedy, Fergus Shanahan & Ted Dinan

Memory impairment in irritable bowel syndrome is a neglected but key component of this common gastrointestinal disorder. That’s the take home message from a new study by the Alimentary Pharmabiotic Centre (APC).

UCC scientists in the APC have shown that people with irritable bowel syndrome (IBS) have more stress-related memory problems. Their findings are published in the current issue of Psychological Medicine, a leading international psychiatry and psychology journal.

IBS is normally associated with symptoms in the gut such as pain, bloating and problematic bowel habits. However, research over recent years has shown that changes in how the gut and brain interact, along what is known as the brain-gut axis, may be an underlying cause of this complex condition. While many studies have focused on gut problems, very little is understood about how fundamental brain processes such as cognition are affected in IBS.

This research shows that when patients with IBS are asked to perform a test measuring visuospatial memory (the type of memory that cab drivers use to navigate around busy city streets), they display poorer performance than people without IBS. The Cork scientists also found that levels of the stress hormone cortisol were related to poor memory performance. While stress has long been known to affect gut symptoms, this is the first study showing that stress also impacts on cognition in IBS.

“This is the most detailed assessment of cognitive function in IBS to date and given that IBS is very common among young women of college-going age, the implications of impaired memory performance are clear. We must emphasise the memory fault we have identified in IBS is subtle, and not on the magnitude seen in patients with mild cognitive impairment. If these memory deficits prove to be a stable feature of IBS it will vastly improve our understanding of this condition and may pave the way for therapies aimed at reducing the impact of stress in IBS, while also helping to alleviate the negative impact on cognition in this debilitating condition”, said Dr Gerard Clarke, a lecturer in the Department of Psychiatry and Faculty Investigator in the APC.

The research, which was funded by Science Foundation Ireland and the Health Research Board, was led by Professors Ted Dinan and John F Cryan and Dr Gerard Clarke in collaboration with Professor John Groeger, Professor Eamonn Quigley and Professor Fergus Shanahan, and was carried out by Mr Paul Kennedy and Ms Ann O’Neill, at the Alimentary Pharmabiotic Centre in UCC. The study was also supported by funding from the American Neurogastroenterology and Motility Society and UCC’s strategic research fund.

This research is published in the journal Psychological Medicine “PJ Kennedy,G Clarke, A O’Neill, JA Groeger, EMM Quigley, F Shanahan,  JF Cryan,TG Dinan  Cognitive Performance in Irritable Bowel Syndrome: Evidence of a Stress-Related Impairment in Visuospatial Memory”.

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