Factors associated with irritable bowel syndrome among medical students at Ain Shams University

Abstract Background Irritable bowel syndrome (IBS) is one of the most common and potentially disabling gastrointestinal disorders. The pathogenesis of this disorder remains obscure. However, many etiological explanations point toward bacterial etiology. Also, several studies have documented that psychological and social factors may play a role. Medical education is among the most challenging and stressful education, and this may predispose to high rates of IBS. Objectives The aims of this study are to estimate the frequency of IBS in a selected sample of students of Faculty of Medicine in Ain Shams University and to find out the determinants associated with this disorder. Study design A cross-sectional study was carried out among medical students from October 2017 to February 2018 at Faculty of Medicine—Ain Shams University. All participants were asked to complete a confidential self-administered questionnaire. An interview questionnaire was used for diagnosis of IBS according to Rome III criteria, while morbid anxiety and depression were diagnosed by using the Arabic version of Hospital Anxiety and Depression Scale (HADS). Results Three hundred eighty-two students completed the questionnaire. The frequency of IBS was 31.7% with higher proportion among females and among students with positive family history of IBS. However, IBS was significantly less prevalent among students practicing regular exercise. Lastly, based on (HADS), there was a statistical significant relationship between IBS and anxiety (p < 0.05), but not depression. Conclusion The study revealed that around 31% of the studied group was suffering from IBS. Female gender, suffering from anxiety, and positive family history of IBS were the main associated factors for IBS. Screening of all medical students in the faculty for IBS is suggested. Providing psychological and emotional support along with stress management is highly recommended.

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Factors Affecting Irritable Bowel Syndrome in Medical Students

The Indonesian Journal of Gastroenterology Hepatology and Digestive Endoscopy ◽

10.24871/212202095-98 ◽

2020 ◽

Vol 21 (2) ◽

pp. 95-98

Author(s):

Ellen Fernanda ◽

Andree Kurniawan

Keyword(s):

Irritable Bowel Syndrome ◽

Medical Students ◽

Family History ◽

Demographic Data ◽

Drug Consumption ◽

Bivariate Analysis ◽

Cross Sectional ◽

Factors Affecting ◽

History Of ◽

Irritable Bowel

Background: Irritable Bowel Syndrome (IBS) is one of the health problems that bring great effects in education, productivity, and socioeconomic life in Indonesia. It accounts for approximately 10.5% of 304 digestive problems in Jakarta, Indonesia. Particular characteristics are known to increase the risk of IBS in individuals, but the study of IBS in Indonesia is still limited in number. The objective of this study is to assess the prevalence and factors affecting Irritable Bowel Syndrome in medical students.Method: This study is a cross sectional study on medical students of Pelita Harapan University, Karawaci, Tangerang on January 2018 until March 2018. Data were obtained with the use of questionnaire of demographic data, ROME IV IBS Criteria, GAD DSM-IV, and PSQI as the instruments with random sampling technique, and statistically tested using Chi-Squared test.Results: A total of 210 samples consist of 54 subjects with IBS (25.7%) with 43 women (79.6%) and 11 men (20.4%). Findings of bivariate analysis are sex (95% CI, 0.751 - 3.346), obesity (95% CI, 0.612 - 2.673), history of drug consumption (95% CI, 1.246 - 6.742), family history of IBS (95% CI, 1.246 - 6.742), anxiety (95% CI, 1.419 - 9.709), and sleep disorder (95% CI, 0.514 - 1.785).Conclusion: The prevalence of IBS in medical students in our institution is 25.7% with history of drug consumption, family history of IBS, and anxiety as factors statistically significant in IBS.

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Frequency of Irritable Bowel Syndrome (IBS) and its Risk Factors among MBBS Students of Allama Iqbal Medical College, Lahore

10.53350/pjmhs211572062 ◽

2021 ◽

Vol 15 (7) ◽

pp. 2062-2067

Author(s):

Hafiz Muhammad Tauseef ◽

Hafiz Muhammad Waqas Siddque ◽

Muhammad Farhan Akhtar ◽

Abu Hurera

Keyword(s):

Risk Factors ◽

Irritable Bowel Syndrome ◽

Abdominal Pain ◽

Medical Students ◽

Family History ◽

Positive Family History ◽

Gastrointestinal Disorder ◽

Medical College ◽

History Of ◽

Irritable Bowel

Background: Currently, there is a growing concern towards epidemiological and clinical research on functional gastrointestinal disorders. Irritable Bowel Syndrome is defined as a functional gastrointestinal disorder characterized by abdominal discomfort, abdominal pain, and altered bowel movements. It is the most common gastrointestinal disorder. It can be diarrhea-predominant IBS, constipation-predominant IBS, and mixed type IBS. Objective: The objective of this study was to determine the frequency of IBS among medical students of Allama Iqbal Medical College and to determine conditions and lifestyle habits that may act as significant risk factors for developing IBS. Methods: A cross-sectional study was conducted for over 5 months. A sample of 323 individuals was studied whereas the sampled individuals were selected using a "stratified random sampling technique". The study was conducted by collecting data through an online questionnaire during the global COVID pandemic. The questionnaire consisted of three parts. The first section consisted of demographic information, the second section consisted of a standard questionnaire determining the risk factors of IBS i.e., personal food and lifestyle habits, and the last section was aimed at determining whether the person was a case of IBS or not using the widely accepted and used “Rome III Criteria” and determining the predominant pattern of IBS. Results: The frequency of IBS was found to be 15.5%. Analysis of collected data revealed that the predictors for IBS were stress and reduced hours of daily sleep. It was also observed that a positive family history of irritable bowel syndrome predisposed the development of IBS in a person. 30% of subjects with a positive family history of IBS had symptoms suggestive of IBS. Conclusion: The study concludes that there is a high incidence of IBS among medical students because they live under higher stress conditions, concerning their academics and professional duty than students and professionals from other educational fields. Keywords: Irritable bowel syndrome, abdominal pain, stress, food consumption.

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Irritable Bowel Syndrome among Medical Students in Jordan: A cross-Sectional Study

10.21203/rs.3.rs-333610/v1 ◽

2021 ◽

Author(s):

Salsabeel Yousef ◽

Khaled Jadallah ◽

Khalid A. Kheirallah ◽

Mohannad Al Nsour ◽

Anwar Batieha

Keyword(s):

Medical Students ◽

Family History ◽

Cross Sectional Study ◽

Anxiety Level ◽

Sectional Study ◽

Cross Sectional ◽

Academic Level ◽

History Of ◽

Depression Level ◽

Irritable Bowel

Abstract Background Irritable bowel syndrome (IBS) is one of the most common functional gastrointestinal disorders worldwide. IBS is not a life-threatening condition; however, it considerably reduces the quality of life of sufferers. This study aims at assessing the prevalence of IBS, its subtypes, and associated factors among medical students at Jordan University of Science and Technology (JUST).Methods We conducted a cross-sectional study among medical students at JUST from November 2019 to February 2020. A structured, pre-validated, comprehensive, self-administered, and anonymous questionnaire was used. The questionnaire consists of three parts: sociodemographic and behavioral factors related questions, Rome IV diagnostic questionnaire, and Depression Anxiety Stress Scale (DASS-21). A total of 396 students participated in our study.Results The prevalence of IBS among medical students at JUST was 28.5%. The predominant IBS subtype was IBS-mixed (IBS-M), which constituted 42.5% of the cases. Multivariate logistic regression analyses revealed that gender, family history of IBS, academic level, residence, stress level, anxiety level, and depression level were the main predictors of IBS. Males were fifty percent less likely to suffer from IBS compared to females. Students who had a family history of IBS were two and half times more likely to suffer from IBS. Students who had extremely severe stress were five times more likely to have IBS than those with normal stress levels. Students who had extremely severe depression were three and half times more likely to suffer from IBS than those who had normal depression level. Students who had extremely severe anxiety levels were two and half times more likely to suffer from IBS than those of normal anxiety level. The odds of having IBS were highest among fifth-year students, followed by sixth-year students compared to first-year students. The anxiety level regression model revealed that students living with their families have a reduced risk for IBS by 50% than students living in a private house.Conclusion IBS is highly prevalent among medical students at JUST. Sex, family history of IBS, academic level, residence, stress level, anxiety level, and depression level were the risk factors of IBS. Offering emotional and psychological support and stress management courses may be needed to enhance students' ability to deal with stress, reduce anxiety and depression.

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Anxiety and Depression During COVID-19 Pandemic Among Medical Students in Nepal

10.21203/rs.3.rs-91574/v1 ◽

2020 ◽

Author(s):

Ajay Risal ◽

Shreeja Shikhrakar ◽

Sachin Mishra ◽

Dipak Kunwar ◽

Eliza Karki ◽

...

Keyword(s):

Medical Students ◽

Depression Scale ◽

Cross Sectional Study ◽

Physical Illness ◽

Anxiety And Depression ◽

Age Group ◽

Online Questionnaire ◽

Cross Sectional ◽

Situational Variables ◽

History Of

Abstract Background: Medical students’ psychological response to societal lockdown during the covid-19 pandemic has not been studied much. Our aim was to assess levels of anxiety and depression among medical students during the initial stages of the pandemic in Nepal and relate their distress to psychosocial and other relevant situational variables.Materials and Methods: A cross-sectional study with an online questionnaire was conducted among medical students at different colleges in Nepal. Hospital Anxiety and Depression Scale (HADS) detected manifestations of anxiety and depression. The covariates were explored by logistic regression analyses.Results: A total 416 medical students [mean age: 22.2 (2.1); males 57.7%, females 42.3%] participated. HADS-anxiety scores [mean: 7.1(4.3)] were significantly and positively correlated with HADS-depression [mean: 5.9 (4.1)] (r=0.695; p<0.001). Point prevalence of total HADS caseness (HADS-T) was 26.7%. Specific HADS-defined caseness were: anxiety (HADS-A) 11.8%, depression (HADS-D) 5.5%, and comorbid anxiety and depression (HADS-cAD) 9.4%. All four types of caseness were significantly more prevalent among students with a history of mental problems (AOR=4.7, 3.2, 2.6, and 3.2 respectively). HADS-T was higher among those with a concurrent physical illness (AOR=2.4). HADS-T, HADS-A and HADS-D scores were higher among the age group >22 years (AOR= 2.2, 2.5 and 4.4 respectively). HADS-cAD was almost three-times higher among those with a possible COVID-19 exposure (AOR=2.8).Conclusion: A significant number of medical students in Nepal suffered from high levels of anxiety and depression during the covid-19 shut-down. The students in the higher (>22 years) age group, those with past mental disorders, a possible covid-19 exposure, and a concurrent physical illness showed elevated levels of anxiety and/or depression.

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Differential expression of micro RNA-29 family in non-diabetic adults of diabetic and non-diabetic parents

BMC Research Notes ◽

10.1186/s13104-021-05703-8 ◽

2021 ◽

Vol 14 (1) ◽

Author(s):

Uzair Abbas ◽

Bushra Imdad ◽

Sikander Adil Mughal ◽

Israr Ahmed Baloch ◽

Afshan Mehboob Khan ◽

...

Keyword(s):

Type 2 Diabetes ◽

Family History ◽

Positive Family History ◽

Cross Sectional Study ◽

Vital Role ◽

Micro Rna ◽

Cross Sectional ◽

Family History Of Diabetes ◽

History Of

Abstract Objective MicroRNAs are known to regulate 60% of genes at post translational level. MicroRNAs including Micro RNA-29 family play a vital role in cellular activities and have validate role in numerous metabolic disorders inclusive of diabetes mellitus and its complications. While micro RNA profile changes years before the occurrence of disease. This cross-sectional study was conducted in non-diabetic adults of diabetic and non-diabetic parents to explore the early changes in expression of micro RNA-29 family as it can be served as early biomarker of type 2 diabetes in non-diabetic adults. This study was conducted from January 2019 to January 2021. Micro RNA was extracted from plasma of 50 participants and expression was compared through qPCR. While data was analyzed through SPSS version 21.0. Results 29a and 29b had lower expression in participants with family history of DM compared to those having no family history of DM (P < 0.0001). While micro RNA 29c was found to be significantly higher in participants with positive family history of type 2 diabetes as compared to those without family history of diabetes (P = 0.001).

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Levels of anxiety, depression and denial in patients with myocardial infarction

European Psychiatry ◽

10.1016/s0924-9338(97)80204-0 ◽

1997 ◽

Vol 12 (3) ◽

pp. 149-151 ◽

Cited By ~ 4

Author(s):

D Sarantidis ◽

A Thomas ◽

K Iphantis ◽

N Katsaros ◽

J Tripodianakis ◽

...

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Intensive Care Unit ◽

Family History ◽

Positive Family History ◽

Anxiety And Depression ◽

Previous Myocardial Infarction ◽

History Of ◽

Seeking Help ◽

Anxiety Depression

SummaryIn this study we investigated 1) the changes in anxiety, depression and denial from admission to discharge in patients admitted to the intensive care unit following an acute myocardial infarction and 2) the effect of smoking habits, time lapsed from the appearance of symptoms to seeking help behavior, presence of a person that motivated the patient to seek help, previous myocardial infarction (MI) and family history of MI, on these changes. The results indicated that 1) the levels of both anxiety and depression increased from admission to discharge, while denial decreased; 2) positive family history of MI was associated with lower difference of denial between admission and discharge.

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841 The psychological impact of Foundation Interim Year 1 Placements on Final Year UK Medical Students Transitioning to Foundation Year One During the COVID Era

British Journal of Surgery ◽

10.1093/bjs/znab134.093 ◽

2021 ◽

Vol 108 (Supplement_2) ◽

Author(s):

M Durand-Hill ◽

D I Ike ◽

A N Nijhawan ◽

A B Shah ◽

A Dawson ◽

...

Keyword(s):

Medical Students ◽

Perceived Stress ◽

Psychological Impact ◽

Depression Scale ◽

Anxiety And Depression ◽

Hospital Anxiety ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Stress Scale ◽

The Uk

Abstract Introduction During the COVID pandemic, the 2019-2020 cohort of final year students were invited to participate in Foundation interim Year 1 placements (FiY1). FiY1 aimed to ease transition to Foundation Year 1 doctor (FY1). We assessed the psychological impact of FiY1 on final year medical students. Method A cross-sectional survey was distributed to final year medical students in the UK between June 4th and July 4th, 2020. The survey contained the following domains: participant demographics, rationale for FiY1 participation, a checklist of the key safety principles for FiY1s, the Hospital Anxiety and Depression Scale and the Perceived Stress scale-4. Results 107 final years responded to the survey. 72.0% (n = 77) of final year students surveyed were working as FiY1s. Final year students participating in FiY1 postings had reduced rates of anxiety (29.9% vs 43.4%, P = 0.186), depression (5.2% vs 20.0%, P = 0.018) and lower perceived stress levels (5.0 vs 7.2, P < 0.001). 19.5% (15/77) FiY1s reported working beyond their competency, 27.3% (22/77) felt unsupervised, but 94.8% (73/77) of FiY1s felt the post prepared them for FY1. Conclusions Students participating in FiY1 postings felt less stressed and depressed than those not participating in the scheme and the majority felt it was preparing them for FY1.

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Rates of Anxiety and Depressive Symptoms among Female Undergraduate Medical Students at National Medical College and Teaching Hospital

IRA-International Journal of Management & Social Sciences (ISSN 2455-2267) ◽

10.21013/jmss.v14.n2sp.p17 ◽

2019 ◽

pp. 171

Author(s):

Sandesh Sawant ◽

Garima Tripathi ◽

Tripti Pal Raman

Keyword(s):

Depressive Symptoms ◽

Medical Students ◽

Family History ◽

Depression Scale ◽

Anxiety Symptoms ◽

Drop Out ◽

Anxiety And Depression ◽

Female Undergraduate ◽

Undergraduate Medical Students ◽

The Mean

Background: Literature states that Depression and anxiety symptoms carry impairment to medical students, including poor academic performance, drop out, substance abuse and suicide. A high prevalence of anxiety and depression among medical students has been reported worldwide. Higher prevalence is noticed among female students.Aim/Objectives: To study rates of anxiety and depressive symptoms among female undergraduate medical students.Methods: The present study is a cross-sectional study. The purposive sampling method was used. Duration of study was 6 months. A total number of participants’ were 100. Self-developed questionnaire and Hospital Anxiety and Depression scale were used. Results: Findings showed that the mean score of anxiety symptoms was 8.08 (SD± 4.07). Similarly, the mean score of Depressive symptoms was 4.99(SD± 3.28). Fifty-two per cent of the students rated anxiety symptoms and 25% of the student rated depressive symptoms between borderline to the abnormal range. Total 9% of the students reported that they have a family history of mental illness among which 8% reported borderline to an abnormal range of anxiety however 52 % who had no family history also scored the same range. Similarly, 17% of the students reported there were life events which were stressful among which 13% scored borderline to abnormal range anxiety symptoms. Likewise, only 5% of the students scored borderline to the abnormal range of depressive symptoms.Conclusion: It was observed that female undergraduate medical students experience both anxiety and depressive symptoms however the percentage of depressive symptoms were less compared to anxiety symptoms. Further studies are required to evaluate the associated factors responsible for depressive and anxiety symptoms.

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What is known about Prostate Cancer? Response from Men Aged 50 Years and Above in Lindi Municipal, Tanzania

Tanzania Medical Journal ◽

10.4314/tmj.v31i2.363 ◽

2020 ◽

Vol 31 (2) ◽

pp. 33-44

Author(s):

Simon Francis ◽

Obadia V. Nyongole

Keyword(s):

Prostate Cancer ◽

Family History ◽

Positive Family History ◽

Negative Attitude ◽

Cross Sectional Study ◽

Cross Sectional ◽

Adult Men ◽

History Of ◽

One Year ◽

High Level

Background: The incidence of prostate cancer in Tanzania is among the highest recorded in Africa. Prostate cancer is also the most common cancer among men aged 50 years and above in Tanzania. Our study aimed to determine the awareness, knowledge, and attitudes among adult men with age 50 years and above regarding prostate cancer.Methods: This was a cross-sectional study that included 250 adult men aged 50 years and above in Lindi municipal being purposively selected and we interviewed them by using a structured questionnaire. A stratified random sampling method was used for obtaining our participants. All men who had stayed for not less than one year in Lindi and willing to participate were enrolled in the study. These men were selected at households without screening whether or not they had taken prostate screening test or had been diagnosed with prostate cancer Quantitative data were cleaned and analyzed with SPSS version 20.Results: Majority, 216(86.7%) of our study participants were aged 50–69 years and most of them, 142(56.8%) had primary education with 93.2% of them being married. Among the study subjects 7.2% had positive family history of cancer and 195(78%) were aware of prostate cancer with source of information being mass media (62.6%). Majority of them, 63.2%, did not know the risk age group. Few, 20.8% of our participants had good knowledge while majority, 95.2% had negative attitude toward prostate cancer. We found a statistically significant association between level of education, family history and level of knowledge regarding prostate cancer with p < 0.005.Conclusion: This study revealed high level of awareness, but poor knowledge regarding prostate cancer and negative attitude toward prostate cancer among men with age ≥50 years in Lindi municipal Tanzania. Key words: Awareness, knowledge, attitude, prostate cancer.

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Clinical and Demographic Profiles of Patients Diagnosed as Cough Variant Asthma attended at Tertiary Referral Hospital

Journal of National Institute of Neurosciences Bangladesh ◽

10.3329/jninb.v2i1.32960 ◽

2017 ◽

Vol 2 (1) ◽

pp. 30-33

Author(s):

SK Shahinur Hossain ◽

Md Safiul Islam ◽

Md Mustafizur Rahman ◽

Shubhashish Dey ◽

Khurshid Mahmud

Keyword(s):

Family History ◽

Positive Family History ◽

Challenge Test ◽

Young Male ◽

Tertiary Referral Hospital ◽

Cross Sectional ◽

Cough Variant Asthma ◽

Demographic Profiles ◽

History Of ◽

Study Population

Background: Cough variant asthma is presented with different clinical and demographic characteristics.Objectives: The purpose of the present study was to see the clinico-demographic profiles of cough variant asthma patients.Methodology: This descriptive type of cross-sectional study was carried out in theDepartment of Respiratory Medicine at National Institute of Diseases of the Chest and Hospital (NIDCH), Dhaka, Bangladesh from September 2014 to August 2015 for a period of one year. Patients presented with cough variant asthma attending in NIDCH were selected as study population. Methacholine challenge test was performed to diagnosis of Cough Variant Asthma. Result: A total number of 50 patients were recruited for this study. The mean age±SD was found 19.1±7.6 years. Male was predominant than female with a ratio of 1.4.:1. Among the study population positive family history of asthma was found in 39.0% cases and associated allergic rhinitis was reported in 58.0% cases. Eczema was associated with 16.0% patients;however, only 4% patients had associate conjunctivitis. Conclusion: In conclusion young male is more commonly affected by cough variant asthma of which majority have family history of asthma. Journal of National Institute of Neurosciences Bangladesh, 2016;2(1):30-33

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