scholarly journals Relationship Between Psychological Distress and Irritable Bowel Syndrome (IBS) in Medical Students of Pelita Harapan University

Author(s):  
Steven Nanda ◽  
Veli Sungono

Background: Irritable bowel syndrome is a functional disorder with recurrent abdominal discomfort associated with abnormalities in gut motility. One of the risk factors for IBS is anxiety and depression. This study aims to find out the relationship between medical student’s psychosocial conditions, measured by depression and anxiety with incidence of IBS. Gastrointestinal-specific anxiety (GSA), a subset of general anxiety, is measured and its relationship with incidence of IBS is also evaluated.Method: This research is a cross sectional study. Sample consists of 168 medical students from UPH batch 2016-2018 that fits into inclusion and exclusion criteria. Data is collected with demographics questionnaire, Rome IV IBS Criteria, Depression, Anxiety and Stress Scale 21, and Visceral Sensitivity Index. Categorical data between depression and anxiety and IBS is analyzed with Chi Square. GSA is a numerical data and its relationship with IBS is analyzed with t-test. Because GSA All statistical data is analyzed using SPSS version 22.0.Results: Results showed that from 168 samples that are acquired for this research, 65 (38,7%) are IBS and 103 (61,3%) are non-IBS. Significant associations are found between depression (p=0,03), anxiety (p=0,039), gastrointestinal-specific anxiety (p0,001), and obesity (p=0,026) with incidence of IBS.Conclusion: There is a significant association between depression and anxiety with incidence of IBS.

2021 ◽  
Vol 28 (11) ◽  
pp. 1561-1565
Author(s):  
Sehrish Shafique ◽  
Naveed Faraz ◽  
Hina Wasti ◽  
Ambreen Surti

Objective: To find out the frequency of Bowel Syndrome (IBS) among medical students according to ROME 111 criteria. To find out the frequency of common subtypes of IBS among the IBS positive medical students. To observe the association between anxiety, depression, and irritable bowel syndrome according to HAD scale. Study Design: Cross Sectional study. Setting: Medical Students of BUMDC. Period: September to November 2020. Material & Methods: The study was conducted among the medical students at a private medical college in Karachi. Ethical approval taken. After taking consent questionnaires were given. The total students with irritable bowel syndrome were presented by their frequencies, then finding were analyzed using ROME 111 and HAD scale. Results: A total of 370 students were included after considering inclusion and exclusion criteria. Out of which 152 students (41%) were found to have irritable bowel syndrome according to ROME 111 criteria. The most common IBS subtypes seen in our study was IBS –D (diarrhea) 80. Among those students diagnosed with IBS, anxiety was positive in 100 students while depression was seen in 5 students according to HAD scale. Conclusion: This study concludes that medical students are more prone to develop IBS which is aggravated by stress related anxiety for having extensive curriculum and pressure from the peers of having good score in exam among intellectual section of the society which is not an easy task to cope up.


2012 ◽  
Vol 5 (1) ◽  
pp. 255 ◽  
Author(s):  
Syed Naeem ◽  
Efaza Siddiqui ◽  
Abdul Kazi ◽  
Akhtar Memon ◽  
Sumaiya Khan ◽  
...  

2020 ◽  
Author(s):  
Adam Miraj Gembe

Abstract Background: Global prevalence of irritable bowel syndrome is high among medical students and health care professionals with significant morbidity. Similarly, the prevalence of celiac disease in irritable bowel syndrome is higher than the general population. These conditions impair quality of life and contribute to social-economic burden. In Tanzania, little is known about irritable bowel syndrome and celiac disease among medical students and health care professionals. Methods: A cross sectional study was conducted to MUHAS and Mloganzila Academic Medical Center (MAMC) staff and students who fulfilled the online shared Rome IV criteria of irritable bowel syndrome from August to November 2018. A structured questionnaire was used to collect socio-demographic data, anthropometric measurements and clinical manifestations. Blood samples for full blood picture, liver enzymes and Erythrocyte Sedimentation Rate were taken. Celiac disease was tested using anti-tissue transglutaminase antibody test. Qualitative and quantitative data were summarized using frequency distribution tables. Chi-square and fishers exact test were used to study comparison between groups. Logistic regression was used to study associations. Data was analyzed using SPSS version 20.0 and a P value of ≤0.05 was considered significant.Results: Out of 1,321 participants, 192 (14.5%) had irritable bowel syndrome in which 77 (40.1%) were males and 115 (59.9%) were females. Among the 192 participants with irritable bowel syndrome, 3 (1.6%) were positive for celiac disease, 2 (66.7%) were females and 1 (33.3%) was a male. Of the 3 patients with CD, 2 had elevated ALAT and 1 had anaemia. Age (AOR 2.53, 95% C.I 1.57-4.09), sex (AOR 1.67, 95% C.I 1.16-2.41), marital status (AOR 4.95 C.I 2.07-11.82), alcohol intake (AOR 2.47, 95% C.I 1.16-5.23), year of study (AOR 8.49, 95% C.I 5.71-12.64) and sleep duration (AOR 2.24, 95% C.I 1.23-4.06) were found to be independently associated with IBS. Conclusion: Prevalence of IBS and its associated factors in our study population was similar to findings from studies done elsewhere. Also, our study revealed a low prevalence of celiac disease among IBS participants.


2020 ◽  
Vol 37 ◽  
Author(s):  
Sarvesh Seger ◽  
Nur Nabila Binti Nasharuddin ◽  
Sabrina Lizy Fernandez ◽  
Siti Rahmah Binti Md Yunus ◽  
Nicole Teh Mae Shun ◽  
...  

2021 ◽  
Vol 6 (2) ◽  
pp. e21-e21
Author(s):  
Samin Maghsoudi ◽  
Azam Teimouri

Introduction: Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder and requires early diagnosis due to its negative impacts on the quality of life. According to the lifestyle pattern of medical students, IBS has a significant prevalence in these individuals. Objectives: The present study aims to investigate the prevalence and factors associated with IBS in medical students. Patients and Methods: This cross-sectional study has been conducted on 100 medical students studying at Isfahan University of Medical Sciences in 2019-2020. The Rome IV diagnostic criteria were administered to diagnose IBS and individuals were divided into four groups of constipation-dominant (IBS-C), diarrhea-dominant (IBS-D), mixed type (IBS-M) and unspecified (IBS-U). The association of studying grade, gender and residence with IBS was evaluated. Results: The mean age of the students was 23.2±4.8 years, including 68 (68%) women. According to Rome -IV criteria, 24 (24%) ones were diagnosed with IBS. The IBS cases were dominantly in IBS-C group (54.16%). IBS was not associated with gender (P=0.498), educational grade (P=0.661) and type of residence (P=0.562) in the studied medical students. Conclusion: According to the present study, the prevalence of IBS was 24% among medical students, which was higher among women. Most patients had IBS-C, but IBS did not show a statistically significant relationship with gender, educational grade and type of residence.


2020 ◽  
pp. 11-17
Author(s):  
Nam Phan Trung ◽  
Bich Nguyen Thuy

Background: Irritable bowel syndrome (IBS) is considered as a common functional bowel disorder. The prevalence of IBS vary in different communities and has been related to multifactorial mechanisms. Objective: To investigate the prevalence and some related factors about irritable bowel syndrome among medical students in Hue University of Medicine and Pharmacy, Vietnam. Methods: A cross-sectional study was carried out among medical students of first to sixth year enrolled in Hue University of Medicine and Pharmacy during the academic year 2018 to 2019. Participants were asked to complete a comprehensive anonymous questionnaire which detailed characteristics on socio-demographic, health-related, lifestyle factors (according to DASS-21, ISS) and Rome IV Diagnostic Questionnaires & Tables for Investigators and Clinicians. Results: 299 medical students completed the survey. The prevalence of IBS was 14.4% (43/299) according to ROME IV criteria, female are higher than male (60.5% vs 39.5%). Among the IBS subjects, IBS-M accounted for 44.2%, IBS-D with 32.6%, IBS-C and IBS-U with the same 11.6%. Live-alone status, exercise habits, depression, anxiety, stress (according to DASS-21) are factors related to IBS. Conclusion: IBS among medical students are with a quite high prevalence. Screening of these IBS students for psychological problems and stress need to consider. Keywords: Irritable bowel syndrome, IBS , Prevalence, Medical students, ROME IV criteria


2021 ◽  
Vol 14 (4) ◽  
pp. 176-179
Author(s):  
Mohammad Ahmed Saifullah ◽  
Amer Ahmad Khan ◽  
Sarmad Zahoor ◽  
Sidra Saif ◽  
Javed Sajjad Hashmi ◽  
...  

Background: Many studies have been conducted worldwide to evaluate the proportion of patients with Celiac disease (CD) in persons presenting with Irritable Bowel Syndrome (IBS), showing a positive association between the two diseases. However, reports from Pakistan remain scanty. This study aims to find out the prevalence of CD in patients presenting with IBS and to establish the correlation of both diseases. Patients and methods: It was a descriptive cross-sectional study conducted at Combined Military Hospital, Lahore (CMHL) from January 2018 till March 2019. Consecutive, nonprobability sampling was used to include 210 patients of both genders with the age range of 15-65 years fulfilling ROME IV criteria and were not previously diagnosed as CD or CKD or CLD. Demographic data was noted. Serum Anti tTG levels and Duodenal Biopsy from the second part was assessed to diagnose CD. CD was labeled if the disease was present on both serological and Histopathological reports. Data were analyzed by using SPSS version 20. Descriptive statistics were calculated and a Chi-square test was used to compare the outcome variables with P-value < 0.05 as significant. Results: Of 210 enrolled patients, 113 (53, 8%) were male and 97 (46.2%) were female. The mean age of the patients was 28.40 ± 5.06 years. Eight patients (3.8%) were positive for Anti tTg and on histopathological findings suggestive of CD. Seven of 8 were less than 35 years old. Out of 8 positive patients, 6 (75%) were females. However, the p-value was found to be insignificant for age (0.549) and gender (0.096). On stratification with respect to duration of IBS, all 8 patients diagnosed with celiac disease were having symptoms of IBS for less than 12 months (100%) which was significant statistically (7.1% vs 0.0%; p=0.007). Conclusion: The frequency of CD was 3.8% among IBS patients. Considering this percentage of CD in IBS patients s, a high index of suspicion for CD in IBS patients is required,


Adolescents ◽  
2021 ◽  
Vol 1 (4) ◽  
pp. 500-507
Author(s):  
Yun-Yi Yang

Insomnia refers to having difficulty sleeping even when given the opportunity and environment to sleep. Irritable bowel syndrome is a functional bowel disease that is accompanied by abdominal pain and irregular defecation but not organic lesions. Although insomnia and irritable bowel syndrome are pathophysiologically related, studies on their relationship among adolescents are lacking. This study aimed to determine the prevalence of insomnia and irritable bowel syndrome among adolescents and the association between them. In May 2021, a survey was conducted among high school adolescents from Daegu Metropolitan City, South Korea, using the Korean version of the Insomnia Severity Index and the Rome IV diagnostic criteria for irritable bowel syndrome. Data were analyzed using chi-square and Mann–Whitney tests and logistic regression analyses. The incidence of insomnia (Insomnia Severity Index score ≥ 10) was 18.4% (n = 74) while that of irritable bowel syndrome was 10.7% (n = 43). Irritable bowel syndrome was strongly associated with an increased incidence of insomnia (odds ratio = 3.30, 95% confidence interval: 1.66–6.53). Therefore, the association between insomnia and irritable bowel syndrome has relevance in the treatment of insomnia in adolescents.


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