King's Centre for Military Health Research, Department of Psychological Medicine, King's College London, London, SE5 9RJ, UK,
Soc Psychiatry Psychiatr Epidemiol. 2013 Nov;48(11):1755-65. doi: 10.1007/s00127-013-0699-6. Epub 2013 May 1.
Diarrhoea and vomiting (D & V) was common in military personnel during deployment to the initial phases of the Iraq war. D & V is an established risk factor for irritable bowel syndrome (IBS). This study examined the prevalence of IBS in a military sample with a history of deployment to Iraq and the association between D & V and common mental disorder (CMD) with IBS.
The study used data from a two-phase cohort study of military/personnel. The sample was restricted to individuals who had been deployed to Iraq before phase 1 of the study and who had completed the self-report D & V question. A measure of probable IBS was derived at both phases of the study based on self-reported symptoms in the previous month. CMD was assessed by the General Health Questionnaire (GHQ-12).
Fifty-nine percent of the sample reported a D & V event and 6.6 % met the criteria for probable IBS at phase 1. Reporting D & V, thinking one might be killed on deployment, poor physical health and CMD were associated with probable IBS at phase 1. CMD at phase 1 was strongly associated with chronic symptoms of IBS.
There was a high prevalence of D & V during deployment to the early stages of the Iraq war, yet the prevalence of probable IBS on return from deployment was relatively low. D & V was strongly associated with IBS after deployment, and CMD was a risk factor for chronic symptoms of IBS.
腹泻和呕吐（D & V）在军事人员部署到伊拉克战争初期时很常见。D & V 是肠易激综合征（IBS）的既定危险因素。本研究调查了具有部署到伊拉克历史的军事样本中 IBS 的患病率，以及 D & V 与常见精神障碍（CMD）与 IBS 之间的关联。
该研究使用了一项军事/人员两阶段队列研究的数据。该样本仅限于在研究第一阶段之前部署到伊拉克且已完成自我报告 D & V 问题的个人。根据前一个月的自我报告症状，在研究的两个阶段都得出了可能的 IBS 衡量标准。CMD 通过一般健康问卷（GHQ-12）进行评估。
样本中有 59%报告了 D & V 事件，6.6%在第一阶段符合可能 IBS 的标准。在第一阶段，报告 D & V、认为自己可能在部署中被杀、身体健康状况不佳和 CMD 与可能的 IBS 有关。第一阶段的 CMD 与 IBS 的慢性症状密切相关。
在部署到伊拉克战争初期时，腹泻和呕吐的患病率很高，但从部署返回后，可能 IBS 的患病率相对较低。D & V 与部署后 IBS 密切相关，CMD 是 IBS 慢性症状的危险因素。
