Roohafza Hamidreza, Keshteli Ammar Hassanzadeh, Daghaghzadeh Hamed, Afshar Hamid, Erfani Zahra, Adibi Peyman
Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan, Iran.
Integrative Functional Gastroenterology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Adv Biomed Res. 2016 Sep 29;5:158. doi: 10.4103/2277-9175.190935. eCollection 2016.
The frequency and the perceived intensity of life stressors, coping strategies, and social supports are very important in everybody's well-being. This study intended to estimate the relation of irritable bowel syndrome (IBS) and these factors.
This was a cross-sectional study carried out in Isfahan on 2013. Data were extracted from the framework of the study on the epidemiology of psychological, alimentary health, and nutrition. Symptoms of IBS were evaluated by Talley bowel disease questionnaire. Stressful life event, modified COPE scale, and Multidimensional Scale of Perceived Social Support were also used. About 4763 subjects were completed questionnaires. Analyzing data were done by -test and multivariate logistic regression.
Of all returned questionnaire, 1024 (21.5%) were diagnosed with IBS. IBS and clinically-significant IBS (IBS-S) groups have significantly experienced a higher level of perceived intensity of stressors and had a higher frequency of stressors. The mean score of social supports and the mean scores of three coping strategies (problem engagement, support seeking, and positive reinterpretation and growth) were significantly lower in subjects with either IBS-S or IBS than in those with no IBS. Multivariate logistic regression revealed a significant association between frequency of stressors and perceived intensity of stressors with IBS (odds ratio [OR] =1.09 and OR = 1.02, respectively) or IBS-S (OR = 1.09 and OR = 1.03, respectively).
People with IBS had higher numbers of stressors, higher perception of the intensity of stressors, less adaptive coping strategies, and less social supports which should be focused in psychosocial interventions.
生活应激源的频率、感知强度、应对策略和社会支持对每个人的幸福感都非常重要。本研究旨在评估肠易激综合征（IBS）与这些因素之间的关系。
这是一项于2013年在伊斯法罕进行的横断面研究。数据取自心理、 alimentary健康和营养流行病学研究框架。采用塔利肠道疾病问卷评估IBS症状。还使用了生活应激事件、改良的应对量表和感知社会支持多维量表。约4763名受试者完成了问卷。通过t检验和多因素逻辑回归分析数据。
在所有返回的问卷中，1024份（21.5%）被诊断为IBS。IBS组和具有临床意义的IBS（IBS-S）组经历的应激源感知强度水平显著更高，应激源发生频率也更高。IBS-S组或IBS组受试者的社会支持平均分以及三种应对策略（问题参与、寻求支持、积极重新诠释和成长）的平均分显著低于无IBS者。多因素逻辑回归显示，应激源频率和应激源感知强度与IBS（比值比[OR]=1.09和OR = 1.02，分别）或IBS-S（OR = 1.09和OR = 1.03，分别）之间存在显著关联。
IBS患者的应激源数量更多，对应激源强度的感知更高，适应性应对策略更少，社会支持更少，这些应成为心理社会干预的重点。
