Jang Seung-Ho, Ryu Han-Seung, Choi Suck-Chei, Lee Sang-Yeol
Department of Psychiatry, School of Medicine, Wonkwang University, Iksan, Republic of Korea.
Division of Gastroenterology, Department of Internal Medicine, School of Medicine, Wonkwang University, Iksan, Republic of Korea.
Psychiatry Investig. 2017 Jul;14(4):434-440. doi: 10.4306/pi.2017.14.4.434. Epub 2017 Jul 11.
The purpose of this study was to investigate the characteristics of psychological factors that are related to irritable bowel syndrome (IBS) and their effects on the quality of life (QOL) of firefighters in South Korea.
This study examined data collected from 1217 firefighters in South Korea. After identifying firefighters with IBS according to the Rome III diagnostic criteria for functional gastrointestinal disorders (FGIDs), we collected demographic data and psychological variables through self-administered questionnaires. In order to observe the distribution of the high-risk group in the Korean occupational stress scale (KOSS) subcategories, we conducted logistic multiple linear regression. The correlations between psychological factors and QOL were analyzed and we performed a stepwise regression analysis.
The groups (firefighters with and without IBS) showed differences by sex, working period, task, working pattern, Patient Health Questionnaire-9, Generalized Anxiety Disorder Questionnaire-7, Korean Occupational Stress Scale, Rosenberg's Self-Esteem Scale, and the World Health Organization Quality of Life-BREF. IBS risk was higher in the following KOSS subcategories: job demand (OR 1.79, 95% CI: 1.11-2.89), interpersonal conflict (OR 2.21, 95% CI: 1.25-4.33), organizational system (OR 1.87, 95% CI: 0.58-3.30), and lack of reward (OR 2.39, 95% CI: 1.08-5.26). The final regression model explained 42.6% of the variance in overall quality of life.
The findings of this study indicate that a number of psychological factors increase the likelihood of irritable bowel syndrome (IBS) and affect QOL. Therefore, when diagnosing IBS in the future, mental health aspects should be considered in addition to physical health.
本研究旨在调查与肠易激综合征（IBS）相关的心理因素特征及其对韩国消防员生活质量（QOL）的影响。
本研究分析了从1217名韩国消防员收集的数据。根据功能性胃肠疾病（FGIDs）的罗马III诊断标准确定患有IBS的消防员后，我们通过自填问卷收集了人口统计学数据和心理变量。为了观察韩国职业压力量表（KOSS）子类别中高危组的分布情况，我们进行了逻辑多元线性回归分析。分析了心理因素与生活质量之间的相关性，并进行了逐步回归分析。
（患有和未患有IBS的消防员）两组在性别、工作年限、任务、工作模式、患者健康问卷-9、广泛性焦虑症问卷-7、韩国职业压力量表、罗森伯格自尊量表和世界卫生组织生活质量简表方面存在差异。在以下KOSS子类别中，IBS风险较高：工作需求（OR 1.79，95%CI：1.11-2.89）、人际冲突（OR 2.21，95%CI：1.25-4.33）、组织系统（OR 1.87，95%CI：0.58-3.30）和缺乏奖励（OR 2.39，95%CI：1.08-5.26）。最终回归模型解释了总体生活质量方差的42.6%。
本研究结果表明，多种心理因素会增加肠易激综合征（IBS）的发病可能性并影响生活质量。因此，未来在诊断IBS时，除了身体健康外，还应考虑心理健康方面。
